How many I.V.'s

Specialties Critical

Published

How many I.V.'s (lumens, central lines and PIV's) do you see normally in the ICU and what is the maximum amount of drips do you have running? I want to make sure I can handle this many drips before I go into ICU. 

Specializes in Geriatrics, Dialysis.

 I doubt this is typical but here's a picture of the IV pole my husband had while in the ICU around the time of his transplant surgery. I took one look and thought no way would I like to keep up with that mess!  He had a PICC line, I believe a central line by that point and a couple of peripheral IV's. 

 

 

 

 

Matt IV.jpg
Specializes in Burn, ICU.

I recently took care of a vented septic patient who had 12 channels running plus CRRT. Patient had a quad-lumen CVC, an A-line, and a VasCath (and then the next day the patient was actually more stable but needed a bunch of incompatible meds so someone placed a couple of peripheral IV's too).  

 

This isn't the *most* channels I've had running, but it's a good number.  Several med lines (compatibility and timing), a couple of pressors (titrating frequently), sedation, anticoagulation (frequent lab draws), blood products, fluids, bicarbonate gtt.

Specializes in Critical Care, Capacity/Bed Management.

Like Marienm said some of the sickest patients I have cared for have 12-14 drips infusing, CRRT, art line, etc. In situations like this I will be using a triple lumen and probably 2-3 PIVs as well. It just depends on the situation. I usually like to have a "free" line in case of emergencies or incompatible anti-infectives. 

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