PICC ACE

PICC ACE

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All Content by PICC ACE

  1. Triple-Lumen Qestion

    PICC ACE replied to LearningTheRopes's topic in CCU, Coronary, Cardiac

    You generally don't need to flush a line that is actively infusing unless some sort of occlusion is suspected or you need to interupt the infusion for some reason. As for the unused lumens,the...

  2. Central line question

    PICC ACE replied to JustMe's topic in CCU, Coronary, Cardiac

    I see different sides to the issue. First,from a strictly venous-access related standpoint,there are some potential problems with this. There is the issue of scope of practice which would be a state...

  3. Cvl/picc Help Please!

    PICC ACE replied to ace.happy's topic in Infusion, Intravenous

    RE #1-After you have primed your new tubing with the TPN,use the roller clamp on the line to clamp the tubing. When you remove the old tubing from the pump,it is probably designed in such a way as to...

  4. Phlebotomy thru port?

    PICC ACE replied to rusty55's topic in Infusion, Intravenous

    You can "unofficially" do a phlebotomy from a CVC,PICC or port by withdrawing the blood using a syringe to do so,but you should be sure to check with your manufacturer first as these devices are not...

  5. peripheral iv's using ultrasound

    PICC ACE replied to cupcake25's topic in Infusion, Intravenous

    There are a number of reasons for those IV's not lasting. First is the site itself,as the AC area is too close to a 'joint flexion' spot and the catheter can work its way out too easily. Also,I think...

  6. Critical care hospital acquired infection

    PICC ACE replied to anurseuk's topic in CCU, Coronary, Cardiac

    Do a search on "VAP",ventilator associated pneumonia and you will find plenty of studies on strategies to reduce the risk of respiratory infections in the ventilated patient. If you want something...

  7. Power PICC with antibiotics

    PICC ACE replied to IndyRick's topic in Infusion, Intravenous

    Indy- Sounds like an interesting combination. The trend for PICCs is definitely toward power injectable capabilities and it probably won't be long before all PICCs placed are power injectable....

  8. Problem with blood withdrawal Hickman Line

    PICC ACE replied to cannulation's topic in Infusion, Intravenous

    What did the person mean who said "the line closes in on itself"?? Did the patient get a chest xray to confirm proper placement or a dye study to check catheter integrity? Lines can migrate out of...

  9. ?? re: giving drugs through a maintenence infusiong

    PICC ACE replied to jamst149's topic in CCU, Coronary, Cardiac

    When you are pushing a med in a running line,the rate doesn't matter. Whether the rate is 500 or 5 ml/hr,you deliver the dose over,say,5 minutes. The concentration actually entering the patient is...

  10. Femoral Central line

    PICC ACE replied to MeryMellen's topic in Infusion, Intravenous

    Rufa- Sorry to hear of your difficulties but thank you for sharing. Has anyone ever told you that there was a reason that your arm,chest or neck veins could not be used for a device? There are dozens...

  11. Criminal charges against WI Nurse

    PICC ACE replied to Dorito's topic in General Nursing

    Felony charges were dropped. A couple years probation and license suspension/restrictions. Civil suit resulted in a few million $ to the baby. Mother of the victim was given custody. Father of the...

  12. Odd arterial line wave form

    PICC ACE posted a topic in MICU, SICU

    Pt I recently had showed an odd arterial wave form. Steep upslope,then a dip down and quick bump back up,then downslope with an normal looking diac. notch. Any insights? Hx,BTW: Failed renal...

  13. Cathflo at Home

    PICC ACE replied to cpr4life's topic in Infusion, Intravenous

    Of course it's safe,both in home and hospital. Here's a good article you might be interested in,for yourself or for the HH staff. The Use of Alteplase for Treatment of Occluded Central Venous...

  14. Odd arterial line wave form

    PICC ACE replied to PICC ACE's topic in MICU, SICU

    Tele was SR,and this a-line wave had been like that for at least 48 hrs. Still can't quite figure out combination of ventricle/valve/artery variables would show a positive upslope,brief...

  15. Mucomyst iv

    PICC ACE replied to msn2008's topic in CCU, Coronary, Cardiac

    Have seen it ordered by both routes,for renal protection,OD's and liver transplants. One odd thing is that in some countries you can get it in a berry or punch-flavored powdered mix that has no...

  16. Arterial line insertion by the RN

    PICC ACE replied to CactusFlower's topic in MICU, SICU

    "An IV team that does nothing but sticks 24/7 is far better than any MD or RN who does an occassional art stick" This is in fact exactly what I envision. Case in point--one of my patients yesterday...

  17. Arterial line insertion by the RN

    PICC ACE replied to CactusFlower's topic in MICU, SICU

    At my previous hospital,RN's could place arterial lines. I recently started at a different hospital,university/teaching place where the docs do them,though I have on 2 occasions "unofficially" made...

  18. Port Access Question

    PICC ACE replied to AtlantaRN's topic in Infusion, Intravenous

    If the patient's only pain associated with the procedure is from the stick itself,you could have her ice the area for 30" before you are scheduled to arrive. You could also look into getting her a...

  19. "Looping" IV Tubing

    PICC ACE replied to RN CRNI's topic in Infusion, Intravenous

    Above all,the manufacturer's directions and IFU's need to be followed. I doubt that any company would ever advocate this practice. Injection ports are made for injections,not for "looping". There are...

  20. Question about PICCs and syringe size

    PICC ACE replied to SteveNNP's topic in Infusion, Intravenous

    Your first step might be to check the manufacturer's IFU's for their product to see if they state what syringe size to use. Generally,lines should be FLUSHED with larger syringes. This flushing clears...

  21. Question? Need answer

    PICC ACE replied to blsmom's topic in Infusion, Intravenous

    I ran this situation by some of our IP dialysis staff. No one favored the rt arm PIV,especially not with Phenergan. What did the nephrologists have to say? Would they let you use the perm-cath for...

  22. Withdrawal of blood from piccs

    PICC ACE replied to cannulation's topic in Infusion, Intravenous

    Blood flow through the SVC is around 2L/min---some variation with fluid status,patient size,etc. but it's fast enough that you probably don't need to wait a full 5 minutes. Turning off all pumps is...

  23. opening clogged PICC, with a wire????

    PICC ACE replied to SWAT_RN's topic in Radiology

    Wow. Talk about risks outweighing benefits! Catheter rupture,catheter embolism,wire embolism,vein perforation,pneumothorax,sepsis and I could go on. I can safely say that guidewires are not labelled...

  24. picc line criteria

    PICC ACE replied to barbie71's topic in Infusion, Intravenous

    Guidelines,no. Clinical judgement,thorough assessment and evaluation of risk vs benefit,yes. I've done PICC's for patients with platelets of 10,INR of over 7,shortly after 600mg of Plavix,on TPA,etc....

  25. woe scenarios in ER

    PICC ACE replied to davidppp's topic in Emergency

    An ICU visit will also give you the chance to see even more monitors and their attendant tubes,hoses and wires in