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It would depend on the patient Tpn running through the same line can throw off values, esp of electrolytes, so that is often a contraindication to drawing off the picc, although it is possible to still do it if you turn. Some patients can tolerate having a pressor interupted briefly, others cannot
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If they cannot tolerated having it off, can't draw from the line. If central line more than 24 hours old physician. Perhaps there needs to be a practice session and education provided around how to safely draw labs on a patient with a central line
For blood cultures, the policy is to do all peripherally due to the risk of contamination, but if peripheral is not possible or if the phy wants one from the line, the injection.
And one person to transfer the specimen Milrinone infusion should ideally have a separate line from all other infusions, however if not possible check with pharmacy if drugs are compatible Milrinone syringe/bag should be changed. Administer preferably via cvc, but may be given peripherally
Do not administer on lines where other infusions may be bolused or flushed Correct electrolyte abnormalities before commencing. Milrinone should be administered as a continuous infusion only Usual recommended concentration via central venous route is 200microg/ml
In hospital, continuous cardiac monitoring is required.
The infusion nurses society standards of practice (2006) state that drugs which have a ph less than 5 and greater than 9 should be infused through a central line. Ecommend 2 staff members for this procedure) step key point reason Evaluate central line, determine if the line is more than 24 hours
