No blood return from PICC...is it a problem?? - page 2

by xoNurseRNxo

16,312 Views | 15 Comments

I'm in home health and have a pt who recently had a PICC inserted for IV ABX infusion d/t osteomylitis. I tried drawing labs from PICC (singe lumen) but was unsuccessful. I was able to get less than 1cc of blood. His IV ABX... Read More


  1. 0
    Yes, that's a good point that pinch off would be a rare finding for a PICC! Don't know what I was thinking.
  2. 0
    IVRUS is correct..I was just going to say what was said. If a mechanical issue has been ruled out it is most likely a persistent withdrawal occlusion (can easily instill but no blood return obtained) and should be treated with Tpa (cathflo). if it is a complete occlusion a drug or mineral precipitate needs to be considered as well.
  3. 0
    Quote from iluvivt
    IVRUS is correct..I was just going to say what was said. If a mechanical issue has been ruled out it is most likely a persistent withdrawal occlusion (can easily instill but no blood return obtained) and should be treated with Tpa (cathflo). if it is a complete occlusion a drug or mineral precipitate needs to be considered as well.
    OH MY GOSH... I have MISSED YOU GIRL.... So good to see you back!
  4. 0
    IVRUS....... So busy getting my daughter through her first year of high school...she is doing on- line high school with me as her learning coach. I have retaken the CRNI test again and have been studying all things IV..placing PICCs with ECK technology. I will PM you bcause I really would love to have your opinion on a CVC problem that we are having that is really beginning to annoy me..would that be OK?
  5. 0
    Anytime... It is so good to know that you are okay. PM me anytime.
  6. 1
    With respect to home care nurses, The INS 2011 (http://www.rcn.org.uk/__data/assets/...593/002179.pdf, p.83)has an algorithm pertaining to persistent withdrawal conclusion strategies. However I strongly agree with the other posts that suggest investigating this issue further and the need for tPa, a line-o-gram etc to confirm that correct tip location.
    Obalabi likes this.


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