mediport/SCAP/VAP IVPsyringes

[Le'chaim]

I'm a student and was in clinical yesterday getting a IVP meds ready when an RN said that I must transfer them to a 10mL syringe to use for a dual chamber mediport. I discussed with my clinical instructor and I went ahead and transfered them to the 10mL but niether of us came across any reading about this (she is Dr.) Both of us have about CVCs like PICCs but thought the mediport handled the pressure, especially as many drugs slowly admin. over minutes. Please fill us in! I have been trying to look this up but have found nothing.:icon_roll

[iluvivt, BSN, RN]

Well do not feel bad this information is difficult to find and can be confusing. Each IV device on the market is rated on how much pressure the device can stand in pounds per square inch or the PSI. One of the things the PSI is based upon is the catheter material and any reinforcements and the design of the product. Each product also has its IFUs (instructions for use) and in that you will find the manufacturers instructions and the maximum PSI allowable. For example a 4 Fr groshong PICC can withstand 35-40 PSI. A smaller syringe will generate more pressure as will one with more volume in it. So on all PICCs use a 10 ml syringe always and for everthing and do not poer inject unless the catheter is rated for that function as is the lumen you want to use. As far as the port goes,do you know the brand?.....most do not require the use of a 10 ml syringe....but if you are unsure it is much safer just to use one....tell me the brand of port and I know where to get the info for you. any other ?s