Please offer your thoughts on changing PIV site q 12 hrs with IV cardene, read the following response from an educator:
spoke with the medical information pharmacist who works for EKR Therapeutics (Cardene) and our drug rep.Â He sent me info on Cardene and phlebitis if you are interested.Â The incidence is low.Â It is stated in the Cardene insert info to rotate/change sites every 12 hours.Â This is nothing new.Â He is not aware of any INS guidelines that state Cardene requires a PICC or central line.Â If this is new and changed he has requested I let him know where specifically this information can be found.Â Â If it is a generality that any irritant should be given through a Central Line or PICC â€“ that does not warrant an absolute that patients on Cardene should have one, only that if they have one then we should use those lines to give Cardene through to be more beneficial to the patient.Â
I think the IV therapy staff and nurses need to be aware that patients who are on Cardene drips that have a peripheral line will need a new peripheral IV in 12 hours.Â The one the Cardene is currently infusing through can be made into a saline lock if the site is without complications, and a new site started.Â Then if the patient is to continue on Cardene for another 12 hours after the new line is place they can go back to the old site (rotate site).Â This is what is being done in many hospitals.
The Cardene rep will be glad to come and do an inservice for the IV staff on this if necessary.
Attached is the info the pharmacist from EKR Therapeutics sent me.
I hope this helps, contact me if you have other questions and issues.Â Also, please let me know if you have specifics on the INS guidelines.