Central Lines & Fistulas Flashcards

1
Q

The following may be used if the patient has a systolic BP less than 80 mmHg with no peripheral IV, or the patient is cardiac arrest.

a. Fistula
b. Central line

A

b. central line

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2
Q

What medication CANNOT be administered via central lines?

a. amiodarone
b. benzodiazepines
c. calcium chloride
d. epinephrine

A

b. benzodiazepines

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3
Q

What is the minimum size of syringe necessary to prevent damage to catheter walls when utilizing central lines?

a. 5 mL
b. 10 mL.
c. 20 mL
d. 60 mL

A

b. 10 mL

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4
Q

What volume of blood must be removed and discarded from central lines?

a. 5 mL
b. 10 mL.
c. 20 mL
d. 60 mL

A

a. 5 mL

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5
Q

T/F: some air may remain in the IV tubing/syringes when administering drugs via central line

A

FALSE!!! ALL air must be expelled

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6
Q

What is the ONLY circumstance in which a fistula may be utilized by EMS?

A

When the patient is in cardiac arrest and peripheral IV, IO, or EJ access is unobtainable.

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7
Q

What is the minimum gauge angiocath a fistula must be accessed by?

a. 20 g
b. 16 g
c. 14 g

A

16 g

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8
Q

How is shunt tubing extravasation managed (i.e. if the tube has come out of the fistula)?

A

By direct pressure and transport to the hospital.

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9
Q

What venous access method is “strongly encouraged” over the use of a fistula?

A

IO access

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