(That is if it is a fibrin buildup or thrombus formation causing it. Once any resistance is felt, STOP flushing attempts!! At that point, a RN in house, or one contracted with your pharmacy needs to obtain an order for cathflo and attempt to restore patency. (btw, cathflo will not clear this type of occlusion).
However, be aware that some IV medications are incompatable with Saline, and if you flush the IV catheter right after the antibiotic is complete with this solution a precipitate will form and this too leads to an occlusion. In many cases, that solution is Normal Saline. Always make sure you are flushing with the appropriate solution. Always want to flush a line, right after the IV antibiotic has completed to prevent reflux of blood into the line and subsequent occlusion.ģ. Don't obtain a smaller syringe and try to flush again because the smaller syringes exert too much PSI's and can either dislodge a thrombus or cause the IV catheter to break or split.Ģ. If you meet resistance when flushing with a 10cc syringe you:ġ. Pediatric/NICU: Amount needed to clear line (Peds: Usually 3-5 ml) A - Antibiotic/I.V. TM When used intermittently, flush with: S Saline.
If you had to "Huff and Puff" you were doing something that you shouldn't have been doing! Catheters without valve, with external clamp (PICC & Tunneled) Example: Cook. In case you're thinking it, of course I made sure that it was not clamped. How is it possible that the PICC line, where the medication was dripping just fine, has so much resistance when flushing? Or could it be that I was doing something incorrectly? Is it even safe to push that hard? I was worried about it and meant to ask the RN but got distracted with something else. To my dismay, it would not go! With much huffing and puffing, I managed to push in all the saline in the syringe.
I disconnected the tubing and proceeded to flush. The other day, I was asked to flush a resident's PICC. I am an IV certified LVN and I often flush the line when IV anibiotics are done.
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