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Wed, 09/19/2007 - 17:04

Roy D.

D/C'ing CVC with elevated INR

I was wondering if anyone has criteria in their policy on about INR and discontinuation of triple lumen caths. How high is too high?

thanks

roy

Sat, 09/22/2007 - 17:52

lynncrni

I am not aware of any

I am not aware of any guidelines about your question. For removal of a jugular placed CVC, the risk is less because you can put direct pressure on the vein to control any bleeding. For a subclavian site, the clavicle would prevent this direct pressure on the venotomy site, so there is greater risk. I have seen a patient bleeding uncontrollably from a subclavian site after CVC removal and it is not fun to manage! 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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