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Wed, 09/19/2007 - 17:04

Roy D.

D/C'ing CVC with elevated INR

I was wondering if anyone has criteria in their policy on about INR and discontinuation of triple lumen caths. How high is too high?

thanks

roy

Sat, 09/22/2007 - 17:52

lynncrni

I am not aware of any

I am not aware of any guidelines about your question. For removal of a jugular placed CVC, the risk is less because you can put direct pressure on the vein to control any bleeding. For a subclavian site, the clavicle would prevent this direct pressure on the venotomy site, so there is greater risk. I have seen a patient bleeding uncontrollably from a subclavian site after CVC removal and it is not fun to manage! Lynn

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

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