Indications for Needing a PICC LinePeripherally inserted centralcatheters are used to obtaincentral venous access inpatients undergoingtreatment in acute carefacilities, home healthagencies and skilled nursingcare in a variety of settings.PICC
Long Term Chemotherapy: Chemotherapy ismedication administered to treat some types of cancer. Chemotherapeutic drugs can be administered either orally or intravenously depending on the type of the medication. Some of the agents cause damage to the tissues and require infusion into large vessels to minimize, if not eliminate, such damage. T
Hyperalimentation: Hyperalimentation is a form of nutrition that does notutilize the digestive system. It nourishes the body completely through IV accessand given to patients who are unable to process and absorb nutrients because ofpersistent vomiting, severe diarrhea or intestinal diseases. All theproteins, calories, vitamins and minerals can be given through the venous systembut must be given through a central vein, such as the Superior Vena Cava(SVC), to prevent complications. Hyperalimentation is usually continued for longperiods of time and because a PICC line can remain for such duration, it is idealfor this use.
Reduced Number of Needle Punctures to Skin:Measurement of Central Venous Pressure: Central venous pressure monitoring is oftenobtained in patients with cardiovascular disturbances, especially those undergoingtreatment in ICU. Since the tip of the PICC line is advanced near the heart, it can be used tomeasure the central venous pressure. This helps in assessing the status of the patient and todetermine whether he is improving or deteriorating.Repeated Administration of Blood or Blood Products: Patients with blooddisorders, such as anemia, low platelet counts, or coagulation disorders, may requirerepeated blood or blood products. Especially in neonates.
Benefits of PICC Linesong term venous access: A peripherally inserted central catheter is anideal venous access device for patients with chronic diseases requiringlong term intravenous therapy such as, for example, antibiotics ornutrition. Depending on the facility or institution, a conventionalperipheral venous catheter is typically changed to another site every threeto five days.Low Risk for Infection: Besides prepping the site with a CDC recommendedChloraprep and utilizing sterile technique during insertion, a disc impregnatedwith Chloraprep is applied at the insertion site with each dressing change. Inaddition to insuring the dressing remains clean, dry and intact, use ofChloraprep further decreases risk of infection. Additionally, the insertion siteof a PICC, typically, is the upper arm.Decreased Skin Puncture for Blood Sampling:
Versatility: PICC lines, with their multi lumened IV access, can be used toadminister antibiotics, blood and blood products, anti-cancerdrugs, intravenous fluids and nutrients. It is a versatile IV access line. Risks of PICC Lines Air Embolism: Air bubbles may enter the blood vessel during insertion of a PICC Infection: Phlebitis:Catheter Malposition: Malposition can occur during PICC insertion or laterdue to changes in pressure inside the chest or from catheter migration. Afterthe insertion of catheter, the position of its tip is confirmed via x-ray.Confirmation of proper tip placement is required before using the device as amalpositioned catheter can cause serious complications.
Procedure:1.The operator must hand wash with soap and water then with pivodine.2.Wear servile gown gloves, cap and mask by assistant or assigned R.n.3.Make a privacy ,make a sterile field ,cover the site hole ,first apply pivodine byassistant then spray with haxiprap(15 seconds give drying).4.slect the vein for insertion ,measure it by from selected 1.vein tip to claviclejoint(this is for upper extremity),2.measure it selected vein tip tp umbilicus.5.Then insert the canola , look for blood is coming in satellite if blood come thengently inert the line till measure as 11 or 12(mostly in preterm 0.9kg),if conformthat it is in heart break the satellite gently and then apply sterile strip on it,round the other part of line and then tegadrum apply, x-ray should be do forconformation.