I have a client on IV Cipro BID(HOME CARE). His med is hung and goes through a central line. We are having a discrepancy as to whether we should flush with 10cc BNS, hang the med, flush with 10cc BNS, and cap the end ..then at night shift flush the line with 10cc BNS reconnect the IV to the central line run the med and flush with 10cc BNS and recap the end. Another nurse is flushing with 10cc BNS running the med and then withdrawing 10cc NS out of the IV bag port and flushing with that to maintain pressure in the line and avoiding toxicity by using too much BNS in a 24 hour period. Then yet another nurse is flushing with the 10cc BNS running the med and then flushing with the primary line of NS and clamping the central line while keeping it connected for the next nurse to use the following shift. Keeping the line TKO is not an option becasue there is a period of 4 hours where no nurse is in the clients home. So what is the best or recommended protocol for this.
I have not run the med yet myself. This is what I would do...flush with 10cc plain NS run the med flush with 10cc BNS and disconnect and cap it off. We do not have plain NS at the clients home but I am thinking I will order some today. Prefilled NS syringes. What is the rationale for the use of BNS anyways....I always see the hospital use NS not BNS. Should the IV line stay connected after the med is run or capped off..this client is always in bed so mobility is not a factor.