The use of heparin versus saline to maintain the patency of peripheral intraveno

Question

The use of heparin versus saline to maintain the patency of peripheral intravenous catheters has been addressed in research for many years. The American Society of Health System Pharmacists (ASHSP) published a position paper in January 2006 advocating its support of the use of 0.9% saline in the maintenance of peripheral catheters in nonpregnant adults. It seems surprising that this position paper references articles that advocate the use of saline over heparin dating from 1991. What do you believe are some of the barriers that would have caused this delay in implementation?

Explanation / Answer

Normal saline can be used over heparin to maintain the patency of peripheral intravenous catheters. The results were published in the year 1991 but got accepted by the association of pharmacists only in the year 2006. The barriers for this delay in implementation could be the following,

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