I agree with Lynn. We have always given D50 via whatever size catheter the
patient has and have done it as an IV push. Granted D50 can be hard to push
but have never really encountered any problems hand pushing. In our
institution D50 has always come in a prefilled syringe and is readily available
to give to a patient when needed.
Margaret
Margaret M Nicastro, CRNI, OCN
Coorordinator IV Therapy/Oncology
Gettysburg Hospital
PO Box 3786
147 Gettys Street
Gettysburg, PA 17325
Phone: 717-337-4312 option 2
Fax: 717-337-4485
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________________________________
From: [EMAIL PROTECTED] on behalf of Lynn Hadaway
Sent: Sat 10/7/2006 11:41 AM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: Re: d50 via a PICC
I have always given 50 mL of D50 by hand injection through whatever catheter
the patient had. The pharmacy provided this as a prefilled syringe so there was
nothing that needed to be done before administration. I have never given it by
infusion.
The rationale from your pharmacy does not make sense to me. More dilution
produces a greater chance in osmolarity. So putting this in a 500 mL bag of D5W
would cause a greater change in the final osmolarity than putting it in a 50 mL
bag. So I am not understanding your question. Lynn
At 11:22 AM -0400 10/7/06, [EMAIL PROTECTED] wrote:
TO the group
How do you give D50 via a PICC line?
We have the d50 put into a 50cc bag of D5W and run it as fast as
possible via a pump.
Now pharmacy is telling us it needs to go into a 500cc bag in order not
to change the osmolarity.
What are the rest of you doing out there. We need your input.
Thanks
Carol Gosselin
TMH
PRovidence RI
--
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
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This email may contain confidential health information that is legally
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