The rule against drawing from the same side of a prior mastectomy is hard and fast. To the Editor Against the wellmeant advice to patients who have had mastectomies never to allow venipunctures on the same side as the mastectomy I wish to raise a strong voice of dissent.
Update Draws From Mastectomy Patients
Because the lymph nodes in the armpit fight infection it wasnt uncommon for women to develop infections swelling in that arm.
. The entire breast is. Why can you draw blood from the same side as a mastectomy. Why cant you draw blood on the same side as a mastectomy.
As such it probably is OK to have a blood draw from your affected arm but try to use the other arm if possible. Because of this you must take precaution and inform health care providers about your mastectomy so that blood pressure is not taken and blood is not drawn from that arm. Assert your right to do this even if.
In addition there is an increased risk for blood clots in the veins of the armpit because of surgical trauma in the area. The reason for this is that the lymph nodes protect our body from illnesses and infections and if they are no longer present taking BP and having blood drawn can cause fluid accumulation and. Physicians permission is required in writing.
What monitors the pH levels in the blood. Because of this you must take precaution and inform health care providers about your mastectomy so that blood pressure is not taken and blood is not drawn from that arm. Such draws require physicians permission.
I had a lumpectomy and only 2 sentinal nodes removed but I still do not use that arm for BP or blood draws. Yes it take more time but Ive never had a patient of mine complain because I took the time. The surgeon said that there is a small chance that you could get an infection in that arm from the needle because you dont have any lymph nodes in that.
The risk of lymphadema is no joke and once you have it you cant go back. It depends on wich side the lymph nodes were taken from i had a double masectomy they took all my lymph nodes from the left side so they only have my right side for blood draw and blood pressure. The physician is in the best position to know the extent of lymph node removal not the one drawing the blood.
If both arms are affected blood pressure can be taken on your thigh. Thats because there are a reduced number of lymph nodes in the underarm area. The reason for this is that the lymph nodes protect our body from illnesses and infections and if they are no longer present taking BP and having blood drawn can cause fluid accumulation and.
2413 August 2011 3 I had a bilateral 14 lymph. This method removes the whole breast including the nipple the colored ring around the nipple called the areola and most of the overlying skin. Many organizations like the American Cancer Society and the National Lymphedema Network advise survivors to avoid blood pressure on the surgery side if possible.
Answers is the place to go to get the answers you need and to ask the questions you want. Limb for these actions blood pressure monitoring whenever possible American Cancer Society 7 Have your blood pressure taken on the unaffected arm if possible. The risk is that the bodys ability to fight an infection in the affected limb is compromised because of lymph node removal during mastectomy.
There are several types of mastectomy procedures. Teresa Gabe N Abby Mom Member Posts. During a mastectomy removal of a breast due to cancer a lymph node is removed from the armpit on the mastectomy side to be sure the cancer hasnt spread.
The arm on the mastectomy side is permanently off limits to any procedures technically even blood pressure measurements if any lymph nodes were removed during the mastectomy they do not grow back or if there as been radiation which damages lymph nodes to that side. The vacuum in the tube can often cause the vein espeically small ones to collapse from the pressure of the vacuum needed to pull the blood into the tube. In 25 years I have performed innumerable venipunctures on the proscribed side whenever there was no evidence of severe venous obstruction without encountering a single.
I have had bilateral breast cancer with lumpectomy both breasts and lymph nodes removed on both sides. BP IVs and blood draws after bilateral breast cancer wnode removal. Or you can ask that blood pressure be measured by someone using a hand pump and stethoscope rather than.
The removal of lymph nodes may affect the drainage of lymphatic fluid from the arm on the surgical side. Problems with lymphatic drainage may result in arm swelling and an increased risk for infection from trauma to the arm. Hi When my Mom had her mastectomy in 2000 and all of her lymph nodes taken out of that arm they told her that for the rest of her life they could not take blood out of that arm or take her blood pressure on that arm.
I asked if I would have to have an IV and for the. However there is not good research to support this. Using the syringe allows me to manually draw back the amount of blood needed without losing the vein.
Therefore the rule against drawing from the same side of a prior mastectomy remains hard and fast. My tumor markers have risen10 points over 4 months and my oncologist wants me to have chest and abdomen CT scans. The same goes for having an IV placed for a medical procedure in that you should try to use your other arm as an indwelling catheter has an increased risk albeit a small risk of infection.
Increased blood flow can be caused by sudden intense exercise or extreme temperatures such as a hot tub or hot shower. In the past removing 20 nodes was common.
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