Vancomycin troughs are drawn from a central line; if the central line has two lumens, blood can be withdrawn from the non-Vanco lumen; however, if the line has only one lumen, what are some of you doing? What is your policy?
How do you draw blood for vancomycin trough?
Draw blood just before the next dose, and spin down within 4 hours of the draw. Note: 1. The date and time of the last dose, as well as the time of the draw, are required.
Can you draw from a PICC?
The PICC line is primarily used to administer drugs or fluids intravenously, but it can also be used to draw blood for lab work and other purposes.
Can you draw blood from a single lumen PICC?
A single lumen PICC has one tubing and one cap on the end, whereas a double lumen PICC has two tubings and two caps. A PICC is used to administer medications, fluids, and IV nutrition, and it can also be used to draw blood if it is large enough.
Why can’t you draw blood from a PICC line?
Excessive force can cause a flexible PICC to collapse and obstruct blood flow. On a peripheral vein, you could be pulling the vein wall over the catheter lumen, as shown in this drawing. If slow and gentle doesn’t work, try a smaller syringe.
Do you flush a PICC line before drawing blood?
When not in use or after any infusion or bolus injection, the PICC should be flushed once weekly with 10mls of 0.9% Sodium Chloride to maintain patency; there is no need to withdraw blood into the syringe prior to a routine saline flush (RCN 2010).
What is the normal range for vancomycin trough?
The reference range for vancomycin trough levels is 5-15 mcg/mL, and it’s used to treat serious, life-threatening infections caused by gram-positive bacteria that are resistant to less-toxic antibiotics.
How do you interpret a vancomycin trough?
Trough concentrations of vancomycin are recommended for therapeutic monitoring, preferably obtained at steady-state (just before the fourth dose). Vancomycin trough levels should remain above 10.0 mcg/mL to avoid development of resistance; complicated infections require higher target levels, typically 15.0 to 20.0 mcg/mL.
How much blood do you need for a Vanco trough?
VANCOMYCIN TROUGH 2 mL aliquot serum or plasma; minimum 0.2 mL VANCOMYCIN TROUGH Serum or plasma
Can a phlebotomist draw from a PICC line?
You’ll need an alcohol pad or appropriate cleansing agent for the port, a tube holder, a needleless vacuum collection device, appropriate blood tubes, including a waste tube, patient labels, and saline flushes for each port if drawing blood from a peripherally inserted central catheter (PICC) line or central line.
What’s the difference between a central line and a PICC line?
PICC stands for “peripherally inserted central-line catheter,” and it’s a longer catheter that’s also placed in the upper arm. Its tip ends in the body’s largest vein, which is why it’s called a central line. A CVC is similar to a PICC line, but it’s placed in the chest or neck.
What is the difference between PICC line and midline?
PICC stands for peripherally inserted central catheter, and it is inserted into a large vein in the arm and ends in a large vein near the heart. PICC lines are used to administer IV medications or fluids that can irritate veins.
What happens if you don’t flush a PICC line?
Infection and catheter occlusion or rupture are risks associated with drawing blood specimens from a PICC if the PICC isn’t flushed properly afterward. However, for patients with severely compromised venous access, the PICC may be the only option for drawing blood specimens.
How many lumens can a PICC have?
PICC lines can have one to three lumens, which allow medications to be attached and flow through the line, as well as blood draws for lab purposes. The one pictured has two lumens with orange u201ccapsu201d to help keep the line sterile.