COOK Medical Spectrum Gebrauchsanweisung Seite 6

ENGLISH
Triple-Lumen Information
French Size
5.0
7.0
9.0
Suggested Lumen Utilization: Double-Lumen
•
#1 Distal exit port (endhole) — whole blood or blood product delivery and sampling; any
situation requiring more flow rate; CVP monitoring; medication delivery. It is strongly
recommended that this lumen be used for all blood sampling.
•
#2 Proximal exit port — medication delivery; acute hyperalimentation
Suggested Lumen Utilization: Triple-Lumen
•
#1 Distal exit port (endhole) — whole blood or blood product delivery and sampling; any
situation requiring more flow rate; CVP monitoring; medication delivery. It is strongly
recommended that this lumen be used for all blood sampling.
•
#2 Middle exit port — medication delivery; acute hyperalimentation.
•
#3 Proximal exit port — medication delivery.
NOTE: This catheter is not recommended for right atrial air aspiration because of inadequate sideport
surface area.
Suggested Catheter Maintenance
•
Catheter entry site must be prepared and maintained in a manner consistent with standard
procedure for central venous catheterization.
•
To prevent clotting or possibility of air embolus, the double-lumen's #2 lumen, and the triple-
lumen's #2 and #3 lumens should be filled with saline solution or heparinized saline solution
(100 units of heparin per cc of saline is usually adequate), depending on institutional protocol,
prior to catheter introduction.
•
After catheter is placed and prior to use, tip position and lumen patency should be confirmed by
free aspiration of venous blood. If blood is not freely aspirated, physician should immediately
reevaluate catheter tip position.
•
Any unused lumens should be maintained with continuous saline or heparinized saline drip or
locked with heparinized saline solution. Heparin-locked lumens should be reestablished at least
every 8 hours.
•
Before using any lumen already locked with heparin, lumen should be flushed with twice the
indicated lumen volume using normal saline. Lumens should be flushed with normal saline
between administrations of different infusates. After use, lumen should again be flushed with
twice the indicated lumen volume using normal saline before reestablishing heparin lock.
•
Strict aseptic technique must be adhered to while using and maintaining catheter.
NOTE: Prior to insertion, the Spectrum or Spectrum Glide catheter shaft should not be wiped with or
immersed in ethyl alcohol, isopropyl alcohol, or other alcohols, acetone or other non-polar solvents.
These solvents may remove the antimicrobial from the catheter and reduce the catheter's antimicrobial
efficacy.
Lumens Equivalent Gage
#1
#2
#3
#1
#2
#3
#1
#2
#3
18
23
23
16
18
18
14
18
18
6
Minimum Lumen Volume
.3 cc
.2 cc
.2 cc
.5 cc
.3 cc
.3 cc
1.1 cc
.4 cc
.4 cc