To draw a gentamicin trough from a PICC line, first ensure you have the appropriate supplies, including gloves, a syringe, and alcohol swabs. Clean the PICC line hub with an alcohol swab to reduce infection risk, then attach the syringe and withdraw a sample of blood, typically about 5-10 mL. Ensure the timing is correct, drawing the trough level just before the next scheduled dose. After drawing the sample, you can flush the line with saline to maintain patency.
Yes, a Vanc trough can be drawn from a PICC line (Peripherally Inserted Central Catheter) if the line is properly positioned and functioning. It is important to ensure that the PICC is accessed correctly and that appropriate protocols are followed to avoid contamination. Additionally, confirm the patient’s renal function and current vancomycin dosing before obtaining the trough level. Always consult institutional guidelines for specific procedures.
Why not use the PICC for the blood draw?
There is not a PICC line with an inflated balloon for placement.
PICC Line requires heparinization how often
yes
Yes, provided that you "pause" the infusion of heparin prior to taking your lab sample. Also, prior to drawing back blood from the PICC line infuse 10cc of Normal Saline and then draw off a waste of 10cc of blood. It is also suggested that you draw off another 10cc of waste blood prior to drawing the Hep APPT. Then draw your sample for the Hep APPT. There should not be any problems with the sample. Remember to do a final flush of the PICC line with 2 X 10cc of Normal Saline. Guy L Yes, provided that you "pause" the infusion of heparin prior to taking your lab sample. Also, prior to drawing back blood from the PICC line infuse 10cc of Normal Saline and then draw off a waste of 10cc of blood. It is also suggested that you draw off another 10cc of waste blood prior to drawing the Hep APPT. Then draw your sample for the Hep APPT. There should not be any problems with the sample. Remember to do a final flush of the PICC line with 2 X 10cc of Normal Saline. Guy L
As soon as you get the test results back from the culture you have the okay to insert the picc line.
Yes. Keep your picc covered and make sure to wash your hands.
A peripherally inserted central catheter (PICC) can be used for blood sampling. The FDA has approved certain types of peripherally inserted central catheters (PICC line) for power injections.
infection
no
No