Saline Lock for Children: Care Instructions

Overview

A saline lock is a thin, flexible tube placed in a vein (called an intravenous, or I.V., line) in your child's hand or arm. It sticks out a few inches. The lock is used when your child may need to get medicines or fluids.

A saline lock is more comfortable than being poked with a needle every time your child gets medicine or fluids. When the lock is not being used, it is closed so no germs can get into the tube and vein.

Your child will have the saline lock for a few days. You may be asked to go to your doctor's office, the hospital, or a special clinic. Or a nurse may come to your home. When the treatment is finished, the saline lock will be taken out.

The doctor has checked your child carefully, but problems can develop later. If you notice any problems or new symptoms, get medical treatment right away.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.

How can you care for your child at home?

• While your child has the lock, have your child take showers instead of baths, and do not allow swimming. Keep the lock dry. When your child showers, cover the site with waterproof material, such as plastic wrap. This helps prevent infection.
• Wash the area around the lock daily with warm water, and pat it dry. Don't use hydrogen peroxide or alcohol.
• Follow the instructions about caring for the dressing. Your child will have a dressing where the lock goes into the skin. It holds the lock in place and protects the skin.
• Do not let your child do any exercise that involves the hand or arm with the lock.

When should you call for help?

Contact your doctor now or seek immediate medical care if:

• There is liquid leaking from around the lock.
• There are cracks or leaks in the lock.
• Your child has symptoms of infection, such as:
  • Increased pain, swelling, warmth, or redness around the area.
  • Red streaks leading from the area.
  • Pus draining from the area.
  • A fever.

Watch closely for changes in your child's health, and be sure to contact your doctor if your child has any problems.