There are a number of studies which confirm the accuracy of CVP's from a PICC line,so don't worry about that. Most open-ended catheters are labelled for pressure monitoring. Valved PICCs like Groshongs are not.
PICC ACE replied to IheartICUnursing's topic in MICU
Stop the TPN,resuscitate the pt. No big deal. General rule of thumb is that if you have to stop TPN for whatever reason,start D10% at the same rate as the TPN. Watch blood sugars and treat them as needed--if there was loads of insulin in the TPN,they...
PICC ACE replied to angelynapeter's topic in Infusion
This should be a fairly straight-forward study,especially since it sounds like you are limitting it to one floor. First of all,do plenty of Googling and medline research so you don't waste time 'reinventing the wheel'. This should also give you ideas...
I hate Alaris. The med library and programmability are good features. The actual mechanics of the set-up are bad,however. We have innumerable problems with air alarms--the design of the tubing is such that it is impossible to eliminate some of the li...
This situation exemplifies two additional aspects of central line placement. First of all,the statement "line OK to use" or "line in good position" is useless. How does a rad know that a line is OK to use? OK to use means not just with tip in proper ...
Any central line,including PICC's,can indeed cause arrythmias if placed too deep. The tip of the line may "tickle" the heart tissue enough to trigger something. If the radiology read was to pull back 6cm,the line may have been much too deep,but the i...
Agree with all the above postings on attaching a transducer--no problem at all to do so. Furthermore,it is also our practice to draw labs from a line that has yet to be x-rayed. Just no infusion of meds until placement is confirmed. Z.
The ISMP recently put out an updated list of what they have determined to be "high-alert" medications. That is,medication which have a "heightened risk of causing significant patient harm when they are used in error". The list is a long one and pret...
Dang--that was one hard-a$$ test! Passed with 118 correct. I used the Dennison book and the Ahrens book. Will agree with above comments on Dennison book and CD--book is WAY too much and in outline form. CD is good way to practice and underestimated m...
PICC ACE replied to piccchick7's topic in Infusion
Pt's with high INR's,low PLT's,on an anticoagulant gtt,in DIC,etc are certainly at higher risk for bleeding from a stick. However,the thing to keep in mind is the location of the vessel to be cannulated. Arm veins are easily compressible,versus deep ...
Proper line care and proper site care will go a long way to reduce CRBSI's---this has been well documented and I'm sure that facilities that are ignorant of the CDC guidelines and IHI bundles are in the minority in this country,but even so the incide...
Nyteshade- Looks like no one has actually succinctly answered your original question,so without further ado.... If your pt's line flushed easily and gave you a good blood return (roughly and unscientifically defined as >5ml in Z.