Interventional radiology should be able to insert through
translumbar or transhepatic veins with either a tunneled catheter or
implanted port, tip above the diaphragm in the IVC confirmed by xray.
Lynn
At 6:19 PM -0500 1/23/06, Monica Sorg wrote:
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Hi all,
I have a patient that the vascular radiologist was unable to get a quad on today. Only after that did the family tell the ordering doc that a recent ultrasound at another hospital apparantly showed significant thrombosis in the vasculature of the chest veins. We are requesting those results from that hospital. He has a history of thrombosis with any central access he has ever had, including a tunnelled line to the subclavian, as well as a PICC in the left arm. He tells me that they told him at the Mayo Clinic that the left arm is never to be stuck again for any reason. Alot of heresay, I know. If we can't get recent relevant info, I'm going to ask for an ultrasound of that arm as well as the subclavians, axillary, etc. My question is, what now? This guy is a bone marrow transplant patient with a definite need for central access (Vanc, IV Bactrim, KCL runs, Mag, and more). A tunnelled femoral port is being considered. I'm at a loss as to how to advise in this case. Any suggestions would be appreciated.
Monica Sorg, RN CRNI
Infusion Nurse Specialist
University of Louisville Hospital
Louisville, KY
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Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
