MedComp PRO-PICC CT Bedienungsanleitung Seite 7

may result in catheter failure.
4. Detach syringe.
5. A ttach the power injection device to the PRO-PICC
turer's recommendations.
Warning: Always use connector tubing between power injector syringe and
catheter. DO NOT attempt to connect power injector syringe directly to the cath-
eter. Damage may result.
6. Complete power injection study taking care not to exceed the flow rate limits.
Warning: Exceeding the maximum indicated flow rate may result in catheter failure
and/or catheter tip displacement.
7. Disconnect the power injection device.
8. F lush the PRO-PICC
10cc or larger syringe. For multi-lumen catheters, flush all lumens after power
injection.
9. Replace the injection/needleless cap on the PRO-PICC
• Before infusion begins all connections should be examined carefully.
• F requent visual inspection should be conducted to detect leaks to prevent
blood loss or air embolism.
• If a leak is found, the catheter should be clamped immediately and replaced.
• N ecessary remedial action must be taken prior to the continuation of the
treatment.
Note: Excessive blood loss may lead to patient shock.
CENTRAL VENOUS PRESSURE MONITORING
• F or central venous pressure monitoring it is recommended that a catheter
lumen of 20 gauge or larger be used.
• Prior to conducting central venous pressure (CVP) monitoring:
– Ensure proper positioning of the catheter tip.
– Flush catheter vigorously with normal saline.
– Ensure pressure transducer is at the level of the right atrium.
I t is recommended that a continuous infusion of saline (3 ml/hr) is maintained
through the catheter while measuring CVP to improve the accuracy of the
results.
• U se your institution's protocols for central venous pressure monitoring
procedures.
Warning: CVP monitoring should always be used in conjunction with other patient
assessment metrics when evaluating cardiac function.
DRESSING CHANGES – A dressing should cover the insertion site at all times.
The dressing should be changed per institutional policy or any time the dressing
becomes soiled,wet, or non-occlusive.
Note: During all dressing changes the external length of the catheter should be
measured to determine if catheter migration has occurred. Periodically confirm
catheter placement and tip location by imaging method.
FLUSHING/MAINTENANCE–The catheter should be maintained according to
your institutional policy. Recommended catheter flushing/maintenance is as follows:
• The valve is not a barrier to infection. Strict aseptic technique must be utilized
during all actuations and cap changes.
• F lush the catheter after every use, or at least weekly when not in use. Use a
10cc or larger syringe.
• T he catheter should be flushed with normal saline prior to drug administration
to verify patency.
• A fter drug administration each lumen should be flushed with a minimum of 10cc
of normal saline, using a "pulse" or "stop/start" technique to maintain patency.
Use of heparinized saline to lock each lumen of the catheter is optional.
• Always remove syringes slowly while injecting the last 0.5 ml of saline.
• A pply a sterile end cap on the catheter hub to prevent contamination when
not in use.
• T o help prevent a drop in the fluid volume (allowing air entry) while changing
injection caps, hold the connector below the level of the patient's heart before
removing the injection cap.
Note: When maintained in accordance with these instructions, the Pro-PICC with
valve technology does not require the use of heparinized saline to lock the catheter
lumens. However, use of heparinized saline will not adversely affect the catheter
CT catheter with 10cc of sterile normal saline, using a
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INFUSION
CATHETER MAINTENANCE
-5-
CT catheter per manufac-
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CT catheter.
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