RE: [vascular] Re: PICCs and Creatinine levels

[julie bryant]

Yes, totally agree with that.

Julie

"Schwaner, Sandra L *HS" <[EMAIL PROTECTED]> wrote:

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
office 770-358-7861

[Non-text portions of this message have been removed]



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