Do I have to flush before withdrawing a blood from a PICC even a 0.9 Nacl + k running - page 2
I did not practice nursing for almost 4 yrs, and just started working again as nurse 2 days ago :)) it's my first time to draw blood from a picc, just wondering, if there is an IV running through the PICC like 0.9% NaCl + K 40... Read More
- 0Oct 7, '12 by iluvivtYes ..I agree on the volume...2 x the priming volume of the line is adequate as I stated. I was addressing all types of CVCs for the most part since a blood draw will be similar for all with some slight variations. Checking into the vacutainer issue as well since I think you can use it under certain circumstances,,will post when I am done checking my resources. Some hospitals will state a specific volume in their policies to cover all types of CVCs.
- 0Aug 20, '13 by GundeRNQuote from mspurpleI know this is an old tread but isn't this wrong? I would think that if there was anything other than NS running it should be flushed. The OP said that this fluid had K+i see. i though since there is an IV running it's okay not to flush. if the PICC line is not use i will for sure flush it before drawing blood. anyway thanks guys!
- 0Aug 22, '13 by iluvivtThat should be based on assessment and the answer to that may also be based on the type of CVC you are dealing with. Generally if it is a valved catheter with the valves in the external tails such as a BARD SOLO I tend to flush before to verify patentcy especially if the lumen has been locked off. I do find that the valved catheters tend to draw a bit easier once I do a pre-flush. If you start to perform a discard and are having problems...stop..and flush so you can get a feel for the flush pressure..if it feels tight based upon the lumen size you have then there is a problem.