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Heparin-induced Thrombocytopenia and the use of Cathflo
Does anyone have information regarding the safety of using cathflo to declot a line in a pt diagnosed with Heparin-induced Thrombocytopenia?  Has anyone used Cathflo in pts with HIT?       
mary ferris
Is there and specfic
Is there and specfic numbers  or standards for pt/inr that picc are being placed or not place .

Is there and specfic numbers

Regarding the original

Regarding the original message about tPA in HIT -  none of the literature that I have reviewed about HIT has included any risk factors for using tPA in these patients. HIT is an immunologic reaction to the heparin. Platelet factor 4 combines with the heparin to produce HIT-IgG antibodies. tPA is often used to lock catheters in patients when heparin is contraindicated such as those with HIT. 

RE the question about Pt/INR for PICC insertion, there are no recommendations for this. A PICC is the safest catheter when there is any risk factors for bleeding and a search of this forum will yield lots of previous discussions about this topic. 

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

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

Lynn Hadaway Associates, Inc.

126 Main Street, PO Box 10

Milner, GA 30257


Office Phone 770-358-7861

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