RE: Standards of care r/t peripheral and central IV drip rates

[Dianne Sim]

I know that in the home care setting, we had patients on ambulatory pumps e.g.CADD, Abbott, and we ran their TKO phases at 0.3ml/hr with good success. We rarely had occlusions in this group of patients, versus a higher rate of occlusions in the patients on intermittent infusions who were Saline / Heparin locked inbetween infusions. I was not privy to the Company’s QA stats in that stage of my development, so unfortunately unable to back up with figures. Regards,   Dianne Sim RN CEO & President     IV Assist, Inc., 2675 Appian Way Pinole, CA  94564 Phone: (510) 222-8403 Fax: (510) 222-8277 Email: [EMAIL PROTECTED]       Confidentiality Notice:  This e-mail and any attachments are intended only for the use of those to whom it is addressed and may contain information that is confidential and prohibited from further disclosure under law. If you have received this e-mail in error, its review, use, retention and/or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message and any attachments.[v1.0] From: owner-venous@mailsrv1.ohsu.edu [mailto:owner-venous@mailsrv1.ohsu.edu] On Behalf Of Chris Cavanaugh Sent: Sunday, October 15, 2006 11:56 AM To: [EMAIL PROTECTED] Subject: RE: Standards of care r/t peripheral and central IV drip rates   I do not believe there is any such standard, nothing I have ever seen or heard of.   A few practice questions come to mind—does the patient REALLY need the medication if the dose is so low?  Can it be mixed to be more concentrated so it can be given at a faster rate?  Large volume (standard hospital) pumps are notoriously INACCURATE at such low delivery volumes, anywhere from 5% to as high as 10%.   A low volume such as this should best be given by a syringe pump, more accurate, to within 2%-3%.   As far as keeping the line patent, if that is your concern, the pressure of the pump will assist in keeping the line patent, as most pumps infuse with a pressure of between 5-14 psi.    Chris Cavanaugh, CRNI From: owner-venous@mailsrv1.ohsu.edu [mailto:owner-venous@mailsrv1.ohsu.edu] On Behalf Of Mary Ann Daly Sent: Saturday, October 14, 2006 7:07 PM To: [EMAIL PROTECTED] Subject: Standards of care r/t peripheral and central IV drip rates   Hi Lynn,   I followed a nurse whose patient had Levophed running.The drip rate was at .1cc per hour on an IV pump going into the distal lumen of a TLC, femoral access.    Does anyone know what the standards for minimal IV drip rates peripherally and centrally?   Thank you Mary Ann Daly RN