Central Venous Devices

Question 1

PICC LINES
____ infection rates
____complications
can be inserted where?
Duration?
Dressing changes?
Do not ____

Answer 1

Lower infection rates
Fewer complications
At bedside rather than OR
Weeks or months
Weekly, or whenever loose/soiled
Do not submerge in water- no baths

Question 2

PORTS
usually for ____
can be used ________
___infection risk
lower ______
Must be ___ routinely, ___weeks
Shower/bath are usually _____

Answer 2

chemo
intermittently
lower
maintenance
flushed, q4 weeks
permitted

Question 3

When does a dextrose infusion require a CVC?

Answer 3

More than D12.5

Question 4

CVCs are used when a patient needs ___ or other IV infusions for longer than ___ days

Answer 4

TPN
10 days

Question 5

What is administered through a CVAD to prevent clotting/catheter occlusion between uses?

Answer 5

Heparin

Question 6

What is the primary risk during a CVAD insertion?

Answer 6

Pneumothorax

Question 7

What is used to confirm CVAD placement before use?

Answer 7

X-ray

Question 8

Describe the flush technique for CVADs

Answer 8

use 10 mL NS or larger

Pause, flush technique

Question 9

CVAD Removal
-pt lying ___ or _________
Withdraw while pt performs _______
Immediately _______
Check to make sure _______
Document!

Answer 9

Lying flat or slightly elevated
Valsalva maneuver
immediately apply pressure
Catheter tip is intact

Question 10

MIDLINE CATHETER
-___-___inches long
-____ or ____ lumen
-Use and care similar to ____
-Can stay in place for ______
-usually ___ infuse more than D10 or vesicants

Answer 10

3-8 inches
single or double lumen
PICC
Up to 4 weeks
Cannot

Question 11

What is the priority nursing diagnosis regarding CVAs?

Answer 11

Risk for infection r/t altered skin integrity aeb indwelling central venous access device