Question on dopamine infusion

Specialties NICU

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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...:o

Thanks so much for any input!

Kari

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thats going to depend on your unit/pharmacy policies. In my NICU we change all the lines q24. In the PICU/CICU (same hospital) they're changed q72

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Specializes in CDI Supervisor; Formerly NICU.

We change tubings q72, but get a new bag qd.

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Specializes in NICU, PICU, PACU.

Our tubing is every 96 with a new syringe/bag every 48.

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Specializes in NICU.

We change the line every 72 hours for most fluids (except for IL, which we change every 24), and we hang a new bag or syringe every 24 hours).

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We change lines for clear fluids every 72 hours (bags every 24). TPN and IL lines are changed every 24.

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Specializes in NICU.

We change tubing for clears Q96 hr (used to be 72), and TPN/Lipids Q24

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Specializes in MSN, FNP-BC.

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.

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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...:o Thanks so much for any input! Kari[/quote']

We change TPN/IL bags and tubing every 24 hours. Anything that may be running in the same lumen as that also needs to be changed. Clear fluids we change tubing q96, and pharmacy is usually good about sending bags with enough fluid to last so we don't break lines. Used to be that TPN tubing was q96, but no longer in case the ingredients change (they may also expire, I can't remember). We also do our line changes as sterile as possible (hat, mask, sterile gloves, yellow gown, on a sterile towel) and we use curos caps quite religiously.

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Specializes in NICU, PICU, PACU.

We still only change our tubings 96 hours, we purge our line if their is a change in solution by using a 20ml syringe to draw the fluid up thru a port.

There are EBP articles out there and the CDC site has info also.

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Specializes in PICU; NICU.
We change lines for clear fluids every 72 hours (bags every 24). TPN and IL lines are changed every 24.

We do it the exact same way.

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We change our tubing q96 and our bag q24. Anything that is in a "close system" like TPN gets switched out q96 but lipids, medlines, etc get switched out q24.

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