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 primary bloodstream infection that develops in a patient with a central line in place within the 48-hr period before the onset of blood stream infection that is not r/t an infection from another site is called a
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
True or False: The RN may draw blood out of a PICC?
FALSE
2 Advantages of PICC
Less microorganisms on arm
Less insertion complications such as pneumothorax
True or False: The RN may remove a PICC?
TRUE
Describe how the RN will remove a PICC.
Have patient lie or sit down/hold hand below level of heart & bear down while withdrawing - withdraw inch-by-inch, relaxing catheter after each inch; do NOT pull catheter if vein spasms; measure length of catheter.
How often must the access needle be changed for an implanted port with continuous IV fluids?
Weekly
