The parent of an 8 year-old female with chronic parenteral nutrition dependence secondary to chronic intestinal pseudo-obstruction calls with leaking at right upper extremity peripherally inserted central catheter (PICC) within 2 hours of nightly infusion.
What is the first thing to recommend to family?
A. Reassurance and consider scheduling outpatient PICC re-wiring in 1-2 months.
B. Clamp PICC proximal fracture and refer to emergency department.
C. Schedule outpatient appointment for PICC repair.
D. Call visiting nurse service to pull out PICC at home.
E. Check blood cultures and prescribe broad spectrum IV antibiotics.
