I am now being approached by our Pharmacy as a way of conserving money about the use of Cathflo 1mg per lumen dosing instead of 2mg per lumen. Of coures since the vial comes in 2mg if I am only treating one line I can give the full 2mg as not to waste but.......if I am treating 2 lumens then dilute and divide so each lumen only gets 1 mg. they say they have studies that say it is effective and I have asked to see them.
I researched this topic on this listserve and found discussion from 5 years ago and wonder if any new info as risen on this subject.
I have discussed with the pharmacy my concerns; giving a lower than recommended dose may cause me to actually have to repeat more steps /doses and end up taking longer for me to get the occlusion resolved if this is not effective.
I do not like going against manufacture recommendations although I know many do in many situations with medication to individualize it to the specific pt need.
They have tried asking me to use less Cathflo but I tell them, I only use it when it is indicated. I do not feel like it is optional when indications arise. Apparently many of our sister HCA facilities are not even using Cathflo for occlusions and go right to Guidewire exchanges??????? Where is the sense in that?? So there practice has made my facility look like a high volume user.
Please share if you have any recent experience with this dose.
Gina Ward R.N.