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Central Venous Access & Complications

Parenteral Amino Acids Solutions Fluids & Electrolyte Disorders (including renal complications) Micronutrient Disorders Iron Deficiency Anemia (including travenous iron) Pharmacy Reconciliation (including stability issues) Growth & Development Bone Health Body Composition Specific Digestive...

Central Lines

Central line occlusion Review of the Line History (These questions are relevant in determining appropriate treatment of the occlusion.) Complete the line history before activating the algorithm. What happened immediately before the line occluded? · Was IV fluid infusing? · Was the line used for...

Routine Ambulatory Monitoring & Health Maintenance

Assessment of hydration - Heart rate (bpm) o Newborn – 3 months: 85 - 205 o 3 months – 2 years: 100 - 190 o 2 years to 10 years: 60 - 140 o >10 years: 60 - 100 - Weight o Infant scale age o Standing scale age >2 year o Helpful to document which scale was used for consistency - Physical exam findings...

Bram Raphael, MD

Central Venous Catheter Complications, Prevention & Treatment

Outpatient central line infection prevention bundle Encouraging good hand hygiene. Scrubbing the central line hub for 15 seconds before each line access. Changing central line dressing once per week or more frequently if soiled, using aseptic technique. Change the central line end cap using clean...