Heparinized vs Nonheparinzed saline in arterial lines - page 2

What are you using in your transudced arterial lines, a Heparized solultion, if so what is your concentration OR nonheparinized saline?... Read More

  1. by   AliRae
    We might just be the only ones using heparin!

    Our art-lines and CVPs from our central lines get 3ml/hour of heparinized saline. We use a 0.5unit/ml concentration. The NICU-sized cardiac kiddos get heparnized saline as well but at a lower rate ... 1.5/hour, I believe. We mix our own bags for the big kids and pharmacy mixes our syringes for the little ones.
  2. by   steelcityrn
    Yes. I agree ns is much safer, and thats all I have used.
  3. by   GrnHonu99
    Quote from StacieRN
    I advocate for switching to saline everywhere. It's personal with me. In January of last year, I developed HIT (heparin induced thrombocyotepenia).
    Because of the HIT, I STILL have a DVT that extends from mid-left subclavian backward and up the jugular and downward half-way down my axillary vein on the left.
    Also, I developed 3 subdural bleeds because of the thrombocytopenia and anticoagulation.
    All in all a heck of a lot to go through - just because I had a reaction to heparin flushes.
    We use hep. too....we dont have a continuous drip or anything, ours are set up in a pressure bag, so the only time the pt gets the hep. is when we flush...its mixed w/ns not positive of the concentration though.
  4. by   lifeLONGstudent
    Our policy states we use heparin. IF pt has a reason, we have docs write an order to use NS.

    I sent my ICH lady to OR a few weeks ago to get a VP shunt. OR sent her back with a heparin flush attached to her new a line. Thanks for the A-line, but what part of ICH (H as in H-E-M-O-R-R-H-A-G-E) did they not get? We quickly changed the heparin to NS.
  5. by   Christie RN2006
    Quote from ELKMNin06
    We use hep. too....we dont have a continuous drip or anything, ours are set up in a pressure bag, so the only time the pt gets the hep. is when we flush...its mixed w/ns not positive of the concentration though.
    Same here.
  6. by   Kymmi
    Just saline here also because of the increasing HIT population.
    Christie and ELKNMin06---even though you dont have the pressure bags hooked up to a pump they are still getting 3cc/hr of whatever is running thru the line. The pressure bags deliever 3cc/hr to keep the line intact and then anytime you flush it thats that much more.
  7. by   Bronx1560
    Normal Saline! No Heparin For Us! Risk of HIT to Great!
  8. by   cardiacRN2006
    Ns for A-lines and regular flushes, Hep is only used for open-ended PICCs that aren't being used, and then we monitor their plt levels carefully.
  9. by   BULLYDAWGRN
    For our art and cvp pressurized lines we mix 500units in 500cc ns unless pt has a specific condition that would require us just to use the saline pressurized bags. Have not seen any heparin thrombocytopenia as of yet.
  10. by   cjmue12
    We still use heparin in our flush bags. They are on pressure bags giving the 3ml/hr as mentioned. We (unfortunately) do not have a protocol to change to saline until their plts drop, or they have a positive Hep/plt antibody result.
  11. by   ptadvocate81
    Our pts come up from OR with heparinized solution, but once it runs out or is time to change it, we use NS.
  12. by   jjjeep4
    normal saline on central/a lines
  13. by   NurseMeg
    We, too, use only normal saline in our arterial line pressure packs. I've never actually had an a-line clot off. Usually when they "go bad"(radial line), it's becasue the patient is bending their wrist too much. One time, though, I was taking care of a donor patient and we used the line for so many labs, it went bad.

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