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Fri, 05/25/2007 - 18:56
#1
blacba
peripheral and/or picc in cva affected side

im new to this forum and I would like any leads such as articles regarding use of stroke affected side for peripherals or piccs.  I can understand peripherals due to loss of feeling in that arm and not being able to verbalize pain, but how about piccs?  thanks

 

 

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Fri, 05/25/2007 - 19:57
sesymons
Both PIV and PICC should not
Both PIV and PICC should not be placed on affected side due to increased potential for thrombus related to decreased circulation. I assume you mean paralysed but if not... I place them in affected side if patient has movement and actively uses arm.
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Tue, 05/29/2007 - 08:07
lynncrni
One of the primary forces
One of the primary forces that moves blood back to the heart is the muscle pump action, also called the venous pump. Muscle contraction also compresses veins. Proximal valves open while distal valves close, causing blood to return to the heart. This action is not happening when you have paralysis for any reason. So this extremity should not be used for any type of catheter. One of the 3 components of the Triad of Virchow (the causes of vein thrombosis) is alternation in blood flow. So you would be placing a foreign object (the catheter) into a vein that has serious alteration in normal blood flow and thus putting the patient at tremendous risk for vein thrombosis. Lynn

Lynn Hadaway, M.Ed., RN, BC, CRNI

Lynn Hadaway Associates, Inc.

126 Main Street, PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

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