Colleagues,
I need some
assistance with writing a policy to cover patients who are on TPN and the
central line
is accidentally
removed. Our current policy (which dates back to 1998) states that 10%
Dextrose must
be started with in
10 minutes. We all know we shouldn't give D10W through a PIV. The
INS "blue book" states in the "unstressed patient, rapid tapering can be
accomplished by reducing the rate by 50% during the first hour and by 50% during
the second hour.". The blue book also talks about using D5W instead of
D10W.
At conference I
heard someone talk about doing hourly blood sugars and only start fluids if
the patient shows signs of trouble when the catheter was accidentally
removed. What do you have in your policy concerning accidental catheter
removal? Any literature that addresses this issue?
Thanks for your
help.
Margy
Galloway
| Saint Luke's Health System Confidentiality Notice: The information contained in this e-mail transmission is confidential information, proprietary to the sender and legally protected. Its purpose is intended for the sole use of the individual(s) or entity named in the message header. If you are not the intended recipient, you are hereby notified that any dissemination, copying or taking any action in reliance on the contents of this information is strictly prohibited. If you received this message in error, please notify the sender of the error and delete this message and any attachments. Kansas City's newest health care campus, Saint Luke's East-Lee's Summit, is now open. Go to saintlukeshealthsystem.org to learn more. |
