Re: PICCs and Creatinine levels

[Lynn Hadaway]

Title: 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

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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