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Discussion

Flushing with pressors

Quick question for you guys.

In my unit it is standard procedure that when we D/C an infusion of vasoactive medications (dopamine, levophed, etc) from the central line that we withdraw 3-5 mL of blood before flusing the line to withdraw the med and flush safely.

However there are times I cannot get bloodflow no matter how I reposition the patient, and the more experienced nurses have advised me to push the flush slowly. I have tried this, but still see a great rise in patient blood pressure. Is there a safer alternative when I can't withdraw the medication (short of changing the central line).

Thanks

Featured Replies

yank the line... hold pressure.....

tell your pt not to take deep breath while you are dc'n the line.....

:cool:

I would do what they said - flush really really slowly.......

What about the POP method?

What is the POP method?

I don't know if the POP method would be appropriate for this situation or not, and I don't feel comfortable describing it over the internet. I just thought maybe the OP might be familiar with it. If your facility has an IV support team, I would call them. Personally, I would feel very uncomfortable pushing anything into a central line from which I could not obtain a blood return.

I'd check and see what your policy and procedure is on the unit.

I agree with RainDreamer, check your facilities policy.

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