Can you translate this for a student?

leslie :-D · Apr 12, 2005

never heard of it.....may be better off posting this under the wound forum.

leslie

mitchsmom · Apr 12, 2005

Ok.

Well at least I don't feel so dumb now

HappyNurse2005, RN · Apr 12, 2005

LAC-left antecubital

ML? med line?

do they have a picc? IV? a dsg in their left AC?

CritterLover, BSN, RN · Apr 12, 2005

most likely, "change left antecubital midline dressing every 7 days"

a midline catheter is similar to a picc line, but is not threaded all the way to the svc. it often sits somewhere near the shoulder. it is good for about 2-4 weeks, shorter than the duration of a picc line but longer than a regular piv, and can be used for anything that a regular piv can be used for. sometimes when i am trying to place a picc, i am not able to get it to thread past the shoulder. in that case, i will often leave the catheter as a midline if it is appropriate for the type of therapy they are receiving (that is, no tpn). sometimes they are put in as a resus line until a someone can get in to place a large-bore central line. they don't seem to be very commen, though. i guess the thought is that if you are going to go through all that trouble, you might as well place a picc.

Ami_J · Apr 12, 2005

LAC-left antecubital
ML? med line?
do they have a picc? IV? a dsg in their left AC?

How about Left antecubital multi-lumen dressing

mitchsmom · Apr 13, 2005

All sounds good to me... I have limited info b/c it's my patient for tomorrow and my instructor just gave me basic info, drugs, etc. It is hard to read my instructor's writing. I know pt has an IV with merrem, levoquin, bactrim, diflucan, & he's HIV+ but not much other info 'til morning. Whatever the dressing is, it's due to be changed tomorrow.

mitchsmom · Apr 14, 2005

most likely, "change left antecubital midline dressing every 7 days"
a midline catheter is similar to a picc line, but is not threaded all the way to the svc. it often sits somewhere near the shoulder. it is good for about 2-4 weeks, shorter than the duration of a picc line but longer than a regular piv, and can be used for anything that a regular piv can be used for. sometimes when i am trying to place a picc, i am not able to get it to thread past the shoulder. in that case, i will often leave the catheter as a midline if it is appropriate for the type of therapy they are receiving (that is, no tpn). sometimes they are put in as a resus line until a someone can get in to place a large-bore central line. they don't seem to be very commen, though. i guess the thought is that if you are going to go through all that trouble, you might as well place a picc.

this is exactly what it turned out to be, they couldn't get it threaded all the way.