Central Venous Lines

Question 1

Central Venous Catheter Indications;

Critically ill patients requiring continuous CVP monitoring (of ? ?)
Infusion of ? substances. ·
? infusion of substances with a very ?therapeutic window

Answer 1

fluid status
irritant
precise
narrow

Question 2

CVC Indications

Long-term access for ? nutrition, ?, or ABx
?.
No other venous access available

Answer 2

parenteral
chemo
haemodialysis

Question 3

Types;

?: tunnelled beneath the skin for stability and to prevent infection, generally at the IJV on the right, however can be either side.

PICC line: ? inserted central catheter, inserted in the arm (? fossa, ? vein) and advanced to the ?.

?: port installed beneath the skin, and connected to a vein by a catheter.

Answer 3

hickman
peripherally
cubital
brachial
SVC
portacath

Question 4

Complications;

?/ arterial ?.
?.
? duct damage.
Air ?.
?.
Catheter-related ?.

Answer 4

haemorrhage
puncture
pneumothorax
thoracic
embolism
thrombosis
sepsis

Question 5

Swan-Ganz Catheter;

? catheter, passed from the ? vein, through the ? side of the
heart into the ? artery to measure ? artery ?.
It can also be advanced to ‘?’ a smaller pulmonary vessel, giving the
pulmonary ? pressures (high pressures indicate ???).

Answer 5

balloon
femoral
right
pulmonary
pulm
pressure
wedge
wedge
LVF

Question 6

Swan-Ganz Indications

Assessment of ? response to therapies (ITU).
Monitoring of complicated ?/post ?surgery.
Diagnosis of high vs. low pressure pulmonary ?.
Diagnosis of idiopathic pulmonary ?/??

Answer 6

haemodynamic
MI
cardiac
oedema
HTN/PE

Question 7

Swan-Ganz Complications;

?.
? trauma.
Pulmonary ?/ pulmonary artery ?

Answer 7

arrhythmias
valve
infarction
rupture

Question 8

Arterial Catheterisation;

Usually inserted into the ? aa in the critically ill, after performing ? test

Indication -
? blood sampling/? analysis.
Continuous ? ? monitoring.

Answer 8

radial
allen's
frequent
ABG
invasive BP

Question 9

Arterial Catheterisation;

Complications;

? ischemia.
?.
?.

Answer 9

digital
haemorrhage
thrombosis

Question 10

Describe the routine care of central venous lines.

Report any signs of ?/?.
Do not get the site ?.
Avoid contact ?.

Answer 10

infection
bleeding
wet
sports