PICC ACE

PICC ACE

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All Content by PICC ACE

  1. VBG in a limb and PICCs

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

    There are a number of studies which confirm the accuracy of CVP's from a PICC line,so don't worry about that. Most open-ended catheters are labelled for pressure monitoring. Valved PICCs like...

  2. What would you do? ...stop TPN or not

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

    Stop the TPN,resuscitate the pt. No big deal. General rule of thumb is that if you have to stop TPN for whatever reason,start D10% at the same rate as the TPN. Watch blood sugars and treat them as...

  3. New CL placement technology

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

    I,too,would be interested in hearing of your idea and helping in any way I might. PM me.

  4. Research study on Prevalance of Phlebitis among patient with Peripheral Vascular Cath

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

    This should be a fairly straight-forward study,especially since it sounds like you are limitting it to one floor. First of all,do plenty of Googling and medline research so you don't waste time...

  5. Do you like your IV Pump?

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

    I hate Alaris. The med library and programmability are good features. The actual mechanics of the set-up are bad,however. We have innumerable problems with air alarms--the design of the tubing is such...

  6. Malpositioned PICC line question

    PICC ACE replied to MNRN2009's topic in Infusion, Intravenous

    This situation exemplifies two additional aspects of central line placement. First of all,the statement "line OK to use" or "line in good position" is useless. How does a rad know that a line is OK to...

  7. Malpositioned PICC line question

    PICC ACE replied to MNRN2009's topic in Infusion, Intravenous

    Any central line,including PICC's,can indeed cause arrythmias if placed too deep. The tip of the line may "tickle" the heart tissue enough to trigger something. If the radiology read was to pull back...

  8. CVP's before x-ray line confirmation

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

    Agree with all the above postings on attaching a transducer--no problem at all to do so. Furthermore,it is also our practice to draw labs from a line that has yet to be x-rayed. Just no infusion of...

  9. "High Alert Medications"--How are you dealing with them?

    PICC ACE posted a topic in CCU, Coronary, Cardiac

    The ISMP recently put out an updated list of what they have determined to be "high-alert" medications. That is,medication which have a "heightened risk of causing significant patient harm when they...

  10. Anyone else studying for CCRN exam?

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

    Dang--that was one hard-a$$ test! Passed with 118 correct. I used the Dennison book and the Ahrens book. Will agree with above comments on Dennison book and CD--book is WAY too much and in outline...

  11. PICC placement for a pt with high INR

    PICC ACE replied to piccchick7's topic in Infusion, Intravenous

    Pt's with high INR's,low PLT's,on an anticoagulant gtt,in DIC,etc are certainly at higher risk for bleeding from a stick. However,the thing to keep in mind is the location of the vessel to be...

  12. Chlohexidine bathing to reduce catheter-related blood stream infections

    PICC ACE posted a topic in MICU, SICU

    not long ago,results were published showing a reduction in catheter-related blood stream infections through the use of chg for bathing icu patients: effectiveness of chlorhexidine bathing to reduce...

  13. SICU Nursing Perspective: Compartment Syndrome

    PICC ACE replied to catamounts303's topic in MICU, SICU

    catamounts... I have a brief powerpoint on abd. compartment syndrome. PM with your email addy if you want a copy.

  14. Chlohexidine bathing to reduce catheter-related blood stream infections

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

    Proper line care and proper site care will go a long way to reduce CRBSI's---this has been well documented and I'm sure that facilities that are ignorant of the CDC guidelines and IHI bundles are in...

  15. Question for the seasoned PICC nurses...

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

    Nyteshade- Looks like no one has actually succinctly answered your original question,so without further ado.... If your pt's line flushed easily and gave you a good blood return (roughly and...

  16. Chlohexidine bathing to reduce catheter-related blood stream infections

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

    Thanks for the replies,c0n.. and Neo.. Why the MWF Friday schedule? Any specific concerns using it daily?

  17. Albumin vs Calcuim Tx

    PICC ACE replied to Sherry Adkins's topic in Infusion, Intravenous

    Maybe you mistyped but the correction equation is to add 0.8 mg/dl to the calcium for every 1g/dl drop in Albumin. The reason is the high degree of binding between Ca and Alb. Both Calcium and...

  18. Broviac catheter blood draw

    PICC ACE replied to softballnurse22's topic in Infusion, Intravenous

    Not a lot of concrete published data. Here is the main reference I have for you: Journal of Infusion Nursing Volume 26(5), September/October 2003, pp 285-293 Drawing Blood Samples From Vascular Access...

  19. vancomycin and peripheral iv's

    PICC ACE replied to newrn05's topic in Medical-Surgical

    Reference for the above is the Infusion Nurses Society standards of practice from 2006. "Therapies not appropriate for peripheral-short catheters include continuous vescant therapy,parental...

  20. vancomycin and peripheral iv's

    PICC ACE replied to newrn05's topic in Medical-Surgical

    CAN you do so? Sure,it's done all the time. SHOULD you? That's a little different. When deciding if a med needs to be infused centrally or not,one of the considerations is the pH of the solution. Very...

  21. stroke patients and IV's

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

    The issue is in fact diminished blood flow in the arm and the increased risk of thrombosis--remember Virchow's triad? With no movement in the arm,the action of the 'muscle pump' on the...

  22. Vascular Access in the Burn units

    PICC ACE posted a topic in Critical Care

    I have been asked to collaborate with a research/educational project regarding vascular access in the burn patient. We aren't finding a whole lot of good data to back up current practices. So, a few...

  23. Catheter lock solutions

    PICC ACE posted a topic in Dialysis, Renal, Urology

    This is sort of a poll--What are you HD nurses using to lock your patients' catheters after treatment? Heparin? If so,what concentration? Any one using anything else,like Citrate,TPA or the...

  24. Catheter lock solutions

    PICC ACE replied to PICC ACE's topic in Dialysis, Renal, Urology

    RN2B..when you say they don't work well,do you mean they are clotting off completely or that you just aren't getting good flow rates? Have you tried a TPA dwell to remove the fibrin build-ups? My...

  25. Drawing blood from PICC

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

    There are two good articles that you might want to check out. From Nursing2004,Vol 34,No.2 "Drawing Blood through a central venous catheter" by Nancy Moureau. It's brief,but she describes nicely the...