Central Venous Catheter Care Flashcards
4 reasons a patient may need a CVC
TPN, chemotherapy, longterm antibiotic use, loss of peripheral access
What determines whether a line is peripheral or central?
the location of the tip of the catheter (NOT the insertion site)
Veins used for non-tunneled CVC (“deep lines”)
Subclavian (SC), internal jugular (IJ)
3 Types of tunneled CVCs
Hickman, Groshong, and Broviac
Two other names for implanted ports
“Portacaths” and “PowerPorts”
Location of tip of peripherally-inserted central catheter
Right atrium or superior vena cava
A CLABSI is defined as:
A pathogen is recovered from a blood culture in a patient who had a central line at the time of infection or within 48 hours before symptoms developed &
the infection is not related to an infection from another site
Central Line-Associated Blood Stream Infection (CLABSI)
TRUE or FALSE: The RN may run 3 incompatible drugs through a triple lumen deep line.
TRUE
What is a risk of placing deep line in subclavian
pneumothorax
The ____________ prevents atmospheric air from entering the large vessel during the removal of a non-tunneled CVC.
Valsalva Maneuver
Advantage of a tunneled CVC
No needle sticks required
Disadvantage of a tunneled CVC
Prolonged break in skin integrity
Who removes a tunneled CVC?
the HCP
The needle used to access an implanted port is called
a non-coring (‘Huber’) needle
Primary complication of implanted port
Catheter occlusion
