P.I.C.C. lines ! need advice

  1. I'm really confused! Have had a line in since March 17th for a chronic skin condition> Been recieving Keflex{Ancef} 1 gram q 8 hrs. I'm being nursed by our provincial acute care givers under the umbrella of Extra Mural Hospital.T he line was installed at the local hospital, in the O.R. , by an anesthetist.Yesterday. when the nurse visited, she aspirated..got a few tiny clots...and met w/ resistance when she tried to flush w/ saline. She proceeded to try to reach the same anesthetist for orders. No luck! Reached his replacement, who told her he was totally not familiar with p.i.c.c. lines and to call on call family Dr. He was reached. Did not kmow either. Told her to wait 'til Mon. am, and get orders for ????to do from my own family physician.[HE'S OUT OF TOWN}I can see that the catheter has migrated about 1" inside...very obvious. Should I be worried? just the name clot scares me and I know the line has migrated a bit. Iwill be in contact w/ own Dr. tomorrow...MON.What the heck should I do...if anything?I worked L&D .... been out on a disability for a while....and I have a gut- like feeling that something's wrong. The insert site is reddened,but not painful. Please give me advise... Thanks. CHICK
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  2. 6 Comments

  3. by   memphispanda
    I am guessing it's a single lumen line? I think all the PICCs I have seen have had at least 3 lumens, and it's common for one or two of the lumens to clot off. Usually they just leave them alone (don't use them) and work with what's left. They could probably declot the line though. I would be more concerned about the placement than anything else. I would call back to the hospital and see if they can put you in contact with anyone else who might have experience with PICCs. I doubt it would be a problem before tomorrow, but I'd call to be sure, and do everything you can to keep it from changing position further. What type of dressing is on it?

    (In case anyone is wondering...we do a ton of PICCS at the hospital where I am externing and I have been following one of our PICC nurses and pestering her with a million questions.)
  4. by   CHICKTOEAGLE
    It's single lumen and because I was bleeding at insert site has a small 2x2 "dry drsg. Underneath, it's well secured by 6-7 steristrips. Not moving at all. SO , you think it's ok 'till tomorrow?THANKS FOR YOUR REPLY....
  5. by   Disablednurse
    Okay. My husband had one that did the same thing that yours is doing. They did an x-ray of his line, just to confirm that it had moved and the nurse that put it in came and removed it. He was getting home health. He had no problems after they removed it. As long as no one tries to put anything through it, it should be okay.
  6. by   nursesearl
    I WORK IN HOME HEALTH, AND WE DO NOT BOTHER TO DECLOT PICC LINES. IF WE'RE UNABLE TO FLUSH OR INFUSE,WE SIMPLY PULL IT AND PUT ANOTHER ONE IN. RARELY PUT PICC LINES IN IN THE FIELD, BUT DO MID LINES. THEY ARE PERFECTLY ACCEPTABLE FOR IV ANCEF (MID LINES DO NOT NEED X-RAY CONFIRMATION). LEAVING IT IN PROBABLY WON'T HURT ANYTHING, BUT PULLING IT WOULD BE THE BEST THING. MIGRATION IS ALSO NORMAL. 1 INCH IS NOT THAT FAR. INSERT SITE BEING "A LITTLE" RED PROBABLY IS NORMAL TOO. IF THIS HAPPENED WHERE I WORKED, WE WOULD PULL IT AND PUT ANOTHER IN (SAME DAY, NO WAITING). HOPE THIS HELPS.
  7. by   CHICKTOEAGLE
    Thank you ...everyone! Feel better And will see my Dr. tomorrow in E.R. ...........HUGS CHICK
  8. by   hansenbitten@ao
    DEAR CHICKTOEAGLE;
    ANYTIME I SEE OR CAN'T FLUSH A PICC LINE I PULL IT.IT'S NOT ALWAYS AN OPTION TO START A NEW LINE EITHER DEPENDING ON STATE OF USEABLE VEINS.THEN IF THAT'S A PROBLEM I SEND MY PT'S TO RADIOLOGY.HOPE THIS HELPS!

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