Reply To: Chemotherapy in “non-central” line

  • Kathleen Ackerman

    November 11, 2021 at 3:19 pm

    All vesicants get a new IV when given peripherally. A line that was “pulled” would not get chemo or a vesicant, since there would be some vascular trauma involved with a line that moved. We would start a new peripheral in all likelihood.


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    Original Message:
    Sent: 11/11/2021 1:42:00 PM
    From: Katie Madril
    Subject: Chemotherapy in “non-central” line

    This recently came up at our institution and would appreciate feedback!
    Do you ever allow Chemotherapy including vesicants to be administered in a line that in no longer centrally located? 
    Wondering is it ok on a case by case basis weighing risks vs benefits.
    For example we had a patient who’s PICC line got pulled and was located in the brachiocephalic vein, this was identified on X-ray and able to easily flush and obtain blood return. We ended up delaying chemo until a new line could be placed, however curious to what others would do? 
    Thank you.

    [Katie] [Madril], CNS, CPHON
    [Clinical Nurse Specialist]
    [Sutter Medical Center]
    [Sacramento], [CA]