Central lines Flashcards
purpose of central lines
his osmolarity IV therapy, prolonged therapy, frequent blood work and transfusions, pressure monitoring, incompatible meds
high osmolarity therapy percentage requiring central line
more than 10% dextrose, 5% protein electrolytes, TPN, hypertonic solutions
hypertonic solutions
D5 NS
D5 LR
D10 W
D5 1/2 NS
3% NaCl
25% albumin
PICC
peripheral inserted central catheter
- good for up to a year
- can be inserted at bedside or surgically
- X-ray required prior to use
best location site for PICC
basilic
- on upper arm; ulnar side
open picc line
“power picc” “arrow”
- has clamps
closed picc line
“groshong” “power picc solo”
- has valve
- no clamps
locations for central lines
basilic, brachial, cephalic, peripheral, internal jugular, subclavian
- all rest in superior vena cava
non-tunneled central line
short term
- multiple lumens
- highest risk of infection
non-tunneled central line use
urgent and short term
non-tunneled central line insertion
inserted at bedside but require x-ray prior to use
tunneled central line
secured via dacron cuff and fibrous tissues grows into it
- lowest risk of infection
- named as “broviac” or “hickman”
tunneled central line use
long term (1-3 years)
tunneled central line placement
requires surgical placement and removal
IVAD
inserted in the OR and is placed under the skin
- long term (1-3) years
