Ten20 conductive paste allergic reaction

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Ten20 conductive paste allergic reaction

Postby Dey » Tue Apr 22, 2014 4:16 am

Is there any alternative to Ten20 conductive paste for EEG electrode application on sleep studies?

One of our patients c/o allergy to it, I've never used other than Ten20 for EEG's, and never had a patient c/o allergy.
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Postby stars » Tue Apr 22, 2014 4:23 am

no joke you can use tooth paste .I use several time when run out from ten20 .
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Postby bduce » Tue Apr 22, 2014 7:33 am

Please describe this allergy to Ten 20. I'm not affiliated with nor have shares in the makers of Ten 20. It's just I hear this every now and then and I have yet to come across somebody who actually has an allergy to Ten 20.
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Postby Dey » Tue Apr 22, 2014 10:39 am

I really don't know, the day staff just said the patient c/o having a "reaction" to it, they didn't give me more information.
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Postby bduce » Tue Apr 22, 2014 11:08 am

In my experience it is usually an after effect of the scrubbing the electrode area - probably scrubbed too hard. Usually this "allergic reaction" to Ten 20, Elefix etc is located specifically to the area where the electrode was prepared and placed. If it was a true allergic reaction then the redness becomes more diffuse(spreads a lot further) and the skin is a little puffy.

Simple solution is to put a little bit of Ten 20 on the back of their hand. I do that when patients have been somewhere else and state that they think they may be allergic to the paste. If they are allergic to the paste should have an angry red area where the paste used to be.

I do similar with adhesive tapes. We always use hypo-allergenic tapes so when they state that they are allergic to adhesive tape I put a bit on the back of their hand first. Wait 5-10 minutes and remove gently. 99 times out of 100 there is no allergic reaction. The tape was probably just ripped off roughly last time and left a red mark.
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Postby Vix » Tue Apr 22, 2014 5:05 pm

I agree with bduce.

But in answer to your question, you can use EC2 for EEGs, both inside the cups and outside to fasten them. It does not remove as easily as Ten20, but it does remove with warm water, and EEGs attached with that stuff will last for several days.
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Postby Dey » Wed Apr 23, 2014 12:53 am

Thanks for all the help. It's very helpful!
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Postby Dey » Wed Apr 23, 2014 1:01 am

We use Hypafix Dressing Retention Sheets, does anyone has problems with that? Allergic reaction to it?
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Postby somnonaut » Wed Apr 23, 2014 2:58 am

Love Hypafix. Never had any kids or adults to react to it.
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Postby stars » Wed Apr 23, 2014 7:10 am

Last 15 y never had reaction to ten 20
For elefix yes
Tape yes
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Postby stars » Wed Apr 23, 2014 7:19 am

I did study for two patient and both has allergy reaction to elefix
not in my lab ,but before and both has very high level reaction to eggs
I look more close elefix and find out formula included eggs.
Hypofix tape give reaction only for patient who has Factor V problem
red rectange stamp where was tape
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Postby somnonaut » Wed Apr 23, 2014 7:34 am

Nice stars.
Learning About Factor V Leiden Thrombophilia
http://www.genome.gov/15015167
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Postby stars » Wed Apr 23, 2014 7:43 am

Yep learning everything in my own mistake
No any information was at this time in the patient
chart
Now with EMR it's easy
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Postby dakota » Thu Apr 24, 2014 5:31 am

Dey,

I have never had a patient of mine have any issue with Ten20.

Simple solution is to put a little bit of Ten 20 on the back of their hand. I do that when patients have been somewhere else and state that they think they may be allergic to the paste. If they are allergic to the paste should have an angry red area where the paste used to be.

I do similar with adhesive tapes. We always use hypo-allergenic tapes so when they state that they are allergic to adhesive tape I put a bit on the back of their hand first. Wait 5-10 minutes and remove gently. 99 times out of 100 there is no allergic reaction. The tape was probably just ripped off roughly last time and left a red mark.


I do the same thing BDuce, it's almost always someone ripping the tape off too rough or someone scrubbing too hard. I see it more in my older patients. That thin skin of theirs is so thin, even light scrubbing can leave a mark.
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Postby somnonaut » Thu Apr 24, 2014 5:41 am

Another simple thing to do is to not scrub, but use a cotton swab with Ten20 on it instead of the scrub. This will work the electrolyte into the skin rather than abraiding the skin.
I still only use the doot, doot, doot method as those who I have taught know what I mean. 3 half turns of the cotton swab. no more, but maybe less. Works every time.
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