Reply To: PICC line trouble shooting

  • Kimberly Duback

    Member
    December 27, 2013 at 1:29 pm

    Clarification:For PICC lines, we too use our venous access device team for all of our declotting needs and they use alteplase as well.  The information I provided includes all pediatric central lines since I thought that was also relevant to the disucssion.  I hope this helps!

    ~Kim

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    Kimberly Duback
    Advocate Children’s Hospital- Oak Lawn
    Oak Lawn, IL
    United States
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    Original Message:
    Sent: 12-27-2013 01:26 PM
    From: Kimberly Duback
    Subject: PICC line trouble shooting

    As a part of our central line bundle, for any line that is sluggish or clotted, we administer and have alteplase dwell.  In lines where we have difficulty infusing the medication, we use a stopcock method to infuse the drug.  We implemented this practice a about 1.5-2 years ago and have had a lot of success. 

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    Kimberly Duback
    Advocate Children’s Hospital- Oak Lawn
    Oak Lawn, IL
    United States
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    Original Message:
    Sent: 12-27-2013 12:32 PM
    From: Marlene Reidl
    Subject: PICC line trouble shooting

    Hello
     I was wondering what is the protocol at other institutions for trouble shooting slugish or clotted PICC lines?  If there is a partially occluded line do you administer lovenox or do you pull the line?
    Thanks
    Marlene Reidl
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    Marlene Reidl
    Asst Clinical Manager
    Hasbro Children’s Hospital
    Providence, RI
    United States
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