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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty In Maintaining I/V Lines?

I seem to be having extreme difficulty keeping an peripheral /midline/powerglide IV in my veins. It would seem that my body is rejecting them. Sometimes within 1-2 days or even a couple hours of insertion. I have developed blood clots in both limbs and am running out of options. This is especially disheartening because I have MRSA in my blood as well as Endocarditis effecting my tricuspid valve. I just recieved a central line last night but I m concerned this may block up as well. Doctors and nurses don t seem to have any real answers as to why this is happening.Any ideas
Wed, 15 Apr 2015
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Pediatric Surgeon,  's  Response
The lines in the small veins or so called the peripheral venous lines have a tendency to develop thrombophlebitis and it depends on the concentration of the drugs administered, the handling of the lines and size of the lines. MRSA and endocarditis are related to severe infections and require higher doses of antibiotics for a long duration. Because of the higher doses, the peripheral lines may be getting blocked and leading to thrombophlebitis. With central lines, this problem is not there. Because central veins can tolerate more concentrated drugs and long duration, so it is good that the central line has been placed. But, a good care and antiseptic precautions are also required for handling these lines.
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What Causes Difficulty In Maintaining I/V Lines?

The lines in the small veins or so called the peripheral venous lines have a tendency to develop thrombophlebitis and it depends on the concentration of the drugs administered, the handling of the lines and size of the lines. MRSA and endocarditis are related to severe infections and require higher doses of antibiotics for a long duration. Because of the higher doses, the peripheral lines may be getting blocked and leading to thrombophlebitis. With central lines, this problem is not there. Because central veins can tolerate more concentrated drugs and long duration, so it is good that the central line has been placed. But, a good care and antiseptic precautions are also required for handling these lines.