The DOQUI guidelines also recommend use of the hand when possible in renal patients. Having seen angio evaluation of non-matured fistulas that demonstrate stenosis at the site of former venipuncture has made me understand the significance of these recommendations. It's not just PICCs, it's peripheral IV's frequent blood draws, any type of venipuncture that could cause damage to the vessel that later inhibits maturation of a fistula or graft. Sandra L. Schwaner MSN, RN, ACNP P.O. Box 800377 Angiography/ Interventional Radiology University of Vriginia Office: 434-924-9401 - 434-243-7081 Fax: 434-982-6468 Pager # 6180
________________________________ From: [EMAIL PROTECTED] on behalf of Lynn Hadaway Sent: Fri 9/22/2006 2:42 PM To: Cheryl Kelley; Czapracki, Denise; venous Cc: [EMAIL PROTECTED] Subject: [vascular] Re: PICCs and Creatinine levels My understanding from the DOQI Guidelines is the concern over thrombosed subclavian veins that would increase the difficulty with insertion of a large hemodialysis catheter. I don't recall if DOQI says anything about dominant vs non-dominant. Lynn At 1:47 PM -0400 9/22/06, Cheryl Kelley wrote: >I thought that the restriction for PICC placement in renal patients >had more to do with possible thrombosis of the peripheral veins, >espc. the basilic and cephalic veins. That is why a PICC should be >avoided in the nondominate arm and if necessary, place the PICC in >the dominate arm. Fistulas, grafts, etc. are usually placed in the >non dominate side. > >Thanks, >Cheryl -- Lynn Hadaway, M.Ed., RNC, CRNI Lynn Hadaway Associates, Inc. 126 Main Street, PO Box 10 Milner, GA 30257 http://www.hadawayassociates.com <http://www.hadawayassociates.com/> office 770-358-7861 [Non-text portions of this message have been removed] __._,_.___ Messages in this topic <http://groups.yahoo.com/group/vascular/message/1622;_ylc=X3oDMTM1YjlxMmwzBF9TAzk3MzU5NzE0BGdycElkAzE3NDM4ODgwBGdycHNwSWQDMTYwMDA2MTEwNARtc2dJZAMxNjI2BHNlYwNmdHIEc2xrA3Z0cGMEc3RpbWUDMTE1ODk1MDgxMAR0cGNJZAMxNjIy> (3) Reply (via web post) <http://groups.yahoo.com/group/vascular/post;_ylc=X3oDMTJxaWhhaDI0BF9TAzk3MzU5NzE0BGdycElkAzE3NDM4ODgwBGdycHNwSWQDMTYwMDA2MTEwNARtc2dJZAMxNjI2BHNlYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTE1ODk1MDgxMA--?act=reply&messageNum=1626> | Start a new topic <http://groups.yahoo.com/group/vascular/post;_ylc=X3oDMTJmcmlkZDA2BF9TAzk3MzU5NzE0BGdycElkAzE3NDM4ODgwBGdycHNwSWQDMTYwMDA2MTEwNARzZWMDZnRyBHNsawNudHBjBHN0aW1lAzExNTg5NTA4MTA-> Messages <http://groups.yahoo.com/group/vascular/messages;_ylc=X3oDMTJmMGEzbTFrBF9TAzk3MzU5NzE0BGdycElkAzE3NDM4ODgwBGdycHNwSWQDMTYwMDA2MTEwNARzZWMDZnRyBHNsawNtc2dzBHN0aW1lAzExNTg5NTA4MTA-> | Files <http://groups.yahoo.com/group/vascular/files;_ylc=X3oDMTJndTYza3AwBF9TAzk3MzU5NzE0BGdycElkAzE3NDM4ODgwBGdycHNwSWQDMTYwMDA2MTEwNARzZWMDZnRyBHNsawNmaWxlcwRzdGltZQMxMTU4OTUwODEw> | Photos <http://groups.yahoo.com/group/vascular/photos;_ylc=X3oDMTJmdTdhdG00BF9TAzk3MzU5NzE0BGdycElkAzE3NDM4ODgwBGdycHNwSWQDMTYwMDA2MTEwNARzZWMDZnRyBHNsawNwaG90BHN0aW1lAzExNTg5NTA4MTA-> | Links <http://groups.yahoo.com/group/vascular/links;_ylc=X3oDMTJnZzhmbmpsBF9TAzk3MzU5NzE0BGdycElkAzE3NDM4ODgwBGdycHNwSWQDMTYwMDA2MTEwNARzZWMDZnRyBHNsawNsaW5rcwRzdGltZQMxMTU4OTUwODEw> | Polls <http://groups.yahoo.com/group/vascular/polls;_ylc=X3oDMTJnZzYxdjgzBF9TAzk3MzU5NzE0BGdycElkAzE3NDM4ODgwBGdycHNwSWQDMTYwMDA2MTEwNARzZWMDZnRyBHNsawNwb2xscwRzdGltZQMxMTU4OTUwODEw> | Calendar <http://groups.yahoo.com/group/vascular/ca! lendar;_ylc=X3oDMTJlZGlpbWVhBF9TAzk3MzU5NzE0BGdycElkAzE3NDM4ODgwBGdycHNwSWQDMTYwMDA2MTEwNARzZWMDZnRyBHNsawNjYWwEc3RpbWUDMTE1ODk1MDgxMA--> MedComp Proud Sponsor of the Vascular List Serve. 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