Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NURS 366 > Central Lines and Flushes > Flashcards

Central Lines and Flushes Flashcards

1
Q

What kind of flushes can be used in peripheral IVs?

A

saline only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Where are peripheral IVs inserted and where are Central Venous Catheters inserted?

A

Peripheral IV: small peripheral veins
Central Venous Catheter: large central vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Why inserts Central Venous Catheters?

A

specially trained staff and surgeons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Where does a central venous catheter line end?

A

Near the superior vena cava

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When would you use a clean dressing change vs a sterile dressing change for IVs?

A

clean: peripheral IVs
sterile: central venous catheter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Why is a femoral central line not ideal?

A

higher risk of infection (through voiding)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does PICC stand for?

A

peripherally inserted central catheter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Types of CVCs

A

PICC, Tunneled, Non-tunneled, Implanted Port

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which veins can a CVC be placed into?

A

internal jugular (preferred site), subclavian, femoral (least favorable)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Why would a CVC be placed?

A

long term use for IV fluids, medication (antibiotics, chemotherapy), frequent blood draws, and nutrition (total parenteral nutrition)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How is placement of a CVC verified?

A

ultrasound may be used or radiology will verify the placement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How long are tunneled catheters placed for?

A

months to years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How is a tunneled CVC placed?

A

IV CVC enters the skin in one place and the vein in another

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is usually present on the catheter just under the skin on a tunneled CVC in order to prevent infection?

A

a cuff

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How is a tunneled catheter secured?

A

with sutures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Three types of tunneled catheters

A

Hickman, Groshong, Broviac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Why are CVCs flushed with either heparin or saline when not in use?

A

to maintain patency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Before the use of a CVC, what type of flush should be done?

A

saline only

19
Q

What is used to routine flush CVCs when not in use?

A

typically saline followed by heparin

20
Q

How often does CVC dressing need to be changed?

A

every 5-7 days

21
Q

What does the frequency of a CVC dressing change depend on?

A

hospital policy, type of dressing, and integrity of dressing

22
Q

What does CLABSI stand for?

A

Central line associated bloodstream infection

23
Q

What are the potential complications of all CVCs?

A

Infection, Air embolism, Thrombosis, Fibrin Sheath

24
Q

Who can place a PICC line?

A

specially trained nurses, physicians, or interventional radiologists

25
Q

Where are PICC lines placed?

A

on arm or umbilicus (for infants)

26
Q

How are PICC lines placed?

A

can be placed with local anesthesia only, but sedation is used for children

27
Q

Who can a PICC line be placed on? For how long?

A

infants to adults for days, weeks, or months

28
Q

When does an implanted port get placed?

A

In the OR

29
Q

How long can implanted ports be used?

A

2+ years

30
Q

How often does an implanted port require access with saline followed by heparin flush?

A

monthly

31
Q

How is an implanted port accessed?

A

non-coring (huber) needle

32
Q

Where are Broviac, Hickman, Hohn, and Groshong CVCs placed?

A

generally on chest, but can be placed on legs of infants or for people that have had a history of multiple line placements

33
Q

Where are implanted ports usually placed?

A

on the chest

34
Q

Where are green curos caps and tips placed?

A

the needless adaptor of central line lumens not in active use, CVC IV tubing side ports, placed on peripheral access as well when IV tubing is temporarily disconnected

35
Q

How often should a PIV be flushed with saline?

A

1-2 times a shift when saline is not in use

36
Q

If a PIV is not in use, what is important to do?

A

clamp the line

37
Q

When would a NS flush be done on CVCs?

A

before starting continuous IV infusion, before and after intermittent IV medications, to cap when ending continuous infusion, twice daily to maintain patency when not in use

38
Q

How long should a hub be scrubbed?

A

15 seconds

39
Q

Why is it important to always use a 10 mL syringe on a CVC flush?

A

A smaller syringe will create too much pressure and the line may rupture

40
Q

What method is used to clear the line of a CVC when doing a saline flush?

A

pump (pulsatile) or stop/go method

41
Q

Why is the Stop/go method the best method to use when flushing CVC lines?

A

it creates the best turbulence for clearing the line

42
Q

Should heparin be used on a CVC line when there is continuous infusion of medication?

A

no

43
Q

Heparin flush concentration for children >12 months and adults vs concentration for children <12 months

A

100:1 vs 10:1

44
Q

Should an implanted port or a CVC (i.e. Broviac, Hickman, PICC) receive a higher heparin solution flush?

A

implanted port (5 mL vs 3 mL)

NURS 366 (29 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions