![]() I wish you luck getting someone to address your line before it is completely occluded. ![]() The order is the same for the infusion like using sash,and dsg change q 7 days or as needed. Be careful using too much force to flush- depending on what type of line you have, you can damage the line. Flush question with double Lumen Published melissahunter2 Register to Comment I am a home health nurse and did an ABT infusion on a client this afternoon. Most of our hospitals do not use heparin, however they have 24/7 staff and the lies are being flushed numerous times/day. When drawing blood from a double lumen PICC line, which has TPN running do you 1/ Flush with 10mls of normal saline, pull back 10mls of blood discard and throw that away before taking your sample. I have had the experience of actually losing a line between the time someone is discharged and our first visit for home infusion if the line was not heparinized. A clot becomes a potential sourse for infection and can lead to other problems that can be life-threatening. According to the CDC guidelines( in the U.S.) any line that does not flush easily and draw back blood briskly is considered a partially occluded line and must be addressed. Stop if it is difficult to push the plunger. The only true exception to this is if someone is actually allergic to the heparin.You most definately need to cathflo(or TPA) this line. Slowly push on the plunger of the syringe to flush your catheter. This amount of heparing is usually not enough to alter a person's clotting status as a whole person, but is enough to keep the line patent. If the catheter has two lumens, each lumen needs to be flushed. ![]() There are doctors out there that don't seem to agree with using low dose heparin, but the standard of care per INS(Infusion Nurse Society)guidelines is to use a 10 unit/ml heparin solution following the saline flush. If IV medications are given at home, the PICC must be flushed after every use. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |