Good Morning all,
I have a 80+ y/o female, A&0x3, s/p knee replacement (infected), get a PICC about about three weeks ago.Â Re-admitted for SOB.Â CT showed a PE.Â Doppler of lower extemities was clean, doppler of basilic showed a DVT without ettensnion (at PICC site).Â Pt is non-symptomatic. no swelling, no tenderness, no redness.Â If not for the PE and later diagnostics, we'd have no clue she had the DVT.Â Her INR is therapeutic, she's ready to go home for three more weeks of IV ABX.Â Now my question:Â Do I move the PICC over to the other arm? Or since she is not symptomatic and we are keeping her INR therapeutic, do I leave the PICC where it is?Â With all the info at AVA about thrombus rates, my initial thought is to leave it be, and have family and clinic monitor.Â I suggested doppler studies at two week intervals but radiology shot me down, saying there was no data to support that practice.
Thanks in advance