CVA Flashcards
Central venous catheter indications
inadequate peripheral venous access
administration of irritant and vasoactive drugs (intrope, chemo, total parental nutrition)
administration of multiple medications, fluids, or blood simultaneously
tranvenous pacing
centralvenous pressure monitoring
extracorporeal therapies(haemodialysis)
lumens ins cvc
have sing or multiple lumens
distal luman
cvp monitoring
2nd most distal lumen
administration of irritant or vasoactive drugs
nursing considerations cvc
be familiar with equipment required and steps involvedduring insertion procedure to be able to assist the doctor
confirm placement before use
monistor and document insertion site for bleeding
cvc sites
internal jugular
subclavian
brachial
femoral
internal jugular advantages
large vessel and easy to locate
low rate of complications
subclavian
large vessel with high folw rate
lowest infection rate
less restrictive for patients
brachial
easy location to acces
predominately used for long term PICC access
femoral
large vessel and easy to access
advantages during resuscitation