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<< Vascular Access in Pediatric Patients in the Emergency Department: Types of Access, Indications, and Complications

Case Presentations & Conclusions

Case Presentations

A 16-year-old adolescent boy with a history of acute lymphoblastic leukemia presents to the ED with fever and a headache. He is undergoing induction chemotherapy with vincristine and doxorubicin. His last medication administration was 2 weeks ago. His vital signs are: temperature, 39°C (102.2°F); heart rate, 160 beats/min; blood pressure, 80/40 mm Hg; and oxygen saturation, 98% on room air. The nursing staff immediately places him in a room. You recognize signs of shock and the need for rapid fluid resuscitation. Given his condition, he is likely to have difficult peripheral access. The nurse asks whether it would it be better to administer fluids by placing a large-bore peripheral IV line or by accessing his Broviac® catheter...

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