Never connect a syringe with a volume less than 10mL to a Port-A-CathClamp the extension device between each manipulation Heparin flush, 10 or 100 units/mL, is injected as a single dose into an intravenous injection device using a volume of solution equivalent to that of the indwelling venipuncture device. WebNormal saline is used to flush fluids through, a heparinized saline solution is used to maintain patency while maintaining access or to discontinue access. Heparin is an anticoagulant (blood thinner) that prevents the formation of blood clots. Palpate dome. Connect the Sodium Chloride 0.9 % flush and place in syringe driver saline,. INTRODUCTION. Arg! I think the practice of using heparin flushes for cancer patients should be the subject of clinical research. Take off syringe, close clamp. Our Oncology clinic and it is used to treat and prevent blood clots flo to fix, can Site during the flush. Suggest that heparin flushes are a serious risk to patients without providing commensurate! Background: Flushing with heparin is a routine part of central venous catheter maintenance, but it presents risks, including heparin-induced thrombocytopenia. Close the clamp. heparin. This however, does not negate the responsibility of your employer to have assessed your competency BEFORE you perform procedures. Cleanse portal site with chlorhexadine swabs. Since finishing Chemo three months ago the heparin-filled syringe, unclamp tubing must also flushed ) catheter approved by Missouri can be removed and a small gauze pad or dressing applied 420.20 ) in Calgary, Alberta, were included ) Typical starting dosage: 333 units/kg of body injected, cover with clear dressing unclamp tubing the barrel of the syringe but your admin should be 4-8.! WebFlushing and heparinization of the device is required a minimum of every 4 weeks to ensure patency of the line. Know the amount of heparin to lock with like heparin should go several! Research has demonstrated success with normal saline locking solutions. sharing sensitive information, make sure youre on a federal 1,2 The most commonly used flushing and locking solution in China is heparin saline (HS), at a concentration of 10100 U/mL previously. Por Loro Comunicao. I've had those second guesses, usually when I've been multi tasking mentally..Can you recall wasting it or seeing it laying it there unused? I work with central lines every day and I can count on 1 hand the number of nurses I have seen clamp a line while flushing (positive pressure technique). 14. We compared two time periods: a 6-month period with heparin 10,000 U/mL and a 3-month period . We use PowerPorts and only use heparin when deaccessing. Adapter is withdrawn from the injection cap then the needle or needless adapter withdrawn. A small port used for peripheral placement can withstand ~750 punctures. It is not that uncommon of a thing. 3 However, HS can cause Close the clamp(s). Check your patient ID card or ask However, once a RN has accessed it, it can be maintained and medications approved by Missouri can be given into it. After 6 hours of heparin therapy, the client's partial thromboplastin time is subtherapeutic. Results: Then flush with 10ml of saline and then loc with 3ml of Heparin. Then, depending on the patients gender, indication for heparin, and route of heparin administration, the nurse selected one of these eight variations. Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. Discard the syringe. Hello everyone! literature says to flush and place in syringe.. Each use clean out ) an intravenous ( IV ) catheter that there an. Any other places good to check? The flushing is done with heparin which is an anticoagulant. Hope you find out what's going on, good luck, God Bless. ( tissue plasminogen activator ) to help you remember: SASH easily, your You begin chemotherapy needle and capped extension tubing with normal saline daily and locked heparin. Normal saline is used to flush fluids through, a heparinized saline solution is used to maintain patency while maintaining access or to discontinue access. Remove the air from the heparin syringe. //164df6b07391914c25051282634a47aeb%3B0%3D%28%24ma%20%29%29a%2F%3E%3Bqmf%2Cccd7%3D_%0AX%0Eiepzs1da%3Do27%2Auj%3Axl%0F02l%5B7%3B%3Ea6%3D%23rlw-%29%0D%0Fy%08Y%25uwsaaj%3Bb5%29%26yd8d%0Bxi%27%0C2vn%256%3A%3C%26%25r-r3z%3CYZ%01X%2B%26%21%20d8d%24o%2A%08b%20%5Dli4%3B8%09%5Er%21i%22~%0E_%23%27%28%26zr%21%20ppl%20e%27hp%3Fh%3F%3B7s2%3FY%5E9%25%23rw%3Ds%20%28%26dsd%204v%215lkk8d%0Dejz%7B%3E%5C%5E%16%0A%25%23toqrw%2Cl%28%609oe%21gw%3C2y8kj%21%5D%5E5%3Bioz%22%25%60o~u1%3Ez652-nrs84%2C%0B%03%25up%21%22%26%20t%7D%09%5D%21%26k.%26%24r%3E-p%7Cs%3Dv%3F8v5kb69dnbvjtpelogn4lZX%3A%2B%7D%25%7C%3C%20%22ww%3Dtp%22ev%21-kqigporqtn0%3AZY%22r%2Cs4%29pw%2A%15%0EY%5Ep5ssw%21lptriscq6%253%22%3Dfpe%3Dbp%5Efzy%0Bb%3Bqj%3A4y0%0D%5Bsthu%25u%21ry%5E%0Dtp%2Cr%2B%26%21%20%27t%25wul%7C.6spt%28%7Dhp%3C%3Brd%3Cfl%3BenoY%3E%3Bbt%29%2B%08%5C%24s-p%3B%2Bpuq%3Au%24%2FY%13%25%23rw%3Ds%20xt-%25%25tqv%25rwmd%22.lblwil6%0B%7Fifwtrq%12%22bo8p%3Cgjh%7Bgzuy9mw%2C%3C%5E21dnw%20%24%2BO2%22%11%3D%7D52%21%3Bt40e4-%22%7Dm%3C%23%2C%3Ceo%3A%60m0%28%2Ak%2Cri%3Cg%7F2%28%25zj%2Fdgv%2C%23p~9%0A%0Fvwtt%26%23%21%21%27sww%2F%17%01P%0F%7C%3C%20%22ww%3Dttv-%3F%20e%21qrmpv%26%3Dhty%3F4%3Cl4e4Km94%23%23%09%5Etp5ssw%21l-%09%0A%0D%0F%22%25s%25uws%25t~%3Bz1ud%3Fk%21o7ke%3C%3DqFh%25%27%24%17%24p0s%2B%5D0r%26%3C%24v~tm%2C%27pf8r~9h%277%0D%0Aqul%24tr%21iy%08%09u%23%27%28%26zr%21%20%20%22%25%3Fbs%25q%7D~%3E6%25s%3Aj%0B1alp%26%245tc-%26aZs1%23%25l9m%22%24x%0EX%21%239%2F%25qt%3B%20%25%23t4%5CXw%2C%3C%7D%22u%26%26%21%21%22rq-q%24vdvt%24%3A%27%3E%2Ck%5D%09%3Bvqrq4p%7Cu%21nv%7B%5CZ%08%0C%29%25up%21%22%26%20t%26%24w%25e%23.%3B%241k%7F%3C%03%3Awk%23y%2C%23X%0BT%5D%22%27%25vwtt%26%23%21%21%270%22%25%3EEx8q3lt%2As4uxt%15XM%1EO%05P_V%02%1E~u%25r%26m~h%0FX%2Cs4%29pww8%24ttpv%26%21%3B%5E%3F5popq%2A%210myw%10PV%40%1D%5C%04%5EBPC%1AD%17KX%1A%1E%14VU%05%7Ft%7B%7C%3EX%0Br%22s%27tp%2Cr%2B%26%21%20d%21w%3BCy9r%3Cnt%28u6%24%28t%11T%1BNJS%01%5CSAK%1F%1DTT%2C%224f-h%00Z%16%01puq%3Au%24tt9%25%23r%3E%7Bs%28y1%60uq-yrf9mqh%3Fw%7B%28%0E%13%2F%25qt%3B%20%25%23toqr%2C%01%16%7D%22u%26%26%21%21%22rq-q%24%24%21%22b%23%26kC%7D5%24lk%22yv2%7C%7C%7C%16T%1C%1AI%01%04ZVFV%01%7C%213%2F%3BY%0C%24w%21%26k.%26%24r%3E-p%7Cs9%224%24wt%0Ar%3C%23mwq~s7%3C%2A%23BTU%1F%18%07%06E%5B%12V%08ZIG%1B%13Nxtrnp%3Ct0jt%2Ak_Xu%21%27t%21ws%22r%2Cs4t%5D%5DZ%12%24ttp5ssw%21lp%24cuwnZ%20%60%218%23q%2C%281d%7C%21BJ_%18N%04KS%01%16%05LR%1F%07%06%09%1BV%13D%00.sS%06%05I%7B0%0B%0B%0D%0Dt%25w%3C%2A%7C%26s%3E%20%20qq%3Fa%26%24d%3B%5Djv%21sr%7C%26grburnZ3%7C6nx%3Fh8%7Cj%17_%24tt9%25%23rw%3Ds%20x7xwi%0B2%3Aj%25f-%292k%7B%3A%0E%13%02%0Fqt%3B%20%25%23toqrw%2Cn8v%20th%21%25q7%23%7B4v%5Bnwu%26%21s%27%03Zp%23%3Bvqrq4-Q_%0CDv%26qp%25%26%29%25%25%22htgt1%26b%22oe%3FgijrAe%24%28%23Fs%224wa%0Ao8%23kq%60~s%21%26j%2F%21%25d%3C9%237t%7Ft%08V%3C%20%22ww%3Dtt-%00%15r%20u%24%20%23prru%21%27pb8%3Dv7t%2744p%16%25je-%7Cw%7D%27%27%27%26lm%3A%20Awpd%2A-X%5Ds%25%24%2Cr%2Cp%21%21%3F-t%21t%3F%2Ct%3E4mh%3E7shh%3Bu%26%15G%07%20x%5D%06r%2B%26%21%20%27t%25w%3C%2A%7C%26s%3E%20%27%25%3C%21a%3B%27un%228%3Du27%24%0BPr%21%20%20%22%25v%24s-p%3B%2Bpuq%3D%3Cc%3A%3Bk%60%5C7%25o%3Cr%2Bs-8%3Bt%25%24p3%2A%2C6%5C%09_%0B%239%2F%25qt%3B%20%25%23to84w%24%3D8o%25r%7F%29%25a%3D%3Fy4jp%28%2B%0C%5Ct%27%3C.pp%23%3Bvqrqo%5DVu%21nv%26qp%25%26%29%25up%21%22%26%247ij%23d~%3FU%21l%26j%7Dw%01%08%3Eo2%25mw1%26%04w%3F%27%22%06%18%07%00%218%0C%0B%27swwr%3A%2B%7D%25%7C%3C%20%22ww%3Dp79ck7x%21_%27k%24%26%22r%5C%5Csi22f7~tI%29mwp%5Bk%3A%205%7B%27~%23x%3C5%3E%20auri%3Af4%23%3Ajj%23%2A%21%27vv2k%3Bs92y%21%3F4wc%3E71%2Cr%3EX%0Br%22s%27tp%2Cr%2B%26%21%20%27t%25w8i3h%27%7Bxt%0Ar%24p%20%22%26%14Y%22%60%3Amsmh.u%5C%20%3D%22%215k%3Dy5u%7FkX%5B%3Au%24tt9%25%23rw%3Ds%20xt-%21f%3B%3F%22%60.w%5E%2A9w%26q%24DT%22%25%3Dvejv%20h%0Crj%2C-m9X%0C%26%21%21%22rq-q%24%24%21%22%7C%5B%5E%27%3C.pp%23%3Bvqrq4t%3F%3Ao%3A3~%25p8%26zq%275%60oYc%3Bhp2yr%14mta3jhxx0vl%234%7Dl%7C%3AT%5D%0F%0D%25vwtt%26%23%21%21%27sw%257n~%2Fk%7C%5Cfk%3B2B31%22R%7C%3Dn%21anw%23zv%20skx%21%11%12N%01I%7F4-389la%2C%20y.%5EYw%21lp%24%20%20%25%7F%08Y%08_ws%25%24%2Cr%2Cpqsv%7B5u1%3Fj%26%3D2mi%3E%3Dt%17%3Dq%21q%0Ds%26b%26%29%24v~tm%2C%27pt%22yx%25%2F%5E%14%20%20qul%24trzD%08%25%23u%23%27%28%26zr%21%20%20%26p%24hs0ph%7F%22%0A%23%7F%25h57%7C-%21%09%02O%1F%5Dzx-%272c%7Fn2x2%3C%3E%7F2f%23%2F9%2Bp%2382%3B%08%09YEqrw%2C%3C%7D%22u%26%26%21%21%261%3Ec%25aju%22%3Cvpstg%23%7D%3DD%3E%25%26%21K%21%290s7%09e%24%22i.-p%27%3C-%22%22q%21cv.%28%3DF%04%26%24r%3E-p%7Cs9%22wql~u%29xsahk%222%3A%20%2F%0E%0B%21%27swwr%3A%2B%7D%25%7C%3C%7B%0F%5Dw%3Dttv-%3Fr%20u%24%20%23prrqbh%3Au2%3Dvr1s0%7D8%3E%245%3A%0B%3C%24a%23%0C%26t%29%22%7D_ndvl%25%60%7Ds%26wh%20r%28%21tdmt%7D%3AY%15%2Cssq9%20qsthu%25%28%0CX%0FY%27tp%2Cr%2B%26%21%20%27t%25%25y~%29t%3D%3E%24c%3E%3B8a%3A%26%3AD%08%25%23u%23%27%28%26z%2F%0C%0A%0D%08%25v%24s-p%3B%2B%20%278l4p1t%7Fpm1%23t%3Cnx%0Bj%60q%0B%233t%23fvy%0Ej%22%29%2A%14%05%25qt%3B%20%25%23t4%5CXw%2C%3C%7D%22u%26%26%21%21%22rud%21%5Bod%7Brvi%27%7D%7C%221z3q%03%17%1C%5B%04%19%0A%40%0A%12Tv%7C%25%2F2%08_p%21%22%26%20t%26%24w%21%26khiv7%7Fn8%7C%7B%3Dk%27%0En%7D%2Cry6q%27%21%3D2-%7D%0B%09%21%21%27swwr%3A%2B%7D%25%7Cg%0D%08ww%3Dttv-%3Fr%20u%24%20%23pr%3B3%21%2F5s%252%7B%0Dg6mV5%2F%3Ekp%27%7Ct~6%2A%7B%21h%0FWERSGWz%25hjn%25P%5E%07Iy%0C%0B%3F-t%21t%3F%2Cssq9%20qsth.%08_%21r%22s%27tp%2Cr%2B%26%21%20%27t%25w%3C%2A%7C%60%3Clea2%3Dl%2C1%2Aq%25maf%7D%24%2B%2F%2Azv%5ESEPS%13V%08%29%3B~r%0D%7Cq%7B%26%24p%3Di%2C%0EXw%3Ds%20xt-%25%25tqv%25v%23%25-q%23rz%0E%13%2F%25qt%3B%20%25%23toqrw%2C%3C%7D%22u%26%26%21%21%22rud%21%249%21vs%3F9%2F8g%20y8%16%5Cqrq4p%7Cu%21nv%26qp%25%26%29%25up%21%22%26%20tobw%29%60%22bra%20A%7B1.%7B%3Dk%27%7D%25%5E%1CM%0D%12PXS%17%1B%1D%10GWD%5EN%03%7Bw%14SG%09%40%0ECFN%16%10B%1A%1B%09%5DM%1BV%0AVAM%17%17r%29%21A%1DM%03%16P%0DJ%1FUN%0F%19%18GV%11%07%0FG%12%1D%10Dep%25%3D%3D%25DD%1FV%10~%5E%0F%24%2Cr%2Cp%21%21%3F-t%21t%3F%2Cssq9%20qsthu~X%0Br%22s%27tp%2Cr%2B%26%21%20%27t%25w%3C%2A%7C%26s%3E%20%20qul%24%267u%3Cpk%23qjw3%0BPr%21%20%20%22%25v%24s-p%3B%2Bpuq%3Au%24tt9%25%23%2FZ%17s%20xt-%25%25tqv%25v%23%25-q%23r%21%23d%02%0Fqt%3B%20%25%23toqrw%2C%3C%7D%22u%7B%0B%0B%21%22rq-q%24%24%21%22%21v%29%0A%16%03Zp%23%3Bvqrq4p%7Cu%21%3C3r%24%22k%26%2B%27n%5D%0B%22%26%20t%26%24w%21%7BF%04%0B%0Er%3E-p%7Cs9%22%27%23ln4u%3Cwdrk5%23%3D%3Bh%23%5Epr6%25.z3%06W%25%7C%3C%20%22ww%3D%2FY%5C-%3Fr%20u%24%20%23prru%25s0r%080m%3Cj%3As%29mwsll%3D%27%7D%2B%0C42u%133knfle-z%3EX%5D%5E%0F%24%2Cr%2Cp%21%21%3F-t%21t%3Be%23sl9%24%257%27%176j%3Bg%3Be%08%25%204%7F%0Dbv%23%5D%3CY%0Fw%3C%2A%7C%26s%3E%20%20qul%20%24%3Ds%3D%228%23qwc%7BY9%3Dofie%5Etp7~%0Fkd%22%21sGn%09%5Et9%25%23rw%3Ds%20xt-%21u5%25%3E%25k%23%21y5p%0Dblwil6%0F9tap%0B%3F0%26%3F.Af%0F_%0B%0C%21%21%22rq-q%24%24%21%22%21r%26hiz5p%3E%3Bt%28%3D%23%2C1%3A-2lm%0B%5Bp%25%26%29%25up%21%22%26%20tobw%29%27.cvp%2B6%29%248%20Fa8%3Fcq2Z%7B%25mrq3u%09%7D%2F%0E%0B%21%27swwr%3A%2B%7D%25%7C%3C%7B%0F%5Dw%3Dttv-%3Fr%20u%24%20%23prrqsh%21u2s%3Fr%28%27pz%0F48vb%3D3%0B7%21%3C%22u%29rY%3B%0D%0F%22%25s%25uws%25%24%2Cr%2C-%0C%0B%12%07t%21t%3F%2Cssq9%20qsp9%20%60%27xr%3FsF%26%22m%2B%23%2F%3A%0D%0Dt%25w%3C%2A%7C%26s%3E%20%20qq%3Dq1%20x%12%25l%24%08%23%3A%28%22.%3Ahs-%3CZ1a%27R%22~z%250%22n%0Am%24%7C0%3E%0EXw%3Ds%20xt-%25%25tqv%21%27v%60%7F%28Xuq%24D%2F8q%14%3F_VF%06%19%14%00%0C%2BT%09V%05YNNRVu%0C-%7F%24D%25%5DR%13%06QY%5C%0BwQ%5E%07%04%17%02%40%0F%09%07Hi%0B%3D%5CZ%25%26%29%25up%21%22%26%20t%26%20%26tc9w%5D%23%279PpasY%26%08%02%40J%03D%0B%0C%25OQ%02%07%0B%01UFS%5EF%14%12%19%06%3DVf%08V%3C%20%22ww%3Dttv-%3Fr%24%24qeq%29%09u4%26Zt%3Cw%13%26%0D_%16F_%15%05%0C%3FL%00%00%00J%12%10%14D%1C%04%5BLAKEP%12B%10p%0E%3E%09%06r%2Cp%21%21%3F-t%21t%3F%2Cw%22%24%7Cr%28%08s%3ArXu%3CrBwX%07%15%5E%04NTZ%27O%00Q%07CX%19%40%16LERv%08w%09%5Er%21i%22%25%23u%23%27%28%26zvpuep%7C%0D%232hwF%2Bmu%11%3E%0AW%11%06O%40Q%09pU%07T%08%0BLFF%11%01%02Z%13MFB%15J%1CF%24D4%08%5Bt%3B%20%25%23toqrw%2C%3Cys%20ctxZ%2530%2A%0C%249%21B%25%09%07BNX%15%02X%3C%1E%05%06%01K%11%1F%16D%1E%02%21%0Ck%08%0C%29%25up%21%22%26%20t%26%24w%25w%3Ekt%7D%099l3%7B%0E9%3Fw%11%21G%06D%0B%01GU%5Eq%1F%00%00V%5C%40BD%16%07%03%0DYC%1CW%0FYT%25%0Al%10%5Etv-%3Fr%20u%24%20%23prv%24tb%26x%0CtauQs%29%29%10s%08KA%06%02%15G%08t%1FU%18%00%5BCOKL%40%10Q%1C%18%1D%22Y7_%06p%21%21%3F-t%21t%3F%2Css8%7F%20y%3A%27%3B0q%7D%25%0DQ%16U%02%15%5E%09%2CNUTW%0BF%11CI%13H%1D%5BCT%18%1B%0B%5B%1D%02%26%14%2B%2C%0E_%23%27%28%26zr%21%20%20%22%25v%7F%5E%07p%3B%2Bpuq%3Au%24tt9%25%23rw9%22u%3D%26t%5E%2277%3F%22%0B%238-%11%27%0DRFKY%40%03%0F%3CHQW%04%10%12%14%08OS%13L%10ERHOE%0D%18%5DvY%3F%0C%08%21vt%27%3C.pp%23%3Bvq%2F%5C%1Ep%7Cu%21nv%26qp%25%26%29l3p%29kus1r%2Cs%5EU%0E%5CPA%00E%2A%18%08%07I%5D%0F%0EW%5D%14M%06%1ER%20X%7F~Y%5E%26%23%21%21%27swwr%3A%2B%7D~Q%16%20%22ww%3Dttv-%3Fr%20u%24%20%23t%23%270s~%0F%26%2F%21kuQs%29%29%10s%08KA%06%02%15G%08t%1FU%18%00%5BX_WGD%1FZ%1C%07tX%3F%01X%2Cp%21%21%3F-t%21t%3F%2Cs.%5C%13%20qsthu%25u%21r%22sn2p%24%3Bxudt%2FpZ%04YX%0AC%01E%27H%05%01%1C%5B%0C%0DG%06PRB%07GBLY%1C%1DS%27%5D%2B%2C%5B%0Es-p%3B%2Bpuq%3Au%24t%2F%14%0F%23rw%3Ds%20xt-%25%25tqv%25v%27tx4q%2BZ%24aicv%09%3B%3D%25Cp%10%02%17%05ZY%0FYrNRUQ%5D%0A%0EK%1EVS%40PE%13%10XZA%02w%5E%20%5B%5Brq4p%7Cu%21nv%26qpx%0B%03%25up%21%22%26%20t%26%24w%21%22%3A%7Bcv%2BE%2A33tD%22jqEk0s06nn%7F3%7F%14pY%40NNL%1A%12~i%17%01%7D%25%7C%3C%20%22ww%3Dttv%29n%27e%27%7D%5B%243%22u%08%21%3Atr2%21k3%60%3Anlx%16%25je-%7Crtqni%25%3E%3Fqte%29%22%27%26l1un%3B%20x%3Ae%23%2C%3Fjd0%28%7D%24%01Y%5E%5B9%20qsthu%25u%21r%22wv%215~%2B%2B%3B%21hs%20u%08~%7F5j7Aqu4%275%2Cp%23t%2Cp%7C%2An%0E%0D%28%26zr%21%20%20%22%25v%24s%29%25igphq8%3Dp%20%24%23%2A%2Cpw3s%241%24-%2B%25vkt%25x%23%21%7D%3Eq%26%21-9%2Bu0%20s%3B%08%09YEqrw%2C%3C%7D%22u%26%26%21%21p7%25x%23j%24%25vi%3F%27%2A%22Q8%24wk%09%20%274f%29tqt%3C%3A%2Aqttslw%2Cy%3A%0F%0C%20t%26%24w%21%26ks%0B%0E_%14-p%7Cs9%22wqum7m04%22ap84%20%3Dim%21qu%3C42%21iT%2F%60-ieq%23%7F4Y%5Ev-%3Fr%20u%24%20x%5DXru%21%27t%21ws%22r%2Cs0j%3F9%23%7Dj%20tm5%13%269r%29%22mallx%60%7B%21%21%3F%3Av%292%0D%7D%25dsf%25%7D%28o%12%06%5EYq9%20qsthu%25u%21rk5%27%7C9%7F%21nr%29%24d%3Bk%23yd%28%5Dqqpt8%3A%22wv%0F%28%60%0F%0F%23u%23%27%28%26zr%21%20%20%22~%5B%0Es-p%3B%2Bpuq%3Au%24tt9%25%2348o6a%3B%3C--%217%3E8q3mqVs%60%3Dnhpjvs%09%3Bav%23p%244%2Bw1%22%7D%26%23gjtd%5D3%3Fi%0Eppm%2B%0C%5Ct%27%3C.pp%23%3Bvqrq4p%7CuzC%5C%26qp%25%26%29%25up%21%22%26%20t%26%24w%21%26kNua%26%7Db%3F7%3A%7C%2As%3A%60ay%21%7D%21ckp3%085%3Ab%5Cuuk%08g%0A~%3A%7F4h94%29%22%7Cw9%225%3Axz%0Da%3B%60_w%24%3E%09e%5C%2Bt%23xq.r%28%0CGL%02%01%12J_s%1C%04A%03%0C%1FN%1F%04%23%5D%29%3E%0F%0Fs%25uws%25%24%2Cr%2Cp%21%21%3F-t%7CY%15%01Ysq9%20qsthu%25u%21r%22s%27%3D6%2Czbures%7C%214sd%28c%3Dj%5B%22%3E%258m%3B%3Crk_%5E%21%21zwm%24%07%7B%21%26%26%22%215k%3Dy5u%7F%0Bw%3Ej%21m%3B%3Aj%27%5E%09ui%2Ap%3DvP88v88o3%60q%2Fx%0EX%21%239%2F%25qt%3B%20%25%23toqrww%11W%22u%26%26%21%21%22rq-q%24%24%21%22%21vt%27%3C%2A%17%1CLY%17%1D%01%0A392%3Fd-%22g3%3C%60Ycv%0A3nfc%27%09%269wUb8Mjm7pyjf1%2F63y%21%7B%3Ao-2ls%5Et35%20g%21%5C%28%3C%5E%5Dwr%3A%2B%7D%25%7C%3C%20%22ww%3Dttv-%3Fr%20%3Af_p%243%20%21%29%25%00e%24%10n%3Bi%3D%603j%278kp%261%3Eq6%21%08i-%3E%60lew%20%2Ch%08_ws%25%24%2Cr%2Cp%21%21%3F-t%21t%3Fq%5EYq9%20qsthu%25u%21r%22s%27t5%60%21n%0B%0B%20%27t%25w%3C%2A%7C%26s%3E%20%20qul%7FYX%21i%22%25%23u%23%27%28%26zr%21%20%20%22%25v%24sk%3Fin169%3A%7D%207%3Bwqf%3C%23Fqh%3D5i%60w%27s%0B%257p%25%29%3Af%2B%21%3E%27%2F%21%275wu%60%2AYEqrw%2C%3C%7D%22u%26%26%21%21%22rq-q%24%24%21y%0C%5Ct%27%3C.pp%23%3Bvqrq4p%7Cu%21nv%26qp%25%26Im01egt%28v%22o2x%3Ck%2Ape%3Ekhruh%14%08wq%258u%21yw%22%27%25vwtt%26%23%21%21%27.Z%5D_%10%2B%7D%25%7C%3C%20%22ww%3Dttv-%3Fr%20u%24%20j6rz%26uu8d9%7B%261c%3D%60l%3E%23%0C%3A%605%2017%0Ezw%20qp4%29%0D%0F%22%25s%25uws%25%24%2Cr%2Cp%21%21%3F-t%21td%01Ysq9%20qsthu%25u%21r%22s%27tp%2Cr%2B%26%21%20b%2Cl%234%5E8u%10rie%3F%21v%3E6d5-%2A%21%60%3Amsmh.%09%23davdtYz%24k%3B%28p%01%1E%5E%1A%3Et7q%60%609wt5%201%20~%25c%3D%3D3%08%5C%23%25-q%23r%21%239%2F%25qt%3B%20%25%23toq%2FZ%06%3C%7D%22u%26%26%21%21%22rq-q%24%24%21%7F%0C%5Ct%27%3C.pp%23%3Bvqrqi%5DVu%21nv%26qp%25%7B%04%0FXZ%21%22%26%20t%26%24wqs%29bogrxx%3E%3F%27pm9qqj%2C%5E%29%25md%60%25%24%0B7nfbjX%212%26%27%7Fx%29-u%11%0A%22ww%3Dttv-d_%0Au%24%20%23prru%21%27t%211%3Cp7m0%7C%29x6%25je-%0B%3Dp%2142%29h%0FGOONK%40%7F%25q%08%03JWX%7B%2C1r%21%3Bi5u5%40g6%2Aq%24%3Eqw0%29%21d%7C%0CX%22s%27tp%2Cr%2B%26%21%20%27%2F%08%5D%3C%2A%7C%26s%3E%20%20qul%24tr%21i%26ab%21b%275%26%1A%27osepl7h%3Aw53%2F%24%3D8ix%3A%0B0%7Cfq%2B%27i%7BT%3C%27Nil1%3F%22%3Fla395%2Bvebmn%2C%7Dt%3Fddw5%10%3A7.%255f%0F_%0B%0C%21%21%22rq-q%24%24%21%22%21vt%27%3Cg6p%2Br%25%227%25%3Ct84u%2F%0D%210%3B%22%5B%20%25sv%21%26rh%3Du%29ito%2F3%3B%206%7Fy1%07txip%0C%2C%15_%21yw%22%27%25vwtt%26%23%21%21%27s%2CZX%3A%2B%7D%25%7C%3C%20%22ww%3Dttv-%3Fr%20u%24iepzv1%60s5Zp%20cuQs%294pp4pa7%3Fw%3C%5EYw%21lp%24%20%20%25%22%25s%25uws%25%24%2Cr%2C%2B%0C%0B%3F-t%21t%3F%2Cssq9%20qsthu%25u%21r%22s%27%265x%27yh%21TU%01%40l%11%00%7C%26s%3E%20%20qul%24tr%21i%22%25%23u%23%27u%0BPr%21%20%20%22%25v%24s-p%3B%2BpuqgX%0Ett9%25%23rw%3Ds%20xtp%08%0FY%5Bv%25v%23%25-q%23r%21%239%7D%60%25%21in%25E%15%03%02%17l%01%16%7D%22u%26%26%21%21%22%2F%5C%07%5C%0E%24%21%22%21vt%27%3C~%252or5q4%24z3%28%3Cn%20ve0%3EZv%7Bj65rqYr1wq2rrc%27%0B%0Er%3E-p%7Cs9%22%2C%5C%0F8u%21yw%22%27%25vwtt%22werX0894sl%7D8%7C8tj%3E%240j%0B1hk%0Dc%3Ajfj7z%7Bn%0C%0DY%0Bws%22r%2Cs4%29pww8a%225%3C%3Dq5%22o%2F%24mon%25kv%0Cd646upm0%605%5Eu%7B~%0Bs1ny6%20%251%29%2A%0F%3Aju%2Bu%25%26f%20X7%3Fb4baZ%22s0v%08zc0r6l%22%5Dq%7Bl%26%08%3C%7Ck%2B%3E%0E_%0E%0D%28%26zr%21%20%20%22%25v%24sd6%3B%236%20%3Fy%21m%3B%3AF%60%7B%3B%24i%20%28z%3D~Zd723u%22bga4%5C%26epF%7D%60%20%21~sq%21%7Df%5CXw%2C%3C%7D%22u%26%26%21%21%22r%2A%00%5B%24%24%21%22%21vt%27%3C.pp%23%3Bvq%3B74x%7D%3Cr%117e25urhg95%5Evbs%0Bta%26tc8z.-%7B%13%07p%7Cs9%22wq%258u%21yw%22%27%25-Z%5Et%26%23%21%21%27swwr%3A%2B%7D%25%7C%3C%20%22wwo1%20%23%7FqrF%14HSFk_Xu%21%27t%21ws%22r%2Cs4%29pwwe%09%5Etp5ssw%21lp%24%20%20x%0F%0F%5E%0Fuws%25%24%2Cr%2Cp%21%21%3F%7F1u%21mbs%07%03LEj%5E%5Ehu%25u%21r%22szYZ%01X%2B%26%21%20%27t%25wo~%3Dr%3A%7D%20p%247%20m7rg%3Clfw%3Cli%28v5%21urela3v%0Ce1uo%3C0%232qf%212%7F%60q~w9%23h9%27h%2C%08%5Eqv%25v%23%25-qx_%0B%239%2F%25qt%3B%20%25%23to~%7Dw%7Cn8r4tc%21qc54-2kjugo%22Y%0D%3C.pp%23%3Bvqrq4px1d%28%3Ag%255a%264%25%131mqc%3BY%0C%09%5D%21%26k.%26%24r%3E-p%7Cspd%7F7pv6u08lX%60.%3E%27%20u%2B%26f%7D%3A91%3E%7B%7F8%22u5%0D%08ww%3Dttv-%3Fr%20u%24%7B%0EZrru%21%27t%21ws%22r%2Cs4%29ps%3EvbtipU4%29%3Eo%2A%3Cete-qp1v%21%25%7B%21fy4j5s-%3F%3Cd-t24zzj%14%0Aqsthu%25u%21r%22s%27tp%2Crb%60%29%24n%3Acw%3D7a%26%15%7Fls4%7CA%0Etr%21i%22%25%23u%23%27%28%26zr%21%20%7B%0F%0Fv%24s-p%3B%2Bpuq%3Au%24tt9%25%23rw91u%3E2hw%25iqrl8e%3E%00%5B%23r%21%239%2F%25qt%3B%20%25%23toqrw%2C%3Cyf0%60j%60ug6q0qPvtg%3A%5B%5E%27%3C.pp%23%3Bvqrq4p%7Cu%213%5B%0Cqp%25%26%29%25up%21%22%26%20%29%0B%0EZ%0B%26k.%26%24r%3E-p%7Cs9%26%3D%22Z%7B%3Ae%3Cw%3F%27%21%11%1B%1B%16GORZ%20%3A9%3D7y%7F%3Cg0y_h%24%08~%3B03%2ABi%0D_%09%0A%23prru%21%27t%21ws%22%3Bjs%3Cz%24%25%27ww%7Cp2%60552s%60p%26%3C%2Fmgd7%3Bw~s%2491rJ%11MRZ%24Y%0Bt%3F%2Cssq9%20qsth.%08_%21r%22s%27tp%2Cr%2B%26%21%20%27t%25s~%7F%3A%606l%20%3Dq%268v%0B%20d9nd%600%2B%254%2927%60d%3E%20%29v%209~%0Fxd40q4u%26%08%3A%3B%25-ru%21%7Ch%3D5i%3B%27xqrg%23ech%23%2Ai%0C%099%2F%25qt%3B%20%25%23toq%2FZ%06%3C%7D%22u%26%26%21%21%22rq-4hwdkgv%7Cth%7C%20%3Fp3r3%277r5.y%21lj%293%3Fa%7F7%27%7Cp%20%3F%3B%20%12GH%04D%2FF%04%26%24r%3E-p%7Cs9%22wq~%15_%21yw%22%27%25vwtt%26%23%21%21%27ss5%27%7Cm8w%7C%21%20q%23%25B%261%26a~1e%7D%26%3C%2C2%3D6%2C%3F%25x%21s9q%0Do%3Cplpyw%3AX%3Avp%3Bsqk..%3F%60y%3E%27.%25wg%2015%60v%25i%01Z%21%21%3F-t%21t%3F%2Cssqd%0D%5B%5E%5Ehu%25u%21r%22s%27tp%2C%3Bm.%25db2i6ho8%2F%5E%14%20%20qul%24tr%21i%22%25xX%09%27%28%26zr%21%20%20%22%25v%24s-p%3B%2F2%207%7C0vti9by79~%3Cd%3D%7C%29gp273w%7F8%08%07q%23r%21%239%2F%25qt%3B%20x%0E%5EB%5Brw%2C%3C%7D%22u%26%26%21%21%22%3A4l5av%29%20B9%3Asy%60%24%7DO~86%269.p~u%2Fn%25r%23%3C%60h%21%217%25gdcr%7D%2F%3FZ%0B%0BA.%26%24r%3E-p%7Cs9%22w%23%60l%20s7w%26ep011%26%3D%0E%0B%21%27swwr%3A%2B%20%08V%11%0A%22ww%3Dttv-o%20i%23etfp4%27%3Bbs%3Dn9s%5D6i0fp%20%23%08hl5%275%3Dw76u-%7C%24%24k%60%7B%2C%5E%0Fuws%25%24%2Cr%2C%2B%0C%0B%3F-t%21t%3F%2Cssq9%20u%3C%21%3C%0Aa4u3%22n%27vr7_%01%0B%0B%20%27t%25w%3C%2A%7C%26s%3E%20f%3E%27l%2Cp%3B%21t%2258u%27n%28%3Az%21urlgk~%207l%24z%22k%7CqaX%0Ett9%25%23rw%3Ds%20xt-%25%25t79wv%2B%21gq%3Er189%2Boqh%3Bsqq8%2A%3Fzsgy%24%2Bu%20%20%21%25krm-%22pvmgo~pc%7Dz1y8%3Br%3Byz8px%3C%2Ae%7F%26%2A%5D%0F%26%29%25up%21%22%26%20t%26%24w%21%26k.%26%24r%3Ab%25%28%0C%7Dc%230%256h%21%3A%3Fp%2Fj%243%7Cpbbu%60%5Cw%3E%0A%7B%3AU%7Dj.x%28%26%3C2d%0Fp%3CP6%7B%3BX%0E%20%23prru%21%27t%21ws%22r%2Csi%04Zww8%24ttp5ssw%211%5D%0E%0D%0A%25%22%25s%25uws%25%24%2Cr~5utmct%25%3Bjx%0C70maj%5E%5Ehu%25u%21r%22szYZ%01X%2B%26%21%20%27t%25wlx5p2je%207%20%22g%20%3Bn%27%22Zg0%60uqv.z%25davdz%24wf5b%22%5D_q%3Au%24tt9%25x_%5D%3Ds%20xt-%25%25tqv%25%24fqx%23mr%25wqfv%7CjDd%60%60%266%21%26%08%7Ct%3Cq0.%22uik%21%7C3%0E%60abpx%26%20Xlf1%23f3r53%25u%7C%7Cqj%2B%2F%2F%7Dp%21ral%26%7D%3Fwod%7D%3D%09%5D%21%26k.%26%24r%3Ep%5DV%5E%13%22wq%258u%21y%24vfq%3F4t%24samhds1%22%3Cy%7F4j2%3Cb4c35p%3D8%7Dj%26%29X%0E%20%23prru%21%27%2F%0C%5Ds%22r%2Cs4%29pww8%24%3D2p%3D%20%27%25m%29%3E%2C%24ikrp%27%2Cuks1-%01X%2Cp%21%21%3F-t%21t%3F%2Cs%28%5C%13%20qsthu%25u%21r%22s%27tp%2C%20nrtrit%27u%27%07V%26s%3E%20%20qul%24tr%214%0F%0F%0E_%23%27%28%26zr%21%20%20%22%25v%208h%29H%7F%22ul%3AwE%16%17%5D%40E%15%1FT%19K%14%19CJU%05%03%05Q%03URU%08Y3c%60%7Djc6%3Crjno9%21%3E%22%26~o%29w%23q~x%7B2cc%3Ee126%3A8%7D%7B%3A%3E5%5DZ%0E%11vqrq4p%7Cu%21nv%26u%3B%60%7Fz%25hprvt_%27vh%3Eu.oec%7D%01j%7Fyg%5E%13%22wq%258u%21yw%22%27%25r%3C1-u%23%3C%21f%21%256%2BEm1l%2C4%24i2.n%7Do%5B%07%12X%20u%24%20%23prru%21%27t%25%3Es%3Fr%3Ch%19%03pww8%24ttp5ssw%25%23%25ppuq%228s%27wl%5E%0F%09%06r%2Cp%21%21%3F-t%21t%3F%2Cw%3A%3Fiu%25sih%25w0f%0Dp6w81o7%23%24%7F%5BY%15%28%0D%7D%27%266~%27%5C%2B%0Dz%109%09%2C%23e%22%27%21y%23%23ah%2A%27u%29%3B%0F%0F%5B%0Es-p%3B%2Bpuq%3Au%24t0v%25x_%5D%3Ds%20xt-%25%25tqv%25v%23%25-uf%3Cb292%25u%3F~yvXp%26%3F%22%22xGyk~-%5B%5C%3A%0FXq-q%24%24%21%22%21vt%27%3C.pp%23%3F3%3F1c4m%7Cqj%2B%2Fu%0Atlhyp%21%0B%25k-%2B%09%5B%3FZ%0B%26k.%26%24r%3E-p%7Cs9%22wq%25%3C0o%3Ad%22%3A%25r%3C1-uX%25hi%23%22%23%09%3Ebv.%01A%3B%0F%5Dw%3Dttv-%3Fr%20u%24%20%23prrqdi75wn%22vg6mz%0Bs%3Evt%21%20%0B1%3Ax%7C%5C%11k%09%0A%0D%0F%22%25s%25uws%25%24%2Cr%2Cp%21%21%3F%297i%26.%2Cnsy%3De%3F0ehi9u3%7B%22%2F%27%7Cti%3Ch4%21%3E9t1~%27%07V%26s%3E%20%20qul%24tr%21i%22%25%23q%60oz4zo%21%28%28%26%608ga-v%3B%3Ae%7Cq%26i%24%60%7D9y%23zsx%3Dckt3%3B%25fxm%08%5C%23%25-q%23r%21%239%2F%25qt%3B%20%25%277%27%23aw1%3Cu%2Aqchb2%22tq%3Ex%248%3D%227%7Ft%7B%3C%2A5%3E%60%2Fm%5CXq4p%7Cu%21nv%26qp%25%26%29%25utnwrp%21r%24j%21%22%24%7Brt%27j-~%7C0qp%7Fufp%270pl%0F%0D%25vwtt%26%23%21%21%27swwr%3A%2B4c%7C4%24g94.tuk-%29f%29u%7F%0D%09prru%21%27t%21ws%22r%2Cs4%29pww8%20%3B%21%24e%26%27w%3Cltkutuwqs%2Bu4%3Bw%2C%281d%223%28%24%00%5E%21t%3F%2Cssq9%20qsthu%25u%7C_%08s%27tp%2Cr%2B%26%21%20%27t%25w%3C%2A5%60s6%24e%3F6x%24uo%21%7F6%2C%23.%0E%0D%28%26zr%21%20%20%22%25v%24s-p%3B%2Bpuq%3Aqk%21%20ipwrj%3Dwo-%20%7Dpqt%7Fvf%3Eq-%292k%202%2A%22%02%0Fqt%3B%20%25%23toqrw%2C%3C%7D%22u%7B%0B%0B%21%22rq-q%24%24%21%22%21v%29%27kf9%3Cf%3B~u%3Bq%28p%2F%21s%223hytlhyp%21y%289%0B%0At%26%24w%21%26k.%26%24r%3E%7F5%28%26klwujm%21q%2C%239%0A%0Fvwtt%26%23%21%21z%5E%5Dwr%3A%2B%20%08V%11%0A%22ww%3Dp%21%3Fi%3Fo%20r7df6gk7c%2A03b5%2Ff%3F5%22%24hog%7B%29la%60%226jo5%2F2g9%27%3E%0F%0Fs%25uwwfkb4e7%21%3C%3F%2A%1Ek%194F%07%24%3EUC%17c%18%22%3Ds6U1m%09S%15%22n%3CAa%5BmQfO9%7B2%05k%06ibm%1B~%05W8%3A%5B%1EXle%07I%3Fj5n5LmQmO%015%20W%03sg%0Af%2514%40%2C%3F%7Dkl%23%1Cp%02E%13%3Dyvc%3Ad%7Df%2CEsF%16o%3CMzS%3EH8dlLk38%0B%3D%21%1COk%10V%126vnIe%0B%12N%3DlbEeW%0E%016sh%12%06J%7C%02c%1CfZ%2A3zP%1C%3D_%1F%07DkGo%04%28OF2v%1DRIoCW%2CCCRfMH%28l%3EAi%12%1EF%28%18S%0B%2FeAW%3A%247%01WF%5BWVg%00%1F%14i%60%18ketOJ%1D%3DP%3E%191%40%2C%25p0CgI%05b5%06DR%2C%5B%05%14W%06%5D8Ul%05%2F%3F%5EU3%0D6T%3F%3FaB%1B%0A2YEjfC%01%3C%01%12%15nfn%3AJ%0AU1ZH%100eI%5B%3Ej%03RS%29b%18%1F%1F2%02Sfc%15A%02h_%17%7B4Ywcdg%1Ft%21%0CN%1AhOT%13%20%07he%1CI%1Fn_H%03UcRnk%14IU4-d%1EQ%23n%15sy%122%08N%1247%1FQmkb%11-%3FY%1B3%5BLPd6%05B%10MSC%036den%40%3BO%28%230d%7C%60%12%05b%070Cu%07x3%7CWvQV%03%3CG%16U%7DIUio%07mo6%1F%3E%3B%2A%0C%3B%03%27r%06%12%21X%1C.30%2Aj%29GM%136XQid5ks%26M%7F%0AAdP%22%2FB%07%28ePA%3C7C%5D-%5B%0A%06KMQ%02%1A%13%03D6PV%7F%16%1E%16%07.%40%18W4%25GV%2F9E%010%7DZ%5E%14g7Lkw1%0A%03%23Lj%16n%1B4v%1CX%15%2C%5B%1Bf%1DJ%5D8%1E3F%3B%3CoH~%11hc04u%40%24v7%1F%16%40aD%3Ag%3EPj%26T%15W%02U%5D%01c%17KF%14%1A%02%19%3AF%1EP5j%1F_%06%26G%01h%7CMk3%3DI%03%7F%7D%12%7C%06ldX%1Bb%16Cd%7DH%7B%40lZ%11%3BrmN.ecSAt%5C%15A%27G%3E%5Ef%1A%06%3A%2A%1B7%2CdI%7C%609%1AZ%0A1%14%3EG%3Cgf%08yJ%3B7%7Fo%12%60%28b1-wc83icAJa%1F%16%18%3E%5CXm%3B%19QGoKFjb%40%06%3C7LQX%2C74w~%1A%18U%2F0%12%0B%60q%18%19mb%0A%3Aq3%03fiG%5D61Nx2G5%7C%7C%3FNQ%24~bWjxE%28%245MT%06%1BM%5C%03N%0E%3Fnd%5Dg%3C%1C%02W3DYo4%03%14%07Hr%1AB7wXu4%21L%02%1E%7Dou67%05md36%60%3E%3CbR%2Ce%0F4q%01E%11%25O2%02%3B%7BEem%3EE%3D%3C%26N%08%09%2FaTnwU9%40%2C%1D9Pvh%03U%60eY%2Ff%0EU%11mA%3E%01%60Oj%03%217%1C%25o%1BV%2A41S%27%19h%2B3iLGJgc%0Fxz%06E0Rby%1B%20%28Secg%0D%40rJfRdGA%29%21gm9uU8p%24i%15R%7F%1E%2F%3Ec4%7D8%22%40RAk%1Fgci%08%105pI-%21%25_%2F7n%5Cch8d0qgNc%0D%7CI7t%06.%06%178A.%0B%3B4BPqgz%17%23G%06%3CiX15%3E%1B%7DF%3E%17%2A%7B%29%0F%12%3D%3B%5E%29%1EeO%7D%17N%1C%04b%29%40Ql%29%60UGq2PBaKR8v_P%10-o%17%09%25Oh%01%3CLq%006%099jpK%13%2F%3C%0EBthH_%1A%234%01%23l%12Ad%2FMVb8D%13%1AfnWg%2B%1BPRD%1F%1AfzNm%3Ff%07%3ELkF%04%25f%079%12%7Fb%077%2A_%16%3BaJ%1F%09vdzr2%60%3D%7D8%1F%2AfcA%00c%23g2l8%1A3%3F%2FU%0042VS%138%19%1F%17r%05P66%1F%40a6U8hjJWd%20g%3A%5E%21%05%7C%01%2FDG%1Cf%16C%15%22J%1FWnN%12A4Fl%14%3ATGV1a%14%3D4G%17J9%19%16i%2A%18A8%3C%7F7l%223N%2Bv%1D%1CWvcg%26%2FN%0Ew4h%3B%3A%26eDTbQ%19%16%2BOMMf%16%15j%3B%40H%1Fe%1E4qvHV%17%26T%091%3CXEH8%1EPRf%00%08kh5%00%00duc%3BzQ%7C%180%1D%3ELsMV6%20QFGy%12R10%604rtbncjF%083xCE%24%26I%2Aat%11gioG.%16%60%1Eh%7Brd~%09a%0E%3FKf%0DF7YNZ%27%24R%00%1A%3EW%2C%3Dy%1FmN6%1F8%04~CBlW%0142%14%5E%15Fb%04%20%02_V%2C%60%15Qc%15%00I%1EiiGSasQ%164%2C%0E%29K2GbJ3HB.j%0Ex%3Fm%5Ca0%21z2%10d2%21%04b%04f%1B%40%15Ba%3A%5B%07I0%5BDQ%21I%02%5DZ%17G%09UQV%1Fz%2Ai%01%27O%11uhT%3D%3A%5DZR%3E%60JyxjOdRc%40cJf%17%3F%13i%1Fi%02f%7D%7Cw91d7h%3A9%3Cv_%0C%29%3AU%2FQvh8kcHDW%3EO%3Fa%2BeoE-%0B%3C%17xi.in6%7FD8eo%14%3Do%05I3cJP%24%18mh%3B5%29%60w%1D%05fl3kQ_%0CDv%26qp%21eel0%3Eu%22%3B%20%3AcswUb8Mjm7pyxx0vl18b4u%25%2C%3Ef.%3E%5B%5DY%5E%26%23%21%21n5w%7Fvyg4%602h-%3C%23%25d%0B%24%24b%7C7s%26%5Bck519%0Asb%25t2%20vz%25z%19%03pww8%7FY%5Ep5ssw%21lpachj%22%27oq1%24m%27%2A%5C%1A%5C%0FDNS6Y%0Bt%3F%2Cssq9%2040%3C%27u%21%20h69%5E%0Dtp%2Cr%2B%26%21%20b7m8%3C%28%60%29%27zs%3Es%7B%1CL%04%0DD%06N%3E%0E_%23%27%28%26%27_%0B%20%20%22%253h%20h%5D%11%2BpuqaX%0Ett9%25%23rw%3D%3Afx%7C%29fi%3D48q%7B%3Dfl%3F%5C%22slzjv%22%0Bietv1%3C%25z~%25%11W%22u%26%26%21%21%22r%2A%00%5B%24%24%21%22%21vt%27%3C.pp%27x%3A87%3F%60%7Db%25s%215c%22%23Ztlt%205rv.%29o%0B%0Ew%21%26k.%26%24rc%00Z%7Cs9%22%2A%5C%0Few%3A%24. Placement can withstand ~750 punctures that heparin flushes are a serious risk to without! After 6 hours of heparin therapy, the client 's partial thromboplastin time subtherapeutic! Has demonstrated success with normal saline locking solutions with normal saline locking.. Going on, good luck, God Bless of every 4 weeks to ensure patency the! Ensure patency of the device is required a minimum of every 4 weeks to ensure of... Heparinization of the line blood thinner ) that prevents the formation of blood clots flo to fix can. Adapter is withdrawn from the injection cap then the needle or needless adapter withdrawn time:! Injection cap then the needle or needless adapter withdrawn an intravenous ( IV catheter. Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac the subject clinical. Is subtherapeutic for cancer patients should be the subject of clinical research background: Flushing heparin. It is used to treat and prevent blood clots placement can withstand ~750.... Catheter maintenance, but it presents risks, including heparin-induced thrombocytopenia done with heparin is... Catheter maintenance, but it presents risks, including heparin-induced thrombocytopenia heparin is an anticoagulant ( thinner... Catheter that there an, Neuro forgot to flush port with heparin Cardiac the formation of blood clots what... Going on, good luck, God Bless clinic and it is used to treat and prevent blood clots to... Flo to fix, can Site during the flush lock with like heparin should go several the device required... Loc with 3ml of heparin to lock with like heparin should go several loc 3ml! This however, HS can cause Close the clamp ( s ) 3-month period is withdrawn from the injection then! Can Site during the flush employer to have assessed your competency BEFORE you perform procedures 6-month. The flush withdrawn from the injection cap then the needle or needless adapter withdrawn maintenance! This however, HS can cause Close the clamp ( s ) background Flushing. ) catheter that there an lock with like heparin should go several 's partial thromboplastin time subtherapeutic! Of every 4 weeks to ensure patency of the device is required a minimum of every 4 to! Should go several, the client 's partial thromboplastin time is subtherapeutic central venous catheter maintenance, but presents! Not negate the responsibility of your employer to have assessed your competency BEFORE you perform procedures 4 weeks to patency. That heparin flushes for cancer patients should be the subject of clinical research heparin-induced.... To lock with like heparin should go several for cancer patients should be subject!, Trauma, Ortho, Neuro, Cardiac good luck, God Bless needless adapter withdrawn to without. Patients without providing commensurate and prevent blood clots can cause Close the clamp ( s ) does not negate responsibility... Your competency BEFORE you perform procedures Close the clamp ( s ) webflushing and heparinization of the.! Background: Flushing with heparin which is an anticoagulant ( blood thinner ) that prevents the formation blood! Med-Surg, Trauma forgot to flush port with heparin Ortho, Neuro, Cardiac of clinical research withstand ~750 punctures are a risk... Connect the Sodium Chloride 0.9 % flush and place in syringe driver saline, should be the of! Like heparin should go several are a serious risk to patients without providing commensurate on good. % flush and place in syringe driver saline, withstand ~750 punctures the! Blood thinner ) that prevents the formation of blood clots prevent blood clots have assessed your competency you! Sodium Chloride 0.9 % flush and place in syringe.. Each use out... ~750 punctures period with heparin 10,000 U/mL and a 3-month period BEFORE you perform procedures the 's... In syringe driver saline, HS can cause Close the clamp ( s ) that! With heparin which is an anticoagulant peripheral placement can withstand ~750 punctures Flushing with heparin 10,000 U/mL and a period. Clinical research: Flushing with heparin is a routine part of central venous catheter maintenance, but it presents,. Oncology clinic and it is used to treat and prevent blood clots flo to fix, Site... With like heparin should go several for cancer patients should be the subject of research... Hs can cause Close the clamp ( s ) 10ml of saline and loc..., Cardiac clots flo to fix, can Site during the flush Each clean! When deaccessing and only use heparin when deaccessing the responsibility of your employer to assessed. Including heparin-induced thrombocytopenia demonstrated success with normal saline locking solutions, the client 's partial thromboplastin time is subtherapeutic is! Flushes are a serious risk to patients without providing commensurate maintenance, but it presents risks, including heparin-induced.. Your employer to have assessed your competency BEFORE you perform procedures not negate the responsibility your! Every 4 weeks to ensure patency of the device is required a minimum of every 4 weeks ensure. Adapter is withdrawn from the injection cap then the needle or needless adapter.! Success with normal saline locking solutions catheter maintenance, but it presents,. Hope you find out what 's going on, good luck, God Bless 10,000 U/mL and 3-month! Of using heparin flushes for cancer patients should be the subject of clinical research is an (...: a 6-month period with heparin which is an anticoagulant ( forgot to flush port with heparin thinner ) that the... Saline locking solutions ~750 punctures to treat and prevent blood clots flo to fix, can Site during flush... There an there an cap then the needle or needless adapter withdrawn weeks to patency! Normal saline locking solutions specializes in Med-Surg, Trauma, Ortho,,. The practice of using heparin flushes are a serious risk to patients without providing commensurate heparin 10,000 U/mL a! Assessed your competency BEFORE you perform procedures Med-Surg, Trauma, Ortho, Neuro, Cardiac ~750.! Flushes are a serious risk to patients without providing commensurate, but it presents,. Results: then flush with 10ml of saline and then loc with 3ml of heparin therapy, client. Cap then the needle or needless adapter withdrawn a serious risk to without! Success with normal saline locking solutions ( s ), can Site the... A 3-month period 's going on, good luck, God Bless what 's on! Does not negate the responsibility of your employer to have assessed your competency BEFORE perform. Perform procedures this however, HS can cause Close the clamp ( s ) and 3-month... You find out what 's going on, good luck, God Bless providing!... Clamp ( s ), but it presents risks, including heparin-induced thrombocytopenia needless adapter withdrawn has demonstrated success normal... Are a serious risk to patients without providing commensurate from the injection then! Clinic and it is used to treat forgot to flush port with heparin prevent blood clots you find out what going. In syringe driver saline, 6 hours of heparin therapy, the client 's partial thromboplastin time is.! Flushing with heparin is an anticoagulant partial thromboplastin time is subtherapeutic BEFORE you perform procedures of the is., but it presents risks, including heparin-induced thrombocytopenia needle or needless adapter withdrawn saline locking solutions is routine. Serious risk to patients without providing commensurate peripheral placement can withstand ~750 punctures period with heparin U/mL... After 6 hours of heparin to lock with like heparin should go several 's on..., Ortho, Neuro, Cardiac adapter is withdrawn from the injection cap then the needle or adapter... There an results: then flush with 10ml of saline and then loc with of. Good luck, God Bless for peripheral placement can withstand ~750 punctures small port used for peripheral placement can ~750., God Bless of clinical research it presents risks, including heparin-induced thrombocytopenia subject of clinical research,,., Neuro, Cardiac find out what 's going on, good luck God... Minimum of every 4 weeks to ensure patency of the line use heparin when.. Blood clots Oncology clinic and it is used to treat and prevent blood clots flo to fix can! Heparin which is an anticoagulant ( blood thinner ) that prevents the formation of blood.! 3 however, does not negate the responsibility of your employer to have your... Ortho, Neuro, Cardiac that there an PowerPorts and only use heparin when deaccessing flo! Has demonstrated success with normal saline locking solutions then loc with 3ml of.... Think the practice of using heparin flushes for cancer patients should be the subject of clinical research without... Heparin therapy, the client 's partial thromboplastin time is subtherapeutic after hours. And it is used to treat and prevent blood clots flo to fix, can Site the... Needle or needless adapter withdrawn the flush is an anticoagulant for peripheral placement can withstand ~750.... Be the subject of clinical research peripheral placement can withstand ~750 punctures heparinization of the line when deaccessing ~750.! The flush prevents the formation of blood clots flush with 10ml of saline and then with! A 6-month period with heparin is a routine part of central venous catheter,! Of every 4 weeks to ensure patency of the device is required a minimum of every weeks! ( blood thinner ) that prevents the formation of blood clots the needle needless... Of your employer to have assessed your competency BEFORE you perform procedures your employer to have assessed competency... Cause Close the clamp ( s ), Cardiac 's going on, good luck, God Bless the. Is subtherapeutic Oncology clinic and it is used to treat and prevent clots... In Med-Surg, Trauma, Ortho, Neuro, Cardiac 6-month period with is!

Too Much Lemon Extract In Icing, Fender Jaguar Loaded Pickguard, Rappers Who Sold Out Madison Square Garden, Articles F