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we have also had numerous issues regarding blood backing up as well as not being able to flush due to CRS. One of our providers suggested running normal saline at the Blina rate to clear the line and then be able to flush/handle your line as necessary. we were unable to draw back blood for cultures at the time. when we had kiddos who had numerous issues, we would run a NS rider with them while inpatient.
—————————— Hannah Karpel, RN Mogadore, OH United States —————————— ——————————————- Original Message: Sent: 10-25-2020 02:51 AM From: Melodi Thompson Subject: Blinatumomab
Hello! When we first started infusion Blin, we had the same problem. We ran NS @ 5 ml/hr concurrently with it while they were inpatient.
—————————— Melodi Thompson, RN Fort Worth, TX United States ——————————
Original Message: Sent: 10-22-2020 02:32 AM From: Makenzie Lewis Subject: Blinatumomab
We recently had a patient who came in for Blinatumomab infusion. Blood started backing up into the line about 4 hours into the infusion. We looked over the COG FAQs for this, however it didn’t give specifics as to how to clear the line.
Do any institutions out there have a solution? We couldn’t flush the line because patient was already showing signs of Cytokine Release Syndrome. We’ve only done 2 Blinatumomabs in the past 3 years here so have very little experience to go off of.
—————————— Makenzie Lewis, RN Durham, NC United States ——————————