I know this has been mentioned before on this post (I just search for it); however, I was hoping that since it has been a few years since it was brought up I would ask for more recent input. We have a patient (home infusion) that has multiple myeloma s/p bone marrow transplant. She has a 3-lumen Arrow PICC and developed HIT while being treated. She is currently flushing each lumen w/ 10ml NS daily. Needless to say we are having patency problems. All of the lumens flush but obtaining a blood return has been difficult. Of course we can increase the flush to at least 2 to 3 times a day and hope it works. We just admitted her on Tuesday and did not have any blood return from any lumen and one lumen was difficult to flush. CathFlo was instilled yesterday w/ success. My nurse had to go back today for more blood work...no blood return and had to use CathFlo again. While this patient was in the hospital the PICC was flushed 3 times a day but not even 12 hours after being discharged home there was no blood return from the 3 lumens.
Has anyone ever used CathFlo as a locking solution? In past posts it was reported that this type of use for CathFlo is off-label (I have not researched it yet...next on my list). Any suggestions on what to do w/ this challenging pt? We will increase the frequency of the flushes but if there is something else anyone can suggest I would be greatly appreciative! Thanks!!
Marianne Valentine, RN, BSN, CRNI
Nurse Manager, PharmaCare Infusion Services