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The risk of thrombosis is also higher in patients with obesity, cancer, diabetes, and catheter insertions with two or more attempts.(6) Greater emphasis is now being placed on risk assessment through measurement of the vein's diameter in a natural state, without a tourniquet, to determine catheter–vein ratio prior to catheter insertion.(13) Though facilities prefer larger dual and triple lumen PICCs, affording clinicians more access for medication and fluid administration, these additional lumens increase the risk of infection and larger diameter lumens increase the risk of thrombosis.(14) When patients receive intravenous medications in the home, the use of a single lumen catheter is adequate and serves as a way to reduce risk of both thrombosis and infection
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