If a Central Line occlusion is known to be caused by a drug percipitate what is the best safest and most efficient way to resolve the problem--Are there specific antidotes for specific percipitates and if so what refernece source can be used to write policy--I have exchanged PICC in the past to resolve this problem but others want to know if this is Best Practice--Thank you in advance of your responsesÂ
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
Robbin George RN VA-BC
Here are a few:
1. Duffy LF, Kerzner B, Gebus V, Dice J. Treatment of central venous catheter occlusions with hydrochloric acid. Journal of Pediatrics. 1989;114(6):1002-1004.
2. Pennington CR, Pithie AD. Ethanol lock in the management of catheter occlusion. Journal of Parenteral and Enteral Nutrition. 1987;11(5):507-508.
3. Werlin SL, Lausten T, Jessen S, et al. Treatment of central venous catheter occlusions with ethanol and hydrochloric acid. Journal of Parenteral and Enteral Nutrition. 1994;19(5):416-418.
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
You might the ONS Vascular Access Guidelines for a table that has what agent to use to declot precipitants. I don't have the most current version, but have seen in the previous 2 versions.
Gwen Irwin
Austin, Texas