CVCĪ PICC is a form of central venous catheter (CVC). Therefore, a person with cancer may need a PICC to receive their required medical intervention.Īdditionally, PICC lines can remain inserted for longer periods of time, which may be useful for people receiving long-term treatment. PIVĪ peripheral IV line (PIV) is a short-term use device that doctors often insert into the forearm for up to 4 days.Īlthough they can provide medications and fluids or allow for the drawing of blood, PIVs cannot accommodate all forms of chemotherapy. They can be infused sequentially through a single lumen catheter without the added risk of managing 2 hubs and 2 lumens.PICC lines share many similarities with other IV lines, such as PIVs, CVCs, and ports. I would also suggest that these 2 drugs do not present a valid reason for having a double lumen catheter in this patient. I am assuming you want to infuse both drugs at the same time so that the patient will only have to remain in your clinic for 30 minutes rather than infusing them sequentially to double the time in clinic. Then you can make a decision about whether you want to infuse these drugs simulataneously through separate lumens of the same catheter. I would recommend you work with a pharmacist that has access to the most recent compatibility information and knows how to interpret this data. However there is no documentation for this. One would think that this would be sufficient to dilute these medications rapidly and prevent them from coming into contact at the catheter tip. The tip of a properly positioned PICC in the SVC will have ~2000 mL of blood flowing around it per minute. Yes, all multilumen catheters are separate channels from the separate catheter hub through the entire length of the catheter. The information for meropenam states that compatibility has not been established for mixing this drug with any other drug, so don't do it. There is very little information about drugs mixing at the tip of the catheter in the bloodstream and producing an incompatibility. For instance, Trissel's Handbook of Injectiable Drugs provides information when 2 drugs are mixed in the same fluid container, mixed in the same syringe, and when one drug is given through a Y-site of the administration set infusing another medication. There could be some situations where a PIV is needed,but cannot say with your situation without more information.ĭrug compatibility information depends upon how you are infusing each drug. Another thought is did the pharmacist know the pH and osmolarity of the drug in question? Was it acceptable for PIV infusion. One of the books on drug compatibility provides information about 2 drugs mixed in the same solution container for infusion, 2 drugs mixed in the same syringe for injection, or one drug given through the injection site on the tubing of another infusion. But the situation may be totally different if each lumen had a continuous fluid and the new drug must be piggybacked into one of these infusions. Did this patient have 2 continuous infusions going thru the PICC? If one lumen was being used for intermittent meds, and the new med was also intermittent, there should be no reason why the drugs can not be infused sequentially through the same lumen. Length of time the drugs are in contact, sequence of mixing, sources of energy such as light will have an impact of the stability of the drugs in question. Since you did not provide the drugs in question, it is impossible to check the books I have for accuracy. Drug compatibility depends upon numerous factors.
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