Sterile nacl or h2o??? - page 2
by Lasoniamacaroni 6,824 Views | 16 Comments
hi. I was trained that we give sterile water for cancer cases (breast, etc...) Something about being hypotonic and its effect on lingering cells. I tried giving water at my new job and they thought I was crazy. Wouldn't take... Read More
- 0Jun 29, '12 by ChristineAdrianaRNVery interesting conversation! I have never heard this. I don't see a whole lot of cancer because I work in pediatrics, but even with malignant brain tumor cases, I have only seen saline. But our neurosurgeon is young, so maybe it is old school? But the rationale sounds legit.
- 0Jul 3, '12 by CIRQL8Quote from ChristineAdrianaRNWell, in neurosurgery, I've never seen water, either. I didn't really separate specialties. I was only referring to abdominal cases. (GYN, general, some URO).Very interesting conversation! I have never heard this. I don't see a whole lot of cancer because I work in pediatrics, but even with malignant brain tumor cases, I have only seen saline. But our neurosurgeon is young, so maybe it is old school? But the rationale sounds legit.
Sent from my iPad (so excuse any typos and autocorrects!!) using allnurses.com
- 0Jul 10, '12 by goats'r'usi've heard this one too, and there are a few surgeons who go with it, but most use saline.
i got similar crazy looks when i started at a new hospital and found that they use saline in neurosurgery. i was taught at my previous hospital that ringers solution is the closest thing to CSF so should always be used in neuro, but my new hospital didn't even stock it!
- 0Sep 12, '12 by Natalie - new OR RNThis concept was presented to me today with the same rational, (that sterile H2O may be used in oncology cases b/c it kills cancer cells due to the hypotonicity, which makes sense to me), but I'm a little confused on WHEN to actually use it. We were doing a cytoreduction for a pt w/ovarian cancer that had metastasized. I was also told, (during the same case), that you'd never want to use sterile water for peritoneal washings, (which was a part of our procedure), and that that should always be done with saline. Are there any experienced OR nurses out there who are familiar with this concept that can give me more specific information on when using water would and wouldn't be appropriate in a cancer case??? Thanks in advance...I am a newly graduated nurse starting out in the OR & am trying hard to make sense of all the new things I am learning!
PS. I'm pretty sure that we use sterile water for cystoscopies, (which makes sense to me since it's not entering the bloodstream in that case), but the posted article about the nurse using water then diet coke to unclog a catheter makes me second guess that. Of course I understand why using diet coke & poor technique is shocking & crazy, (how did she not lose her license???), but was her decision to use sterile water in the absence of NS really that egregious?