One of our ID docs has ordered continuous infusion of Nafcillin at least twice. I know that because one of his patients occluded her PICC within 48 hours (had been discharged on the infusion), came back to the hospital for line replacement and that one occluded in about the same period of time. This week I had an ICU patient with the same scenairio. I dissected that PICC when I removed it and was able to express a white cheesy looking substance, without a doubt it was a drug precipitate. Anyone else? Tips?
Alma Kooistra CRNI