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Tammi Smith
INR and PICC line insertion

Are there any guidelines for monitoring INR levels when placing PICC's?

lynncrni
No, check the archives of
No, check the archives of past discussions. Thanks, Lynn

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

Lynn Hadaway Associates, Inc.

126 Main Street, PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

Tammi Smith
I'm new to this forum..how
I'm new to this forum..how can I check the archives of past discussions?  Thanks,Tammi
lynncrni
Look at the bottom of the
Look at the bottom of the screen and find the pages numbers. You can scroll back through to find any previous discussions. Lynn

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

Lynn Hadaway Associates, Inc.

126 Main Street, PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

Nadine Nakazawa
I've never seen any specific
I've never seen any specific restrictions as to PICC placement with INRs.   You always have to weigh the patient's need for reliable venous access, versus the risk of bleeding.  We are a liver failure center and place PICCs in patients with elevated INRs all the time.  The key is to try to aim for the basilic vein and make it a clean stick, and not backwall the vein.  Before starting, during the consent process it isimportant to inform the patient that they are at higher risk of bleeding compared to patients with normal coagulation times.  PICCs are the safest central line to place in a patient with elevated INR.   But there are no specific guidelines that I am aware of.

Nadine Nakazawa, RN, BS, OCN, CRNI, VA-BC

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