Can 3% normal saline be given peripherally and in a non ICU/ER setting?

5 hours ago, TriciaJ said:

3% is not "normal" saline.  You'd probably want to do your research on this.

I meant 3% saline. My research yields nothing so far.

Our policy is to only run it through a midline/central line and it requires a transfer to ICU. Regardless of how fast it’s infusing, you need frequent neuro checks and frequent lab draws/monitoring. 

On 9/13/2020 at 12:46 PM, MountaineerFan57 said:

Our policy is to only run it through a midline/central line and it requires a transfer to ICU. Regardless of how fast it’s infusing, you need frequent neuro checks and frequent lab draws/monitoring. 

I would NEVER run a vesicant medication such as this via a MIDLINE.  That is a huge NO-NO.  Think about it:  Can you see, much less palpate the blood vessels under the shoulder or right before the Axillary vein?  NO... therefore, since the blood vessels are so deep , by the time you as a nurse notice s/s of issues, a huge issue is at hand.  Phlebitis, Extravasation, etc.... I would much rather see it infuse via short peripheral catheter (SPC) vs. a Midline.  But one would help the pt out immensely by ordering and getting a PICC or another CVAD in this pt.   

11 hours ago, IVRUS said:

I would NEVER run a vesicant medication such as this via a MIDLINE.  That is a huge NO-NO.  Think about it:  Can you see, much less palpate the blood vessels under the shoulder or right before the Axillary vein?  NO... therefore, since the blood vessels are so deep , by the time you as a nurse notice s/s of issues, a huge issue is at hand.  Phlebitis, Extravasation, etc.... I would much rather see it infuse via short peripheral catheter (SPC) vs. a Midline.  But one would help the pt out immensely by ordering and getting a PICC or another CVAD in this pt.   

I don’t write the policies or write orders for invasive procedures ??‍♀️ 

On 11/6/2020 at 12:26 AM, MountaineerFan57 said:

I don’t write the policies or write orders for invasive procedures ??‍♀️ 

I get that, you probably don't but I would seriously bring this up with your staff development person and DON

First of all Karen, this conclusion, imo, is nonsensical.  Yes, having a central line in increases the chance of large vessel thrombosis, but the benefit of having it is so much better than the inherent risk.   Bloodstream infections can occur with all types of IV catheters especially if ANTT is not followed.  Pneumothorax is a concern only upon catheter placement, and arterial injury??? I've seen unskilled MD's attempt vascular line placement and go intra-arterial instead of in the vein, but again, those are unskilled physicians. 

Also, greater than 1 out of 10 had issues... that is unacceptable. 

And, it says the risk may be overstated and unfounded.  The osmolarity of 3% Sodium Chloride is > 1,000.  Anything over 900, has a much greater probability of causing serious harm to the smaller blood vessels in the arms.  Circulation/blood flow is nowhere near what it is in the central venous system.  Disagree with this "study".   

However, as said in my earlier post, I would much rather see this infused via SPC, than a Midline, and that was really what my comment was about.