Complex Lines Flashcards
1
Q
Difference between CVC and PVC
A
CVC: tip rests near right atrium or large central vein
2
Q
CVC insertion sites, indications, complications
A
- Subclavian vein
- Longer-term use
- Complications: ptx, thrombosis - Internal/external jugular
- Complications: irritation, occlusion (head movement)
3
Q
PICC insertion site
A
Basilic vein
4
Q
CVC complications
A
- Bleeding
- Infection
- Air embolus
- Thrombus
- Occlusion
- Hypothermia
- Arrhythmia
5
Q
PICC complications
A
- Infection
- Vessel perforation
- Pneumothorax
6
Q
CVC nursing responsibilities
A
- Explain procedure/gain consent
- Patient positioning
- Cardiac monitoring/patient observations
- Secure line
- Dressings
- Monitor for complications
- Site inspection
- Check positioning with CXR
- Label lines
- Documentation
7
Q
Indications for arterial lines
A
Intra-arterial BP monitoring
- Haemodynamically unstable patients
- Vasoactive drugs
- Frequent ABGs
- Hypo/hypertensive
8
Q
Complication of arterial lines
A
- Infection
- Air embolus
- Thrombosis
- Haemorrhage
- Incorrect insertion
