| English term or phrase: central line | MANAGEMENT OF THE FEBRILE HAEMATOLOGY/ ONCOLOGY/ CENTRAL LINE PATIENT (Examine and assess quickly – within 15 minutes of arrival)
•HISTORY – Full, especially central line history. Ask about line infection symptoms eg flushing associated rigors. Has the child got a VP shunt?
•EXAMINATION – Do a full examination. In particular look for signs of a line infection. eg erythema at exit site/ tracking along the line.
•INVESTIGATIONS – An urgent FBC, CRP, blood cultures of all central line lumens (or peripheral if no CVL) and urine for microbiology are mandatory. Swab CVL site if indicated.
•For each culture take 3mls of blood and place in a “pink “ paediatric blood culture bottle and label each lumen’s sample.
FEBRILE NEUTROPAENIC ANTIBIOTICS - FIRST, SECOND AND THIRD LINE (Figure 1)
•It is important to prescribe the antibiotics and to administer them in alternate lumens to ensure that all lumens are treated.
•Do not wait for FBC before starting antibiotics if the child has a central line in Situ.
s'agirait-il d'un cathéter veineux central ici ? merci ! |
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The translation workplace 
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