central lines

Question 0

complications of cvl

Answer 0

pneumothorax
hemothorax
arrhythmias
air embolism
intro of infection
vascular puncture or damage
guidewire embolism
cardiac tamponade

Question 1

document what for CVL insertion

Answer 1

pt consent
indications for the porcedure
relevant labs E.G. INR/PTT, platelet count
procedure tech, sterile prep, anesthetic, amt of fluid obtained, character of fluid, ebl
any complications
tests ordered

Question 2

where do yo stop insertion

Answer 2

at the double line

Question 3

what port does the wire come out

Answer 3

brown

Question 4

contraindications

Answer 4

uncooperative pt
uncorrected bleeding diathesis
skin infection over the puncture site
distortion of anatomic landmarks from any reason
pneumothorax or hemothorax on the CONTRALATERAL side
right atrail tumor

Question 5

relative contraindications

Answer 5

PEEP

only one functioning lung

Question 6

indications for CVL

Answer 6

venous access for ivf or abx and piv unavailable or not suitable
cvp measurement
admin of certain chemotherapeutic drugs or tpn, or vasoactive drugs
for hemodialysis or plasmapheresis