Declotting Picc Line

Inspect the product prior to administration for foreign matter and discoloration.

Declotting picc line. A catheter that has no blood return and allows infusion is a partially occluded catheter. This substance dissolves fibrin a substance that causes blood to clot breaking down the thrombus and restoring function. Make sure to perform this using whatever policy is in place at your hospital. One common way to declot a picc line is by using alteplase rtpa to break up the clot.

Picc non tunneled tunneled implanted port includes volume of reservoir catheter and needle infusion set. Her technique was to declot with heplock and a tb syringe. How to declot a picc line using alteplase rtpa 1. Position the stopcock so it is open to the empty syringe and.

Instill the appropriate dose of cathflo activase see dosage and administration into the occluded catheter. Anyway we use groshong piccs. Complete occlusion and partial occlusion. Thrombi in around a central line facilitate adhesion of bacteria.

Use of alteplase for declotting of catheters should trigger heightened awareness of infection risk. Connect these to the picc line as shown in the picture on the right. Withdraw 2 ml 2 mg of solution from the reconstituted vial. There is no efficacy or safety information on dosing in excess of 2 mg per dose for this indication.

Lines suitable for declotting. A clotted picc line can be relieved by injecting cathoflo activase or alteplase recombinant 1 mg hcpcs code j2997 directly into the line. I needed to use tpa on a picc line recently and this is not only our hospital policy but it seems to be the common way to instill tpa into a picc line. A catheter that can no blood return and does not allow infusion is a complete occlusion.

The picc nurse said it was quite appropriate for a floor nurse to first try and declot troubleshoot before calling in the picc team worst case scenarios i guess they redivase. Declotting picc with tpa 1. This is done by a nurse using activase injected directly into the line. If catheter function is not restored at 120 minutes after 1 dose of cathflo a second dose may be instilled see instructions for administration.

Start by grabbing your supplies. A three way stopcock valve an empty 10 ml syringe and your tpa syringe.