Treatment and the treatment process

How a port is used

A port is accessed with a special angled needle under sterile conditions; it is quick and usually only mildly uncomfortable.

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A special needle — How a port is used
Figure 1.A special needle — How a port is used

01Short answer

The nurse cleans the skin, feels for the septum and inserts the needle. First the port is checked (blood returns, fluid runs freely). For long infusions the needle is secured with a dressing. At the end the port is flushed. An unused port is flushed from time to time; how often depends on the centre. Ask in advance about numbing cream if you wish.

02Simple explanation

Topic. using a port.

Ask. Your team will explain your own situation.

Write down. Your questions.

Overview. The article “Catheters, PICC lines and ports”.

03Scientific explanation

Angled needle: does not cut the septum, so the port lasts.

Checking: if blood does not return, the team looks for the cause.

04What happens in the body?

Using a port

The nurse cleans the skin, feels for the septum and inserts the needle. First the port is checked (blood returns, fluid runs freely). For long infusions the needle is secured with a dressing. At the end the port is flushed. An unused port is flushed from time to time; how often depends on the centre. Ask in advance about numbing cream if you wish.

In more detail

Angled needle: does not cut the septum, so the port lasts. Checking: if blood does not return, the team looks for the cause.

A numbing patch — How a port is used
Figure 2.A numbing patch — How a port is used

The overview

This article goes deep into one subject. For the bigger picture, see “Catheters, PICC lines and ports”.

A flush syringe — How a port is used
Figure 3.A flush syringe — How a port is used

05Using a port: the steps

Four steps.

Cleaning — Sterile.1CleaningSterile.
Needle — Into the septum.2NeedleInto the septum.
Check — Flow and blood.3CheckFlow and blood.
Flush — At the end.4FlushAt the end.

06During the procedure

FeelingWhat it may beWhat to do
A brief prickNormalBreathe calmly
Burning during infusionLeakSay so at once
SwellingLeakSay so at once

07Key terms

Huber needle
A special angled needle for ports.
Flush
Rinsing the port with fluid.

08Key points

  • Everyone’s plan is individual.
  • Write down and bring your questions.
  • Report new symptoms early.
  • Do not change medicines yourself.
  • For food, see “Handwashing: the simplest protection” and “Eggs and dairy: safe choices”.
  • Overview: “Catheters, PICC lines and ports”.

09Frequently asked questions

Can I flush the port myself?

Usually a health professional does it.

Is this the same for everyone?

No; the plan depends on the type of leukaemia and your situation.

Where is the overview?

In the article “Catheters, PICC lines and ports”.

10Questions for your doctor

Take these questions to your appointment. The ones you save are collected on the “My questions” page and stay on this device only.

  1. Can I flush the port myself?

  2. Is this the same for everyone?

  3. Where is the overview?

My questions

12Sources

  1. MedlinePlus. Central venous catheters – ports
  2. National Cancer Institute (NCI). Definition of port – NCI Dictionary
  3. National Cancer Institute (NCI). Infection and Neutropenia during Cancer Treatment
  4. National Cancer Institute (NCI). Drugs Approved for Leukemia
  5. National Cancer Institute (NCI). Diarrhea and Cancer Treatment
  6. National Cancer Institute (NCI). Depression (PDQ) – Patient Version
  7. WHO / IARC. WHO Classification of Tumours, 5th edition — Haematolymphoid Tumours
  8. American Cancer Society. Leukemia in Children
  9. NHS. Chronic lymphocytic leukaemia — Treatment
  10. National Cancer Institute (NCI). Clinical Trials Information for Patients and Caregivers
Medical disclaimerThis information is for educational purposes only and does not replace medical advice.
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