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< 10% Dextrose Isotonic Solutions Osmolarity <500mOsm/L Medication-pH 5.0-9.0

ADMIXTURE. Vascular Access Device Selection Criteria Suggested Choices (Decision Tree) NON-EMERGENT. REASSESS DAILY FOR CONTINUED SAFETY AND NEEDS. FOR MULTIPLE ACCESS NEEDS: CONSIDER A MULTILUMEN CATHETER WITH CT CAPABILITY. KEY: TYPE OF ACCESS PIV -- Peripheral IV

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< 10% Dextrose Isotonic Solutions Osmolarity <500mOsm/L Medication-pH 5.0-9.0

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  1. ADMIXTURE Vascular Access Device Selection Criteria Suggested Choices (Decision Tree) NON-EMERGENT. REASSESS DAILY FOR CONTINUED SAFETY AND NEEDS. FOR MULTIPLE ACCESS NEEDS: CONSIDER A MULTILUMEN CATHETER WITH CT CAPABILITY. KEY: TYPE OF ACCESS PIV -- Peripheral IV PICC --Peripherally Inserted Central Catheter CVC – Non-tunneled, central venous catheter TUN -- Tunneled CVC PORT--Implanted CVC *IRRITATING MEDICATIONS AND VESICANTS –see list *ESRD – End stage renal disease • < 10% Dextrose • Isotonic Solutions • Osmolarity <500mOsm/L • Medication-pH 5.0-9.0 • Central access based on length of need / patient • >10% Dextrose • Osmolarity > 500mOsm/L • Medication-pH <5.0 or>9.0* • See list-Irritating Medications • Central access required Infusion Therapy Durationof Therapy < 7 DAYS 1-4 WEEKS < 3 MONTHS > 3 MONTHS Vascular Integrity GOOD POOR PICC PICC PICC PIV PICC CATHETER CHOICE (In order of preference) PICC lines contraindicated for ESRD*, Quadriplegia, Bilat radical mastectomy CVC TUN TUN PICC CVC TUN PORT Veterans Affairs Medical Center, Spokane 12/2005

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