Follow-up care
• Tubesareususallychangedevery4-6weeks.
• Ifforsomereasonyoudidnotreceiveanappointmentcardondischargefromthehospital,pleasecallourofficeat(734)936-4536,Option1toscheduleyourtubechange.
• Ithasbeenourpleasuretoparticipateinyourcare.Pleasefeelfreetocallourofficeatanytimeorpageuswithanyquestions,problemsorconcerns.
dressing changes
• Changedressingevery1-2daysorafterashower.
• Washyourhands.Removeolddressingandcleanaroundthetubedailywithacleanwashcloth,usingmildliquidsoapandwater.Rinsewell.Asingleusewashclothshouldbeusedtocleanthesite.Patdry.
• Applynew,cleandressing,beingcarefultopositiontubesothatitdoesnotkink.
Flushing
• Tubeneedstobeflushed timesaday.
• Use10ccsyringefilledwithnormalsaline.
• Connectsyringetoendoftube.
• Push10ccofnormalsalineintothetubeasfastaspossiblewithoutcausingdiscomfort.
• Donotpullbackonsyringe.
what to watch For
Signs that your tube may be blocked:
• Fever
• Chills
• Darkurineandlightcoloredstool
• Leakageofbilearoundthetubeandontoyourskinrequiringseveraldressingchangesinaday
• Jaundice(yellowskin)
• Difficultyflushingthetubeoraleakaroundthetubewhenflushing.
Ifanyoftheabovehappens,placethetubetoadrainagebagandcallInterventionalRadiology.
If the tube falls out, it must be replaced within 12-24 hours.
• Covertheholeintheskinwithgauzepadsandtape.
• CallInterventionalRadiologytoreplacetube.
activity
• Nohottubsorswimming.
• Forthefirst14daysyoumayshower;however,beforeshowering,coverdressingwithadoublelayerofplasticwrap(e.g.SaranWrap)andtapeedgestoskin.Aftershower,removeplasticwrapandchangedressing.
• Afterthesitehashealedorintwoweeks(whicheverislater),youmayshowerwithoutthedressingorplasticwrapusingsoapandwater.Rinsewell.Pattheareadryandapplyaclean,drydressing.
• Youcansitinabathtubifyouprefer,however,thewaterlevelmustbewellbelowwherethetubeentersyourskin(puncturesite).Atnotimeshouldthepuncturesitebeunderwaterasthismayleadtothedevelopmentofinfection.
• Avoidanyactivitythatcausesapullingsensationorpainaroundthetube,orkinkingofthetube.
• Avoidactivitessuchasbendingforwardorliftingheavyobjectsasthismayresultinbileleakingaroundthetube.
Internally DraInIng BIlIary tuBe care - PatIent DIscharge InstructIons
If you cannot reach medical assistance, seek care at an emergency room. take this form with you.
open
closed
the valve should be in the open position to allow proper drainage from tube into drainage bag.
t h e M i c h i g a n d i F F e r e n c e ®
Family Medicine
Department of radiologyInterventional radiology
1500 east Medical center dr.B1 d530 ann arbor, Mi 48109
(734) 936-4536, option 1Monday - Friday 8 aM - 5 pM
after hours and on weekends/ holidays: (734) 946-6267 and ask for the “interventional radiologist on call”
www.med.umich.edu/rad
executive offi cers of the university of Michigan health system: ora hirsch pescovitz, M.d., executive vice president for Medical affairs; James o. woolliscroft, M.d., dean, u-M Medical school; douglas strong, chief executive offi cer, u-M hospitals and health centers; Kathleen potempa, dean, school of nursing.
the regents of the university of Michigan: Julia donovan darlow, laurence B. deitch, denise ilitch, olivia p. Maynard, andrea Fischer newman, andrew c. richner, s. Martin taylor, Katherine e. white, Mary sue coleman (ex offi cio).
the university of Michigan, as an equal opportunity/affi rmative action employer, complies with all applicable federal and state laws regarding nondiscrimination and affi rmative action. the university of Michigan is committed to a policy of equal opportunity for all persons and does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, height, weight, or veteran status in employment, educational programs and activities, and admissions. inquiries or complaints may be addressed to the senior director for institutional equity, and title iX/section 504/ada coordinator, offi ce of institutional equity, 2072 administrative services Building, ann arbor, Michigan 48109-1432, 734-763-0235, tty 734-647-1388. For other university of Michigan information call 734-764-1817.
© 2010, the regents of the university of Michigan.
06??? 11/2010-?K/a
It has been our pleasure to participate in your care.
Please feel free to call our office with any questions.
Monday - Friday 8 aM - 5 PM(734) 936-4536, option 1
after hours and on weekends/ holidays: (734) 946-6267. ask for the “Interventional radiologist on call”
IF you cannot reach MeDIcal assIstance, seeK care at an eMergency rooM.
taKe thIs ForM WIth you.
internally drainingBiliary tuBe care
patient discharge instructions
d e p a r t M e n t o F r a d i o l o g y
departMent oF radiology
