Jet triple lumens are staggered.
----- Original Message -----
From: "Lynn Hadaway" <[EMAIL PROTECTED]>
To: "Kennard, Kathryn A" <[EMAIL PROTECTED]>; "G.G.
Northington" <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]>
Sent: Thursday, August 17, 2006 7:39 AM
Subject: RE: PICC with TPN and lab samples
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]
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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
