Do RNs declot temporary hemodialysis catheters? - page 2

Question for RNs - If it is within the scope of nursing practice in your state, do RNs declot hemodialysis catheters (permacaths)? and If yes, where could I find procedure for declotting the arterial... Read More

  1. by   Robbilin
    We often times will use the 2mg of Activase and put it in whatever port is either clotted off or very sluggish, leave it in until the next treatment, then withdraw it. If the port is completely clotted, we will put it in and then wait 20-30 minutes, then attempt aspiration. If it doesn't work still, we wait another 30 minutes, etc. Hope this helps!
  2. by   Ruby Vee
    We use 2 mg. of tPA as well -- instilled into each side of the catheeter and left in until the next treatment. A few times, the catheter has been too sluggish to START dialysis, and then we tPA it for 30 - 60 minutes. It usually works pretty well. Only once it's NOT worked, and in that case the Renal team came and changed out the catheter -- we are talking about TEMPORARY catheters, aren't we?
  3. by   ageless
    rarely have I declotted a temporary cath....I was refering to perm caths, but the procedure would be the same.
    Last edit by ageless on Sep 27, '03
  4. by   nursefiggy
    As an LPN I can use activase also. If we have a cath that we can't seem to get over 200 blod flow we will let it dwell until next tx. If we have one that won't work at all ot not very well without constant alarming, we will let it dwell for 30 minutes then pull it out and try again.
  5. by   nursefiggy
    TELE, we have many pts that have permanent catheters that run reversed every tx. Most of their monthly URRs are fine.
  6. by   babyboomerRN
    we use cathflo in our unit,2mg/2ml and it works really well.let it dwell for approx.30 min.withdraw and the treatment runs well.