HiKim, In our fluids infusing thru a PICC in the NICU, we put 0.25units hep/ml if fluids are running at > 100ml/kg/day. If the total fluids are < 100ml/kg/day we add 0.5units hep/ml. No heparin is added to tunneled and non-tunneled CVC fluids.
Darcy >>> "Kimberly Sutters" <[EMAIL PROTECTED]> 12/21/05 14:12 PM >>> Dear Colleagues - We are surveying other children's hospitals to see what their practice is regarding central line maintenance with heparin infusions & flushes in premies/newborns. Our preprinted orders for neonatal PICC placement and maintenance states to add 0.5 unit/ml heparin to all IV solutions that infuse at less than 10 ml/hour. This would deliver up to ~5 units/hour, not counting other sources of heparin, e.g., flushes, etc. We are investigating the safety of these "low" doses of heparin in premies/newborns, in particular with regard to whether this could result in systemic anticoagulation (or otherwise alter coagulation parameters). If you are adding heparin to your central line infusions, have you measured PTT pre- and post-initiation of heparin? Thank you in advance for your assistance. Kim Kimberly A. Sutters, RN, PhD Clinical Nurse Specialist, Surgical Services, Pain Management Children's Hospital Central California 9300 Valley Children's Place (FW07) Madera, CA 93638-8762 (559) 353-5440 (phone) (559) 353-8049 (fax) [EMAIL PROTECTED] Children's Hospital Central California A Great Place to Get Better ------------------------------------------------------------ NOTE: This email and any files transmitted with it are intended solely for the use of the individual or entity to whom they are addressed and may contain confidential, patient health or other legally privileged information. If you have received this email in error please notify the sender by email,delete and destroy this message and its attachments. Any unauthorized review, use, disclosure, or distribution is prohibited. ------------------------------------------------------------
