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IV infusion through the Arterial Line



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Jan 19, 2009 08:58 PM

IV infusion through the Arterial Line

by PlaneFlyerRN Platinum Member

I was taken aback the other night when I observed a nurse start an infusion through a patient's Art line. To my knowledge, this is not okay. Did the rules change on me and I didn't notice?

What are your thoughts?


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5 Comments
No. 1
from ghillbert
Old Jan 19, 2009, 09:11 PM

Default Re: IV infusion through the Arterial Line
What was it? That's a big hell no from this ICU RN.
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No. 2
Old Jan 19, 2009, 09:20 PM

Default Re: IV infusion through the Arterial Line
i've never used an a-line to administer anything... last time i checked it was definately not ok. were they unable to get an IV access? even in an emergency... IO is the only way i'd go if i couldn't get an IV access and there was not an MD to place a central line....
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No. 3
from janfrn
Old Jan 19, 2009, 11:10 PM

Default Re: IV infusion through the Arterial Line
I've seen it done before (D10W with heparin) twice by the same very inexperienced nurse. When the abnormal blood glucoses were treated with insulin the second time she did it, there was a huge kerfuffle. Luckily the kid's hand was okay and the glucose was rapidly replaced. It's most likely that what you observed PlaneFlyerRN was an error. Hope the patient's okay...
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No. 4
Old Jan 19, 2009, 11:24 PM
Updated Jan 22, 2009 at 11:29 AM by PlaneFlyerRN

Default Re: IV infusion through the Arterial Line
Originally Posted by janfrn View Post
I've seen it done before (D10W with heparin) twice by the same very inexperienced nurse. When the abnormal blood glucoses were treated with insulin the second time she did it, there was a huge kerfuffle. Luckily the kid's hand was okay and the glucose was rapidly replaced. It's most likely that what you observed PlaneFlyerRN was an error. Hope the patient's okay...
This nurse is fairly new, and although I was never assigned this patient, I believe the patient did not sustain any obvious injury.

The situation had already corrected itself before I could intervene
I just had to ask. Thank you for your input.
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No. 5
from iluvivt
Old Jan 20, 2009, 01:47 AM

Default Re: IV infusion through the Arterial Line
I sure hope you approached that nurse and let her or him know why that is not acceptable practice. They can seriously compromise circulation to that limb as well as causing severe tissue damage. They would not have a leg to stand on in court
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