Updated: Feb 26, 2020
Published May 29, 2012
You are reading page 2 of No blood return from PICC...is it a problem??
IVRUS, BSN, RN
iluvivt said:IVRUS is correct..I was just going to say what was said. If a mechanical issue has been ruled out it is most likely a persistent withdrawal occlusion (can easily instill but no blood return obtained) and should be treated with Tpa (cathflo). if it is a complete occlusion a drug or mineral precipitate needs to be considered as well.
OH MY GOSH... I have MISSED YOU GIRL.... So good to see you back!
iluvivt, BSN, RN
IVRUS....... So busy getting my daughter through her first year of high school...she is doing on- line high school with me as her learning coach. I have retaken the CRNI test again and have been studying all things IV..placing PICCs with ECK technology. I will PM you bcause I really would love to have your opinion on a CVC problem that we are having that is really beginning to annoy me..would that be OK?
Anytime... It is so good to know that you are okay. PM me anytime.
With respect to home care nurses, The INS 2011 (http://www.rcn.org.uk/__data/assets/pdf_file/0005/78593/002179.pdf, p.83)has an algorithm pertaining to persistent withdrawal conclusion strategies. However I strongly agree with the other posts that suggest investigating this issue further and the need for tPa, a line-o-gram etc to confirm that correct tip location.
I was recently in a chemo unit where there policy was to do the normal tilt head lay patient down but found that they do a fluid challenge then give IV dexamethazone antisickness if they can feel the tingling in there bottom it was ok to use!!!!!This not a good procedure or practice and unsafe. What should have happened at the least a CXR to see placement of line. There should be strict guidelines in place across the UK so this does not happen. Thank you needed to share
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