This may vary by manufacturer, but typically each lumen of the catheter is a different color, its own separate line, and used for designated purposes. When I worked in the ICU, patients were often receiving multiple medications and fluids at once, so a triple lumen central catheter, and knowing the function of each port, was essential.
You have any concerns about your central line.It's important for nurses to understand the lumen configuration and designation when caring for a patient with a triple lumen. Watch closely for any changes in your health, and be sure to contact your doctor or nurse advice line if: This may happen after severe coughing or vomiting, or if you pull on the central line. You feel resistance when you inject medicine or fluids into your line. You have signs of a blood clot, such as bulging veins near the line. You have swelling in your face, chest, neck, or arm on the side where the central line is. Pus or blood draining from the exit site. Red streaks leading from the exit site. Increased pain, swelling, warmth, or redness. You have sudden chest pain and shortness of breath, or you cough up blood.Ĭall your doctor or nurse advice line now or seek immediate medical care if:. Repeat the above steps for each line you are flushing.Ĭall 911 anytime you think you may need emergency care. If the line has a positive pressure cap, remove the syringe and then clamp it. If you have a clamp on the line, clamp it as you are finishing the injection and then remove the syringe. Slowly inject heparin, or quickly inject saline solution. If you have a clamp on the line, open it. 
Hold the end of the line so it does not touch anything. Rub for 15 to 30 seconds, and then let the cap dry. Use an alcohol swab to rub the cap of the line you want to flush. Fill other syringes if you need to flush more than one lumen. Remove the needle or cannula from the bottle. If there are bubbles, push the plunger back in and then pull back on it again. Before you take the needle or cannula out of the bottle, check for air bubbles in liquid in the syringe. Pull back the plunger to fill the syringe with the amount of solution you need. Position the tip of the needle or cannula so that it is below the surface of fluid in the bottle. Turn the bottle and syringe upside down. Push the plunger of the syringe to force air into the bottle. Push the needle or cannula through the rubber lid of the solution bottle. Pull back the plunger of the syringe, and draw air into the syringe equal to the amount of heparin or saline solution you are using. Note: If you have a preloaded syringe, skip to the next section, "Flushing the line." Remove the cover from the needle or cannula. Remove the cover from the syringe, and twist the needle or cannula on to it. Wipe the stopper of the heparin or saline solution bottle with an alcohol swab for 15 to 30 seconds. Wash your hands with soap and water for 15 to 30 seconds. You may have syringes that are already filled with the solution (preloaded). What you need will vary with the type you have. These may include the heparin or saline solution, syringes, needleless injection cannulas, alcohol swabs, and a disposal box. Be sure you have all your supplies ready. This helps prevent air from getting into your vein. You will usually lie down when you flush the line. A nurse may come to your home to help you at first. #Triple lumen central line how to#
Your doctor or nurse will probably give you supplies and instructions on how to flush it. Depending on the type you have, you will flush it with either heparin or saline solution.
If it ends in more than one line (lumen), flush them in the same order each time. A CVAD should be flushed as often as your doctor tells you, to keep it clear of blood and prevent clotting.
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