A PICC is not the best line for anyone with CRI or CRF. You want to
save UE veins for future fistula/graft placement. We know that the
incidence of PICC related thrombus is higher than is clinically evident
based on surveillance studies. Another VAD option would be more
appropriate in these situations. It's independent of prescribed
infusion but rather is related to the damage caused by any VAD in the
upper extremities.
See DOQI guidelines for more information at the National Kidney
Foundation website, www.nkf.org
Gail
>>> <[EMAIL PROTECTED]> 06/01 2:58 PM >>>
I can not using certain meds based on creat level, but not placement
itself. Did he give the basis for this? My Home Infusion Pharmacy is
really, really conservative and they say they know of no reason for
non-placement due to creatinine.
Michael E. Johnson, RN,
BSN
Outpatient Infusion Case Manager
Kaiser Santa Clara ?Homestead
710 Lawrence Expressway
Infusion Center, Department 440
Santa Clara, California 95051
408-851-4301, tie line 401
Pager 6-476, 408-231-0988
fax 408-851-4359, tie line 401
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"Patricia Luptak" <[EMAIL PROTECTED]>
Sent by: [EMAIL PROTECTED]
06/01/2006 11:08 AM
To: "list serve" <[EMAIL PROTECTED]>
cc:
Subject: Renal Criteria for PICC line insertion
I need help from the group on an important issue. I need to know what
criteria is in place where you practice on when you hold from using a
patient's arm for PICC placement due to renal insuffiency. In addition
if
anyone has policies, references from journals, literature, etc. please
list them as well. I have a nephologist that wants to restrict PICC
placement based on creatinine but with our elderly patient population
that
would severly limit any PICC placement if we went with that number
globally. Any help from my colleagues is needed and appreciated in
advance
Thanks
Patty
Patty
Patty Luptak RN OCN BSEd
Manager Oncology/Infusion Services @ Jefferson Regional Medical Center
LITE Presidential Advisor
www.lite.org
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