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30: Lines and Pumps
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Published:May 2023
Sarah V. Bradley, MD, PhD, FAAP, "Lines and Pumps", Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, American Academy of Pediatrics Section on Hospital Medicine, Jeffrey C. Gershel, MD, FAAP, Daniel A. Rauch, MD, FAAP, SFHM
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Access is necessary to deliver fluids and medications when a patient is unable to take them adequately by mouth. A variety of different types of access are available, including peripheral venous, central venous, intraosseous (IO), and pump placement.
The Michigan Appropriateness Guide for Intravenous Catheters in Pediatrics (MiniMAGIC) 2020 provides recommendations for the selection and placement of vascular access (Table 30–1).
Use a peripheral intravenous catheter (PIVC) when intravenous (IV) access is needed for less than 7 days. Take care with the administration of irritant fluids or medications, avoiding solutions with a dextrose concentration greater than 12.5%, pH...
