Treatment and the treatment process

Blockage, pain and swelling

A line can block, a clot can form in the vein, or the catheter can move; all of these are treated promptly.

Last updated: ~1 min read
Flow paused — Blockage, pain and swelling
Figure 1.Flow paused — Blockage, pain and swelling

01Short answer

A blockage is often a small clot or deposit at the tip; a nurse may clear it with a special solution. Swelling of the arm or neck on the catheter side can mean a clot in the vein and is checked with ultrasound. Never force-flush a line yourself.

02Simple explanation

Topic. blockage, pain and swelling.

Ask. Your team will explain your own situation.

Write down. Your questions.

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

03Scientific explanation

Clot: a catheter changes blood flow in the vein and raises clot risk.

Treatment: with low platelets, the team chooses clot treatment with special care.

04What happens in the body?

Blockage, pain and swelling

A blockage is often a small clot or deposit at the tip; a nurse may clear it with a special solution. Swelling of the arm or neck on the catheter side can mean a clot in the vein and is checked with ultrasound. Never force-flush a line yourself.

In more detail

Clot: a catheter changes blood flow in the vein and raises clot risk. Treatment: with low platelets, the team chooses clot treatment with special care.

A swollen arm — Blockage, pain and swelling
Figure 2.A swollen arm — Blockage, pain and swelling

The overview

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

Ultrasound of a vein.
Figure 3.Ultrasound of a vein.

05Blockage, pain and swelling: the steps

Four steps.

Notice — Flow, swelling.1NoticeFlow, swelling.
Tell — Your team.2TellYour team.
Check — Ultrasound.3CheckUltrasound.
Treat — Clearing or medicine.4TreatClearing or medicine.

06The problem

SignWhat it may beWhat to do
Fluid will not runBlockageTell your team
Swollen arm or neckClot in the veinContact your team today
Pain at the portLeak or infectionTell your team

07Key terms

Thrombosis
A clot in a vein.
Occlusion
Flow stopping in a line.

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

Will a blocked line be replaced?

Often it can be cleared; sometimes it must be replaced.

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. Will a blocked line be replaced?

  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 central venous catheter – NCI Dictionary
  3. MedlinePlus. Deep Vein Thrombosis
  4. MedlinePlus. Hepatitis
  5. MedlinePlus. Hypothyroidism
  6. MedlinePlus. Osteoporosis
  7. MedlinePlus. Depression
  8. NHS. Acute myeloid leukaemia: Treatment
  9. American Cancer Society. Treating Chronic Myeloid Leukemia
  10. American Cancer Society. Fertility and Women With Cancer / Men With Cancer
Medical disclaimerThis information is for educational purposes only and does not replace medical advice.
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