{"id":26013,"date":"2024-04-24T13:50:46","date_gmt":"2024-04-24T20:50:46","guid":{"rendered":"https:\/\/ameripharmaspecialty.com\/tpn-through-picc-lines-what-you-need-to-know\/"},"modified":"2026-09-21T13:33:58","modified_gmt":"2026-09-21T20:33:58","slug":"tpn-a-traves-de-lineas-picc-lo-que-necesitas-saber","status":"publish","type":"post","link":"https:\/\/ameripharmaspecialty.com\/es\/tpn\/tpn-through-picc-lines-what-you-need-to-know\/","title":{"rendered":"Administraci\u00f3n de TPN a trav\u00e9s de cat\u00e9teres PICC: lo que necesita saber."},"content":{"rendered":"<p class=\"wp-block-paragraph\">Si tu<a href=\"https:\/\/ameripharmaspecialty.com\/es\/tpn\/solucion-tpn\/una-guia-completa-sobre-la-terapia-tpn\/\"> Terapia con TPN (nutrici\u00f3n parenteral total)<\/a> Se espera que dure hasta varias semanas, como de 2 a 6 semanas, y probablemente le colocar\u00e1n una v\u00eda central de inserci\u00f3n perif\u00e9rica (PICC) en lugar de una v\u00eda intravenosa normal.<\/p>\n\n\n\n<div  id=\"call-to-action-34b833d9deef5e43c2ab54366e986fae\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tSus fluidos intravenosos, siempre disponibles\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"cta__sub__heading\">\n\t\t\t\t\t\t\tInventario completo, acceso sin complicaciones\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"tel:8777780318\">(877) 778-0318<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Un cat\u00e9ter central de inserci\u00f3n perif\u00e9rica (PICC, por sus siglas en ingl\u00e9s) es un tubo largo, muy fino y flexible que se inserta en una de las venas perif\u00e9ricas (como la bas\u00edlica o la cef\u00e1lica) del brazo. El tubo se avanza a trav\u00e9s de un vaso sangu\u00edneo m\u00e1s grande, como la vena subclavia, hacia la vena cava superior, una vena grande que lleva sangre al lado derecho del coraz\u00f3n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La colocaci\u00f3n de un cat\u00e9ter PICC suele estar a cargo de un profesional sanitario capacitado y cualificado, como un enfermero titulado, un asistente m\u00e9dico, un m\u00e9dico u otro profesional cl\u00ednico debidamente acreditado, utilizando una t\u00e9cnica est\u00e9ril.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Antes de recibir TPN a trav\u00e9s de un cat\u00e9ter PICC, es importante comprender por qu\u00e9 se puede seleccionar un cat\u00e9ter PICC para la nutrici\u00f3n parenteral, c\u00f3mo se coloca el cat\u00e9ter y los posibles riesgos y complicaciones que pueden ocurrir durante el tratamiento o despu\u00e9s de la colocaci\u00f3n.\u00a0<\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabla de contenido\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Palanca<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ameripharmaspecialty.com\/es\/tpn\/tpn-through-picc-lines-what-you-need-to-know\/#Why_Is_the_PICC_Line_Used_for_TPN_Therapy_Instead_of_Regular_IVs_or_Other_Central_Lines\" >\u00bfPor qu\u00e9 se utiliza la v\u00eda PICC para la terapia TPN en lugar de v\u00edas intravenosas convencionales u otras v\u00edas centrales?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ameripharmaspecialty.com\/es\/tpn\/tpn-through-picc-lines-what-you-need-to-know\/#It_Provides_Long-Term_Access\" >Proporciona acceso a largo plazo<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ameripharmaspecialty.com\/es\/tpn\/tpn-through-picc-lines-what-you-need-to-know\/#It_Reduces_Discomfort\" >Reduce las molestias<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ameripharmaspecialty.com\/es\/tpn\/tpn-through-picc-lines-what-you-need-to-know\/#It_Can_Be_Cost-Effective\" >Puede ser rentable<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ameripharmaspecialty.com\/es\/tpn\/tpn-through-picc-lines-what-you-need-to-know\/#How_Is_TPN_Given_Through_the_PICC_Line\" >\u00bfC\u00f3mo se administra TPN a trav\u00e9s de la l\u00ednea PICC?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ameripharmaspecialty.com\/es\/tpn\/tpn-through-picc-lines-what-you-need-to-know\/#PICC_Line_Placement_Procedure\" >Procedimiento de colocaci\u00f3n de la v\u00eda PICC<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ameripharmaspecialty.com\/es\/tpn\/tpn-through-picc-lines-what-you-need-to-know\/#Infusion_of_TPN_Through_PICC_Line\" >Infusi\u00f3n de TPN a trav\u00e9s de la l\u00ednea PICC<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/ameripharmaspecialty.com\/es\/tpn\/tpn-through-picc-lines-what-you-need-to-know\/#How_Do_You_Care_for_and_Maintain_Your_PICC_Line_After_the_TPN_Infusion\" >\u00bfC\u00f3mo cuidar y mantener su l\u00ednea PICC despu\u00e9s de la infusi\u00f3n TPN?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/ameripharmaspecialty.com\/es\/tpn\/tpn-through-picc-lines-what-you-need-to-know\/#Are_There_Any_Risks_Associated_With_TPN_Given_Through_a_PICC_Line\" >\u00bfExisten riesgos asociados con la administraci\u00f3n de TPN a trav\u00e9s de una v\u00eda PICC?<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/ameripharmaspecialty.com\/es\/tpn\/tpn-through-picc-lines-what-you-need-to-know\/#When_To_Consult_Your_Healthcare_Provider\" >Cu\u00e1ndo consultar a su proveedor de atenci\u00f3n m\u00e9dica<\/a><\/li><\/ul><\/nav><\/div>\n<h2 id=\"h-why-is-the-picc-line-used-for-tpn-therapy-instead-of-regular-ivs-or-other-central-lines\" class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Why_Is_the_PICC_Line_Used_for_TPN_Therapy_Instead_of_Regular_IVs_or_Other_Central_Lines\"><\/span>\u00bfPor qu\u00e9 se utiliza la v\u00eda PICC para la terapia TPN en lugar de v\u00edas intravenosas convencionales u otras v\u00edas centrales?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hay varias razones por las que los proveedores de atenci\u00f3n m\u00e9dica consideran proporcionar una infusi\u00f3n de TPN a trav\u00e9s de una v\u00eda PICC en lugar de v\u00edas intravenosas regulares o<a href=\"https:\/\/ameripharmaspecialty.com\/es\/tpn\/solucion-tpn\/guias-de-nutricion-parenteral-total-npt-para-cateteres-centrales-dirigidas-a-profesionales-sanitarios-y-pacientes\/\"> l\u00edneas centrales<\/a>:<\/p>\n\n\n\n<h3 id=\"h-it-provides-long-term-access\" class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"It_Provides_Long-Term_Access\"><\/span>Proporciona acceso a largo plazo<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">El cat\u00e9ter PICC est\u00e1 dise\u00f1ado para permanecer colocado durante varias semanas o incluso meses. Este acceso a largo plazo facilita que los pacientes reciban la terapia TPN durante varios meses sin necesidad de reinserciones frecuentes.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Adem\u00e1s, a diferencia de una v\u00eda intravenosa (IV) convencional, que es m\u00e1s corta, la v\u00eda PICC es un tubo largo y muy fino que facilita el acceso a una vena m\u00e1s grande cerca del coraz\u00f3n.<\/p>\n\n\n\n<h3 id=\"h-it-reduces-discomfort\" class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"It_Reduces_Discomfort\"><\/span>Reduce las molestias<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">El cat\u00e9ter PICC reduce las molestias causadas por los pinchazos repetidos con agujas en las v\u00edas intravenosas convencionales y puede administrar diversos tipos de fluidos intravenosos para el TPN, lo que podr\u00eda no ser posible a trav\u00e9s de las v\u00edas intravenosas regulares.<\/p>\n\n\n\n<h3 id=\"h-it-can-be-cost-effective\" class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"It_Can_Be_Cost-Effective\"><\/span><strong>Puede ser rentable<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Los cat\u00e9teres PICC se utilizan ampliamente para la terapia intravenosa a largo plazo y pueden ser una opci\u00f3n rentable en ciertas situaciones. Sin embargo, al igual que otros cat\u00e9teres venosos centrales, los cat\u00e9teres PICC conllevan riesgos como infecci\u00f3n del torrente sangu\u00edneo y trombosis, y sus riesgos y costos var\u00edan seg\u00fan el paciente, el tipo de acceso vascular y la duraci\u00f3n del tratamiento.<\/p>\n\n\n\n<h2 id=\"h-how-is-tpn-given-through-the-picc-line\" class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_Is_TPN_Given_Through_the_PICC_Line\"><\/span>\u00bfC\u00f3mo se administra TPN a trav\u00e9s de la l\u00ednea PICC?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Para administrar la infusi\u00f3n de TPN a trav\u00e9s de un cat\u00e9ter PICC, el m\u00e9dico que realiza la solicitud se encargar\u00e1 de que se inserte el cat\u00e9ter PICC.<\/p>\n\n\n\n<h3 id=\"h-picc-line-placement-procedure\" class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"PICC_Line_Placement_Procedure\"><\/span>Procedimiento de colocaci\u00f3n de la v\u00eda PICC<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright\"><img decoding=\"async\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/tpn-solution.jpg\" alt=\"Soluci\u00f3n TPN colgando de un soporte\" class=\"wp-image-24056\"\/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">La colocaci\u00f3n de un cat\u00e9ter PICC suele durar entre 30 y 60 minutos y se realiza en una sala de procedimientos u otro entorno cl\u00ednico adecuado. La ecograf\u00eda se utiliza habitualmente para guiar la inserci\u00f3n, y se pueden emplear t\u00e9cnicas de imagen u otros m\u00e9todos para confirmar la posici\u00f3n de la punta del cat\u00e9ter.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Para colocar un cat\u00e9ter PICC, un profesional sanitario capacitado suele realizar los siguientes pasos:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Limpie la zona de inserci\u00f3n e inyecte el anest\u00e9sico local, como la lidoca\u00edna 1%, en el punto de inserci\u00f3n seleccionado. El anest\u00e9sico local reduce el posible dolor y las molestias durante el procedimiento.\u00a0<\/li>\n\n\n\n<li>Una vez que el anest\u00e9sico haga efecto, se insertar\u00e1 una aguja intravenosa especial en la vena seleccionada.\u00a0<\/li>\n\n\n\n<li>El cat\u00e9ter PICC se introduce con cuidado a trav\u00e9s de la aguja, en los principales vasos sangu\u00edneos, y se avanza hacia el coraz\u00f3n.\u00a0<\/li>\n\n\n\n<li>Se puede utilizar un ec\u00f3grafo para seguir la punta del cat\u00e9ter hasta que alcance la posici\u00f3n correcta en la vena cava superior.<\/li>\n\n\n\n<li>Se realizar\u00e1 una radiograf\u00eda de t\u00f3rax para garantizar que la l\u00ednea PICC est\u00e9 correctamente posicionada.\u00a0<\/li>\n\n\n\n<li>Una vez confirmada la posici\u00f3n de la v\u00eda mediante una radiograf\u00eda, la v\u00eda PICC se fijar\u00e1 con un ap\u00f3sito especial. En ocasiones, las v\u00edas PICC se fijan con puntos de sutura.\u00a0<\/li>\n\n\n\n<li>Un cat\u00e9ter PICC puede tener uno, dos o tres l\u00famenes, que son peque\u00f1os tubos que parten del sitio de inserci\u00f3n. Estos l\u00famenes\/tubos son canales separados dentro del cat\u00e9ter. Seg\u00fan el tratamiento prescrito, se puede usar uno o m\u00e1s l\u00famenes para administrar TPN y otros medicamentos o fluidos. Un lumen puede reservarse para extracciones de sangre.<\/li>\n<\/ul>\n\n\n\n<h3 id=\"h-infusion-of-tpn-through-picc-line\" class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Infusion_of_TPN_Through_PICC_Line\"><\/span>Infusi\u00f3n de TPN a trav\u00e9s de la l\u00ednea PICC<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Una vez completada con \u00e9xito la inserci\u00f3n, el equipo de farmacia recibir\u00e1 las \u00f3rdenes para comenzar la infusi\u00f3n de TPN. Para saber c\u00f3mo iniciar el proceso de infusi\u00f3n de TPN, lea nuestro art\u00edculo.<strong>:<\/strong><a href=\"https:\/\/ameripharmaspecialty.com\/es\/tpn\/solucion-tpn\/guia-tpn-paso-a-paso\/\"><strong> Gu\u00eda completa paso a paso para la administraci\u00f3n del TPN<\/strong><\/a>.<\/p>\n\n\n\n<div  id=\"call-to-action-a137f1d2f7bd16020b222132a9e4ab86\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tPregunte por TPN Infusi\u00f3n en casa\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"#form\">Programar una consulta<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h2 id=\"h-how-do-you-care-for-and-maintain-your-picc-line-after-the-tpn-infusion\" class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_Do_You_Care_for_and_Maintain_Your_PICC_Line_After_the_TPN_Infusion\"><\/span>\u00bfC\u00f3mo cuidar y mantener su l\u00ednea PICC despu\u00e9s de la infusi\u00f3n TPN?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400;\">El nuevo cat\u00e9ter PICC requiere cuidados diarios, incluso cuando no se administra el TPN. Siga siempre las instrucciones de su equipo m\u00e9dico para mantener el buen funcionamiento del cat\u00e9ter y reducir el riesgo de infecci\u00f3n y otras complicaciones.<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Despu\u00e9s de la infusi\u00f3n de TPN, enjuague y selle siempre la v\u00eda PICC con soluci\u00f3n salina. Algunas v\u00edas PICC tambi\u00e9n requieren soluci\u00f3n de heparina. Su m\u00e9dico o enfermero le indicar\u00e1 c\u00f3mo limpiar y enjuagar la v\u00eda para prevenir obstrucciones.\u00a0<\/li>\n\n\n\n<li>Revise diariamente la zona de inserci\u00f3n para detectar signos de infecci\u00f3n, inflamaci\u00f3n o enrojecimiento. Si observa enrojecimiento o siente dolor en la zona de inserci\u00f3n, consulte a su profesional de la salud de inmediato.\u00a0<\/li>\n\n\n\n<li>Evite levantar pesos pesados ya que hacerlo puede afectar su l\u00ednea.<\/li>\n\n\n\n<li>No utilice el brazo afectado para controlar la presi\u00f3n arterial.<\/li>\n\n\n\n<li>Cuando te duches, cubre tu cat\u00e9ter PICC con film transparente o una venda impermeable.<\/li>\n\n\n\n<li>No cambie usted mismo el ap\u00f3sito de su cat\u00e9ter PICC. Lo ideal es que un profesional sanitario capacitado realice el cambio de ap\u00f3sito del cat\u00e9ter PICC al menos una vez por semana y seg\u00fan sea necesario si el ap\u00f3sito se ensucia o se presentan complicaciones.\u00a0<\/li>\n<\/ul>\n\n\n\n<h3 id=\"h-are-there-any-risks-associated-with-tpn-given-through-a-picc-line\" class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Are_There_Any_Risks_Associated_With_TPN_Given_Through_a_PICC_Line\"><\/span>\u00bfExisten riesgos asociados con la administraci\u00f3n de TPN a trav\u00e9s de una v\u00eda PICC?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">No se asocian riesgos particulares a la administraci\u00f3n de TPN a trav\u00e9s de un cat\u00e9ter PICC en comparaci\u00f3n con otras v\u00edas de administraci\u00f3n, siempre que el cat\u00e9ter est\u00e9 bien fijado y mantenido. Sin embargo, el cat\u00e9ter PICC puede obstruirse con medicamentos o co\u00e1gulos sangu\u00edneos si no se limpia adecuadamente despu\u00e9s de la infusi\u00f3n de TPN.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Si la l\u00ednea se obstruye, el l\u00edquido TPN podr\u00eda no fluir correctamente. Esto se evidencia cuando la v\u00eda PICC no se limpia adecuadamente, se bloquea o cuando se activan alarmas frecuentes de la bomba de infusi\u00f3n. El personal de enfermer\u00eda de infusi\u00f3n revisar\u00e1 la v\u00eda PICC. En ocasiones, se requiere medicaci\u00f3n para disolver un co\u00e1gulo sangu\u00edneo y restablecer la permeabilidad de la v\u00eda PICC. Seg\u00fan la causa y la gravedad del problema, podr\u00eda ser necesario retirar la v\u00eda PICC y, si se requiere acceso venoso central continuo, reemplazarla por un cat\u00e9ter nuevo.<\/p>\n\n\n\n<h2 id=\"h-when-to-consult-your-healthcare-provider\" class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"When_To_Consult_Your_Healthcare_Provider\"><\/span>Cu\u00e1ndo consultar a su proveedor de atenci\u00f3n m\u00e9dica<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400;\">Consulte a su proveedor de atenci\u00f3n m\u00e9dica inmediatamente si:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tiene fiebre alta o experimenta dificultad para respirar, picaz\u00f3n o mareos.<\/li>\n\n\n\n<li>Su l\u00ednea no se descarga o est\u00e1 bloqueada.<\/li>\n\n\n\n<li>Su l\u00ednea PICC tiene una fuga.<\/li>\n\n\n\n<li>Tiene sangrado en el sitio de la v\u00eda PICC.<\/li>\n\n\n\n<li>Su l\u00ednea PICC se sale accidentalmente.<\/li>\n\n\n\n<li>El ap\u00f3sito de la v\u00eda PICC se afloja o se ensucia.<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Si se espera que su terapia con TPN (nutrici\u00f3n parenteral total) dure varias semanas, por ejemplo entre 2 y 6 semanas, probablemente le colocar\u00e1n una v\u00eda PICC en lugar de una v\u00eda intravenosa normal.\u00a0<\/p>","protected":false},"author":36,"featured_media":25934,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[12],"tags":[55],"class_list":["post-26013","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tpn","tag-neil-marshall"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.6 (Yoast SEO v28.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ 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terapia de infusi\u00f3n. Est\u00e1 certificado en cuidados de infusi\u00f3n por la Sociedad de Enfermeros de Infusi\u00f3n y se especializa en tratamientos intravenosos, incluyendo terapia nutricional, inmunoterapia y f\u00e1rmacos biol\u00f3gicos. Es experto en el manejo de v\u00edas centrales, cat\u00e9teres PICC y puertos implantados, con un fuerte enfoque en la seguridad y la educaci\u00f3n del paciente. Pacientes y estudiantes lo conocen como el Dr. Neil, ya que posee doble licencia como acupunturista y un Doctorado en Acupuntura y Medicina China. Actualmente imparte clases a futuros profesionales en una Universidad de Medicina China en Los \u00c1ngeles. Como m\u00e9dico de cabecera en California, ofrece orientaci\u00f3n sobre nutrici\u00f3n y cuestiones relacionadas con la dieta. El Dr. Neil fue miembro del Comit\u00e9 de Seguridad de ASPEN para el desarrollo de est\u00e1ndares y directrices para la nutrici\u00f3n parenteral. Originario del Medio Oeste, el Dr. Neil reside actualmente en California. Fuera del trabajo, le gusta pasar tiempo con familiares y amigos y hacer jabones artesanales.","url":"https:\/\/ameripharmaspecialty.com\/es\/author\/neil-marshall\/"}]}},"uagb_featured_image_src":{"full":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1.jpg",1280,853,false],"thumbnail":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-150x150.jpg",150,150,true],"medium":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-300x200.jpg",300,200,true],"medium_large":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-768x512.jpg",768,512,true],"large":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-1024x682.jpg",1024,682,true],"1536x1536":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1.jpg",1280,853,false],"2048x2048":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1.jpg",1280,853,false],"trp-custom-language-flag":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1.jpg",18,12,false],"block-image-html-large":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-600x400.jpg",600,400,true],"ct-gallery":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-330x220.jpg",330,220,true],"ct-section-header":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-1146x380.jpg",1146,380,true],"ct-thumb":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-86x57.jpg",86,57,true],"ct-thumb-large":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-167x111.jpg",167,111,true],"ct-small":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-280x187.jpg",280,187,true],"ct-medium":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-370x247.jpg",370,247,true],"ct-xmedium":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-960x640.jpg",960,640,true],"ct-large":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1.jpg",1280,853,false]},"uagb_author_info":{"display_name":"Neil Marshall, DACM, BSN, LAc, RN, CRNI, NCCAOM\u00ae","author_link":"https:\/\/ameripharmaspecialty.com\/es\/author\/neil-marshall\/"},"uagb_comment_info":0,"uagb_excerpt":"If your TPN (total parenteral nutrition) therapy is expected to last up to several weeks, such as for 2 to 6 weeks, you will likely get a PICC line placed instead of a regular IV line.\u00a0","rttpg_featured_image_url":{"full":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1.jpg",1280,853,false],"landscape":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1.jpg",1280,853,false],"portraits":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1.jpg",1280,853,false],"thumbnail":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-150x150.jpg",150,150,true],"medium":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-300x200.jpg",300,200,true],"large":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-1024x682.jpg",1024,682,true],"1536x1536":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1.jpg",1280,853,false],"2048x2048":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1.jpg",1280,853,false],"trp-custom-language-flag":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1.jpg",18,12,false],"block-image-html-large":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-600x400.jpg",600,400,true],"ct-gallery":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-330x220.jpg",330,220,true],"ct-section-header":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-1146x380.jpg",1146,380,true],"ct-thumb":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-86x57.jpg",86,57,true],"ct-thumb-large":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-167x111.jpg",167,111,true],"ct-small":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-280x187.jpg",280,187,true],"ct-medium":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-370x247.jpg",370,247,true],"ct-xmedium":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1-960x640.jpg",960,640,true],"ct-large":["https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/04\/picc-line-1.jpg",1280,853,false]},"rttpg_author":{"display_name":"Neil 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line.\u00a0","_links":{"self":[{"href":"https:\/\/ameripharmaspecialty.com\/es\/wp-json\/wp\/v2\/posts\/26013","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ameripharmaspecialty.com\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ameripharmaspecialty.com\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ameripharmaspecialty.com\/es\/wp-json\/wp\/v2\/users\/36"}],"replies":[{"embeddable":true,"href":"https:\/\/ameripharmaspecialty.com\/es\/wp-json\/wp\/v2\/comments?post=26013"}],"version-history":[{"count":1,"href":"https:\/\/ameripharmaspecialty.com\/es\/wp-json\/wp\/v2\/posts\/26013\/revisions"}],"predecessor-version":[{"id":29509,"href":"https:\/\/ameripharmaspecialty.com\/es\/wp-json\/wp\/v2\/posts\/26013\/revisions\/29509"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ameripharmaspecialty.com\/es\/wp-json\/wp\/v2\/media\/25934"}],"wp:attachment":[{"href":"https:\/\/ameripharmaspecialty.com\/es\/wp-json\/wp\/v2\/media?parent=26013"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ameripharmaspecialty.com\/es\/wp-json\/wp\/v2\/categories?post=26013"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ameripharmaspecialty.com\/es\/wp-json\/wp\/v2\/tags?post=26013"}],"curies":[{"name":"gracias","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}