Quote from cannulation
Sorry to trouble people again, another question re midlines. Are there any special considerations when giving a blood transfusion via a midline?
Absolutely you may give any blood products through a midline. assess the line carefully before use including to assess the upper third in the arm that it is placed, most midlines are approx 20 cms long. Sometimes I trim them before insertion. Remember not all therapies can be given through a midline so it really has quite a few limitations. Anything with a ph less than 5 or greater than 9 should not be administered through a midline.
For example, never infuse TPN, Dilantin, Dopamine, Dobutamine etc. I rarely use them anymore for that reason. Most importantly, your insti
tution should have a list of acceptable list of meds and fluids that should never be infused through a midline. ASSESS ASSESS ASSESS and know how long the line has been in place. Phlebitis and infiltation and extravastion (if used in error) are the most common complications