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Latex/Adhesive Allergy in Patients

Operating Room   (6,430 Views 3 Comments)
by educationjules educationjules (New Member) New Member

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Any suggestions? We've had several patients recently with combined latex/ adhesive allergies. We've been using tegaderm to affix IV's and for post-op dressing. However, tegaderm was mistakenly used since it is non-latex ,along with benzoin .But tegaderm has some adhesive on it. Our patient had a severe reaction on her surgical site, but, not her IV site. It seems like all types of tape have some type of adhesive in them. What could we use on these types of patients?

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Rose_Queen is a BSN, MSN, RN and works as a Staff nurse educator.

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I don't think you'll ever find any kind of actual tape without adhesive; that's kind of what makes it tape. We've had many patients who have stated they can't have certain kinds of tape. As in, paper tape is okay, but that really sticky stuff isn't. And sometimes I have to wonder if those are true tape allergies- it seems a common theme is tape that is a) left on for an extremely extended time- whose skin wouldn't be irritated after that or b) put on far too tightly- and whose skin isn't going to be affected by that?

There are some alternatives out there, but of the ones I know of, such as Coban or Coflex, they are only effective if able to wrap because it primarily sticks to itself, such as an extremity. I can't imagine trying to sit someone up after abdominal surgery to wrap them in Coban to hold a dressing in place.

Then there's surgical glue, but that can get pricey, and many of the surgeons I work with want a dressing over top anyway.

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RobtheORNurse has 30+ years experience and works as a Clinical Programs Manager.

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Keep in mind that not all adhesives contain latex. Do some product research, also, most brands of benzoin have no latex, it is a common misconception that benzoin has latex in it. Read the label. We started testing every patient that claimed a latex allergy pre-op. Surprisingly (insert smirk) Most were NOT allergic to latex.

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