#Double lumen picc line flush code#

Reconstitute ONE 10,000 unit vial with 6mL NaCl 0. If a double- or triple-lumen catheter is in place, make sure to flush all lumens during routine catheter maintenance. Reconstitute ONE 10,000 unit vial with 4mL NaCl 0.9% Reconstitute ONE 10,000 unit vial with 3mL NaCl 0.9% Reconstitute ONE 10,000 unit vial with 2mL NaCl 0.9% For those above 10kg, follow the reconstitution guidance in table below. If line remains blocked contact Child’s Lead Team/ConsultantĪdministration may be repeated once if necessary.įor children less than 10kg, contact consultant for advice.

If line remains blocked Urokinase may be repeated and left in line for 24hrs.

Aspirate using pulsing (‘’pull-push”) method using a 10ml syringe (primed with 0.9% sodium chloride).

Reconstitute with sodium chloride 0.9% and instil the appropriate volume (see table below) into the catheter dead space only.

Keep vial in outer container to protect from light. Strength : 10,000 units (other strengths available but 10,000 units used in paediatrics) For venipunctures, infusions should be turned off unless the draw will be done in the opposite. flushing the line with an adequate volume of saline, and wasting enough blood to fully clear the flush. Vials containing powder for solution for injection. At the lower right, I’m showing an example of a two-lumen PICC or peripherally-inserted central catheter, which is a type of central line.

Urokinase must be prescribed on the drug chart. If it does not work it may be due to drug precipitate. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as diagnoses or problems.

#Double lumen picc line flush code#

A corresponding procedure code must accompany a Z code if a procedure is performed. Note - urokinase will only work on blood related occlusions. Z codes represent reasons for encounters. partially blocked – flushed but cannot bleed back.completely blocked – unable to flush or withdraw.Urokinase is the most common thrombolytic used for unblocking central lines.