Running blood through a #22 or #24??? - page 3

I am in orientation as a traveler at an urban hospital and they have just told me they run blood through #22's and #24's. Ok, I know I'm getting old, but when did that start? I was always taught that... Read More

  1. by   mark_LD_RN
    yes blood can be given through the new thin wall 24 ga caths, but it has to be given slowly. I still try to get larger ones in just in case
  2. by   catrn10
    Thank you, just what I needed. I feel better now. I'm getting those articles for back home..Cat
  3. by   KRVRN
    Speaking from the NICU again... We usually give blood over 3-4 hours but will give blood IVP through a 24 guage if things are really going downhill. Never have problems even if it's IVP. In fact we don't even stock anything bigger than 24 guages because we just can't get anything bigger on preemies. I've even drawn blood with a 25 guage butterfly. Never had problems.
  4. by   NicuGal
    We use only 24's and 26's in our unit and our UVC's are 5 fr. Wonder if adults need a bigger one so it can run faster, but I have pushed 60cc of blood thru the above with no adverse reactions.
  5. by   caroladybelle
    Research has shown that it is safe to give blood through a #22, but most hospitals have not updated their policies. Right up there with using just alcohol w/o betadine for site prep.

    However, if giving a lot of blood and fast (for trauma) a larger needle is still preferable.
  6. by   RN-PA
    Research has shown that it is safe to give blood through a #22, but most hospitals have not updated their policies.
    Then our hospital is outdated, because #22g is allowed. Many patients don't have the veins for anything larger and would have to have central lines placed before receiving blood.
  7. by   askater11
    I'm at a new facility it sounds like they're very strict about 20 ga or higher.

    But at my old facility 22 g was fine. There were times we were lucky to get a 22 g in let alone a 20 g and there blood counts went up well. (I've never used 22 g for platelets or plasma so I don't know if there's a difference)
  8. by   ceecel.dee
    Great topic. Time to spif up the old policy!
  9. by   gwenith
    I was told that the old myth about not giving blood through a pump had been debunked on the basis that if a red cell can get through a caapillary then a pump of a small IV catheter was not going to affect it. Having said that the older the blood is the more fragile the cells and increased turbulence and pressure can cause haemolysis. Yes the larger IV's for rapid infusion (I work ICU if we could use a garden hose we would).
  10. by   Sleepyeyes
    We use 22's all the time; no pump for PRBCs.
  11. by   Dplear
    We give blood all the time through 24 and 22 g caths. I work peds but some of the kids are big enough to be adults....we occasionally get sicklers on our w=unit. Think of it this way...when you draw blood it does not damage the cells and that is generally through a 25 g butterfly.

    Dave
  12. by   Shae
    We are required to use #20 or #18 guage at our facility as well. We recently switched over to the newer BD IV caths which are more flexible, but no change in policy on administering blood products.
    Shae
  13. by   Lynda005
    " a 24 gauge can deliver 1400 cc/hr" Wow, this may be true, but will the vein hold out? not for long, I think.
    PRBC's can be given through a #22 at our facility, sometimes this is all you can get. Great Topic

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