![]() ![]() For additional information visit Linking to and Using Content from MedlinePlus. Any duplication or distribution of the information contained herein is strictly prohibited without authorization. Links to other sites are provided for information only - they do not constitute endorsements of those other sites. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. This site complies with the HONcode standard for trustworthy health information: verify here. Learn more about A.D.A.M.'s editorial policy editorial process and privacy policy. is among the first to achieve this important distinction for online health information and services. follows rigorous standards of quality and accountability. is accredited by URAC, for Health Content Provider (URAC's accreditation program is an independent audit to verify that A.D.A.M. Clean the end of your catheter with a new alcohol wipe.Ī.D.A.M., Inc.Unscrew the heparin syringe from your catheter.Flush slowly by injecting a little at a time, the same way you did the saline.Attach the heparin syringe to your catheter, the same way you attached the saline syringe.Heparin is a medicine that helps prevent blood clots. Put the clamp on the catheter if you are done.Īsk your provider if you also need to flush your catheter with heparin. ![]() Clean the end of your catheter again with a new wipe.When you are done, unscrew the syringe and put it in your sharps container.Do a little, then stop, then do some more. Inject the saline slowly into the catheter by gently pushing on the plunger.Screw the saline syringe to the catheter to attach it.Do not apply any direct pressure on the insertions site. Ask the patient to hold his or her breath, then, using your dominant hand, slowly pull the catheter out in the opposite direction of insertion. Unclip the clamp on the end of the catheter and wipe the end of the catheter with an alcohol wipe. Using a stitch cutter, carefully cut and remove the suture that holds the PICC line in place.Do not let the uncapped end of the syringe touch the paper towel or anything else. Remove the cap on the saline syringe and set the cap down on the paper towel.Set up your supplies on a clean surface on a new paper towel.Remove all jewelry from your fingers before washing. Be sure to wash between your fingers and under your nails. Wash your hands for 30 seconds with soap and water. ![]() This will help protect you from infection. You will flush your catheter in a sterile (very clean) way. If the syringe is not prefilled, draw up the correct amount. Make sure the strength and dose are correct. Aside from taking care not to pull it out and keeping it dry in the shower it will not impact your lifestyle.Before starting, check the labels on the saline syringes, heparin syringes, or medicine syringes. Many patients may be home with a PICC line. How will a PICC insertion affect my lifestyle? Most people only notice pressure and local anaesthetic in their arm at the time of insertion. Outside your body, the PICC splits into 1, 2, or 3 smaller tubes called lumens. Inside your body, the PICC goes through the vein in your arm to a large vein in your chest. This is one of the most technically simple procedures we perform and we are successful on the first attempt in the vast majority of cases. A PICC is a long, flexible catheter (thin tube) that’s put into a vein in your upper arm. The procedure is performed under ultrasound guidance by a medical specialist with specific expertise in image guided procedures. We can usually confirm that the PICC line is in the correct position during the procedure using ECG technology. Once the PICC line is in the correct place, we will remove the needle. But my veins are impossible, even the anaesthetist can miss! We will then guide the PICC line further into your vein until the tip (where the medication enters the bloodstream) sits within the large vein just above your heart. For patients with difficult veins the PICC insertion is often less traumatic as we find the vein with ultrasound. We frequently advise patients that it is similar to having an IV drip inserted. The procedure performed under local anaesthetic and generally very well tolerated. Overall the probability of line related infection is lower with PICC line insertions when compared to standard cannulas. Certain drugs must be given through a central line so this is not always a viable alternative. These include repeat venepuncture and IV cannulas however, these can be unreliable when they fail you may miss scheduled medication administration. ![]()
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