Risks |
- Electrolyte imbalances (hypocalcemia, hyperkalemia)
- Dysrhythmias
- Coagulopathy/thrombosis
- Infections
- Possible contributor to NEC
- IV infiltrate
- Hypotension
- Air embolism
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Potential Complications |
- Signs suggesting an infant is not tolerating the procedure
- Metabolic acidosis
- Hypotension
- Dysrhythmias
- If not tolerating the procedure
- Consider decreasing the volume removed with each pass from 3 mL/kg/min to a lower rate (e.g., 1 mL/kg/min)
- Check for and correct identified electrolyte abnormalities
- Ensure lines remain in appropriate position
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Troubleshooting When Arterial Access is Lost
Mid-Procedure |
- Stop the blood infusion.
- Attach, flush and run heparinized fluid through the blood infusion tubing to prevent clotting.
- Consider replacing arterial access.If unsuccessful, convert the procedure to Venous Access Only.
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