barbpigott

Just a thought--if it doesn't matter, why do some central lines stagger the lumen openings? But I think you are right that it doesn't matter. Just curious about the rationale for that.

This was very helpful--thank you. It has been confusing. One website (forget which one) said it is OK to infuse incompatible meds through a double lumen PICC at the same time, but then it listed two incompatible meds that were NOT OK to infuse through a double lumen PICC at the same time. It has been confusing.

Thanks, this is helpful. I think you are right. Do you know of any published studies? Just wondering.

It seems that you could infuse meds that have Y site incompatibilities at the same time using a double lumen PICC, but I was wondering if there is a mixing that happens in the vein at the point where the meds leave the PICC--for example, doxorubicin through one lumen and an incompatible antibiotic through the other lumen. Is the superior vena cava big enough to dilute them immediately so no reactions between them happen?