![]() ![]() ![]() If the product fails and you were not following their recommendations, then the manufacturer won't stand behind their product. When heplock is routinely used to flush central lines, it can be easy to accidentally use heplock in someone that shouldn't have it.įyi, in general, it is a very bad idea to go against what the literature says, or what a manufacturer recommends, even if someone else tells you to do it. Many facilities are trying to get away from using heplock flushes because some people have very bad reactions to even small quantities of heparin. ![]() You can also lessen the chances of a line clotting off by making sure you close the slide clamp before you remove the syringe. Some facilities use end-caps with a positive pressure valve that are supposed to negate the need for heplock. Two kinds of piccs don't need to be hep-lock flushed: the bard groshong, and the boston scientific pasv. Most facilities require heplock flushing. Piccs tend to clot off because they are so long - there are plenty of places where a clot can form. If you need to give a small volume of medicine (say insulin ivp), then add it to a 10 cc syringe that has saline (or whatever is compatible) in it. The safest thing to do is use nothing smaller than a 10 cc syringe. (in a completely open/patent line, you aren't really going to do any harm by using a smaller syringe.) This is dangerous, since piccs aren't all that strong, and they could rupture. My guess is that those who are telling you to use a smaller syringe are doing so because if the line is partially occluded, you can force meds in with a smaller syringe. However, it depends on the diameter of the syringe, not the number of cc's the syringe holds). (the smaller the syringe diameter, the greater the pressure. Our facility, however, allows 5 cc syringes to be used.Ī 3cc or tb syringe definitely is a bad idea. Most manufacturers recommend that nothing smaller than a 10 cc syringe be used. It depends on facility policy and the type of picc. ![]()
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