9/11/2023 0 Comments Double lumen picc line flush![]() ![]() ![]() I always worried when nurses act like they know it all and would just go do whatever to a line because they heard it worked and did not understand the rational or the potential for complications. Shadow some ICU/IV team nurses or PICC nurses and realize with experience and education it will become easier. Offer to observe when the lines are put in or work in whatever area that does line insertions. Read the Infusion nurses site, I believe that they have a magazine as well. My comment would be that if you are uncomfortable working with lines ask for some training and attend any courses available. i have only had one patient that i could get nothing to work on, and i had to send her to the er to have the picc replaced as they could not get it to work either. she said it was like taking 2 325mg aspirins. i was told by the cathflo representative that came in and gave a presentation a few years ago that even if the cathflo is pushed in and not aspirated, it's not that dangerous. we insert the cathflo, wait 2 hours, and then aspirate the cathflo (5-10 cc blood) works well. if nothing works our home health agency uses cathflo 2mg/ml. ![]() I was going to say that i have my patient in every position possible, straightening the arm, moving the arm up, down, anything to try to gentle aspirate, i have them sit, stand, lay and move the arm and try gentle aspiration, i straighten out the catheter. I usually ask for a md's order f, to include the drug and "may repeat x1"ĩ9.9 % of the time, i get it open by direct connection and aspiration. if gently aspiration does not work, then get an order for cathflo, 2mg/2ml to declot. 9 times out of 10, i'll pull back a small fibrin strand and then i can discard that syringe and have another syringe with 5 cc nss and flush through. gently aspirate, then try to flush, gently aspirate and then try to flush. ![]()
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