Question on dopamine infusion

[kthelander]

I have a question on dopamine infusion practices. This may have already been covered. I have been away from the bedside for 6yrs now, I did NICU in Level III for 7yrs. How often dose dopamine drip have to be changed? I seem to remember it being every 24hrs, but I can't seem to pull from that part of my brain right now...

Thanks so much for any input!

Kari

[dseem13]

For those of you who don't change your clear fluids every 24 hours, do you have any research resources for that?

Our unit changes ALL tubing every 24 hours no matter what the fluid is, TPN/IL, clears, vasoactive drips, etc. My concern is that at one point we had the highest rate of CLABSI's in our hospital and I am suspecing it is partly because of the frequency that we change our fluids.

It's always dumbfounded me because it is drilled into our heads that we don't ever want to break the line on our central lines especially but yet here we are breaking into them every 24 hours when it may not be needed. Especially when you have a PICC line with fluid going at 0.5 or 1 mL/hr just to TKO.

We change all our syringes/bags q24 (or more often if needed). We change most of our tubing q24 as as well with the exception of fluids that do not contain amino acids, lipids, electrolytes etc. So basically unless it's D10, D20, or art line fluid the tubing is changed daily.

We do sterile line changes whether it's a PIV, PICC, UVC, or CLC with a sterile mask and sterile gloves (one person is sterile the other is clean). We have had 1 central line infection in almost 4 years of our hospital being opened.

[HyperSaurus, RN, BSN]

Tubing change for all fluids q24hr when it's a central venous access (q72 for art lines).

[gammy1957]

We use lines with 0.2 micron filter and change them every 72 hours new bag every 24 hrs

Any additives in the bag then line change every 24hrs this is for clear fluids