D20 and a 1.9 fr. PICC Occlusions

Specialties NICU


I am a PICC RN in our unit. We recently had an occlusion on a brand new PICC that was running D20 at KVO (1 ml/hr). The line occluded so a line exchange was performed. The line occluded again within a few hours. We are wanting to possibly see if we can find anyone else that has had this issue with a high dextrose infusion. X z

Specializes in NICU.

Were you running Heparin in the D20 bag? Why are you running D20? We rarely go over D12.5.

Specializes in Neonatal Nurse Practitioner.

I'd also like to know why D20. Especially for a KVO.

We usually don't run a KVO if the baby isn't on fluids. We Hep lock and flush every 3-4 hours. The only clotted line I can think of, they were for some reason, running a KVO rate.

I've had this issue running dextrose with high Concentration. Consider running it with heparin or placing a peripheral IV

I also am curious if the D20 was heparinized. We would never run a PICC line KVO without heparin. We would also never run D20 for KVO purposes. We actually would never run dextrose for only KVO purposes. We run heparin 0.5u/mL in 0.9% NaCl or something similar. Were there sugar issues or something?

+ Add a Comment