This is a theoretical question: if you have a double lumen midline that terminates in one of the upper arm vessels, could you run two non-compatible meds through each of the lumens at the same time? Is there enough hemodilution at this level?
This is a theoretical question: if you have a double lumen midline that terminates in one of the upper arm vessels, could you run two non-compatible meds through each of the lumens at the same time? Is there enough hemodilution at this level?
I am not aware of any midline studies that have included data on dual lumens. If in the basilic vein, vein diameter is only about half of the SVC diameter, so much slower flow rates. If using cephalic or brachial, they are much smaller diameter so much slower flow rates. I would hesitate to infuse incompatible meds simultaneously through a dual lumen midline. 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
Thanks, Lynn!
Wendy Erickson RN
Eau Claire WI