PICC Line Consultation
You have been consulted to visit Patient Smith in the ICU. Ms. Smith needs total parental nutrition due to abdominal surgery. Due to the type of surgery and post operative plan, the doctor has ordered Vancomycin 1gm every 12 hours and blood draws every 8 hours. Ms. Smith also has a tracheostomy and is on a ventilator. You review her chart and see her lab results. Her complete blood count shows a white blood cell count of 20.0, hemoglobin 12.0, hematocrit 35.3, and platelets 150.
PICC Line Criteria
Based on the scenario above, how does Ms. Smith's lab results impact your decision to place a PICC line.Discuss any indications regarding Ms. Smith's care which qualifies her to be a candidate for a PICC line. Include any contraindications, if any, which would prevent you from inserting a PICC line today. Discuss any considerations her surgery, trachestomy or ventilator plays in your decision to insert a PICC line.
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