Good thought but only if the lumen exit sites are staggered and most
are non-staggered. So both lumens exit at the same place - the most
distal end of the catheter. Lynn
At 2:36 AM -0700 8/17/06, Kennard, Kathryn A wrote:
The TPN needs to be stopped before the labs are drawn, although if
you don't do that you will usually get critically high levels on
your chem panels. I wonder if you are drawing from a proximal line
and infusing the TPN from the distal line. This might make the
levels only slightly elevated. Kathy Kennard, CRNI
________________________________
From: [EMAIL PROTECTED] on behalf of G.G. Northington
Sent: Tue 8/15/2006 8:26 AM
To: [EMAIL PROTECTED]
Subject: PICC with TPN and lab samples
I have a patient that had a dual lumen power PICC inserted on
8-3-06. TPN was initiated through one lumen and the other lumen
utilized for maintaince fluids (D51/2 NS) and lab draws. The last
3-4 days (not consecutive) the patient's glucose has been elevated
on the lab results, but a finger stick has had much lower results.
The patient's WBC's are elevated, but not a new finding. The
physician is concerned with infection. My first thought was that
the nurses are pulling the TPN with their lab draw.--It is common
practice on this floor to draw the lab work while the TPN is
infusing, so I suggested to stop it briefly before the next lab draw
to see if there is a difference in the results.
With the background given, what are your thoughts on possible
infection vs. the nurses "technique" on obtaining the sample?
Thanks, G.G.
G.G. Northington,RN,BSN
PICC Nurse
Jackson Hospital & Clinic,Inc.
Montgomery,AL 36016
334-293-6858
[EMAIL PROTECTED]
DISCLAIMER:
This message is intended for the sole use of the addressee, and may
contain information that is privileged, confidential and exempt from
disclosure under applicable law. If you are not the addressee you
are hereby notified that you may not use, copy, disclose, or
distribute to anyone the message or any information contained in the
message. If you have received this message in error, please
immediately advise the sender by reply email and delete this message.
--
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
