Caregiver flushes the central venous catheter and they feel an unusual amount resistance to flushing. The catheter has the following appearance (see photo below). They call HPN on-call for advice. What is the first thing you should advise family to do?
A. Offer reassurance if central line is not leaking. This is a normal finding.
B. Refer the family for central line repair.
C. Obtain chest X-ray to assess central line position.
D. Refer to surgery for immediate central line replacement.
E. Flush catheter with extra force