CVAD

Question 1

What is CVAD?

Answer 1

Intravenous catheter
Infusion Port

Question 2

Designed to administer medications, nutrients, blood products and other viscous fluids through central vein.

Answer 2

CVAD

Question 3

DISTAL CVAD

Answer 3

blood draw, blood infusions, meds and CVP

Question 4

Proximal CVAD

Answer 4

IV fluids. Meds, blood draw

Question 5

Medial CVAD

Answer 5

TPN

Question 6

Inserted into large veins in central circulation with catheter tip ending in??

Answer 6

Superior Vena Cava

Question 7

Indications for CVAD

Answer 7

Question 8

What is the schedule care and how?

Answer 8

Every 7 days or as needed

Question 9

CVAD INSERTION PRE AND POST PROTOCOLS

Answer 9

Question 10

Types of CVAD

Answer 10

Non tunneled
Tunneled
Port A Cath

Question 11

Cardiac Circulation

Answer 11

Question 12

Central Venous Catheter Sites

Answer 12

PICC Peripherally Inserted Central Catheter
Implanted Port (1 or 2 lumen)
Percutaneous (subclavian)
Percutaneous (jugular)
Tunnelled (hickman)

Question 13

Inserted directed to subclavian and most common
Jugular, femoral or peripheral vein

Answer 13

Non tunneled

Question 14

Acute or moderate term usev6 weeks

Answer 14

Non tunneled

Question 15

Has higher infection rate and nurse can discontinue

Answer 15

Non tunneled

Question 16

Infusion of blood ,medications, chemotherapy TPN
Infusionbof incompatible medicationsbwith multiple ports

Answer 16

Non tunneled

Question 17

It has a single, double or triple lumen catheters and its secured by sutures outside the insertion site.

Answer 17

Non Tunneled

Question 18

Tends to clot easier

Answer 18

PICC

Question 19

No phlebotomy or blood pressures in affected arm

Answer 19

PICC

Question 20

Located in basilic or cephalic vein, IF perpheral vein can be accessed

Answer 20

PICC

Question 21

Inserted into vein at one location and tunneled under the skin to separate exit site

Answer 21

Tunneled

Question 22

Dacron cuff helps secure to prevent infection

Answer 22

Tunneled

Question 23

It has mutiple ports, located at subclavian vein and can be use for chronic long term greatern thanny weeks

Answer 23

Tunneled

Question 24

Nurse cannot discontinue and must surgically removed bec of dacron cuff

Answer 24

Tunneled

Question 25

Tunneled catheter

Answer 25

Groshong Hickman Broviac

Question 26

Port a cath or infusaport

Answer 26

Implanted port

Question 27

Surgically implanted line below skin, externak, tunneled through jugular subclavian or cephalic basilic vein

Answer 27

Implanted port

Question 28

It is expensive and long term use for months or years

Answer 28

Implanted port

Question 29

Silicone septum sorrounded by titanium stainless steel or plastic

Answer 29

Implanted port

Question 30

It has a single or dual ports uses huber needle to access and use for chemotherapy

Answer 30

Implanted port

Question 31

When do you notify PCP OR PICC TEAM

Answer 31

If signs of infection shows

Question 32

Redness, drainage swelling, discomfort at insertion site. Fever chills tachycardia increased WBC

Answer 32

Infections CLABSI signs/Complications of CVAD

Question 33

If signs and symptoms for complications of CVAD.. what is the nurse interventions?

Answer 33

Aseptic technique Clean injection pan ports with alcohol swab before very access Assessment and documentation Dressing changes as indicated Pt teaching

Question 34

Air in the pleural space outside the lung Abnormal collection of air in the pleural space Collapsed lung

Answer 34

Pneumothorax

Question 35

Nursing ontervention for pneumothorax

Answer 35

Monitor vs Administer oxygen Notify CN Or RRT Prepare for chest tube if indicated

Question 36

Signs and symptoms of Pneomothorax

Answer 36

Dyspnea Hypoxia Tachycardia Restlessness Cyanosis Chest pain Decrease breath sounds

Question 37

Air entering the circulatory system

Answer 37

Air embolism

Question 38

Air embolism S/S

Answer 38

Dyspnea Chest pain Tachycardia Hypotension Anxiety Nausea

Question 39

If air embolism exist what is nurse intervention

Answer 39

Keep lumens clamped Administer oxygen Monitor vs Pulse ox Place pt on left lateral side in tradelenburg position Stay with pt notify Pcp, cn or RRT

Question 40

Lack of blood return or sluggish flow Improper flushing between med

Answer 40

Occlusion

Question 41

Clot that blocks the catheters lumen

Answer 41

Thrombosis

Question 42

May be causrd by excessive force used while flushing

Answer 42

Catheter rupture

Question 43

Displacement or lengthening of a catheter

Answer 43

Catheter Migration

Question 44

Catheter occlusion

Answer 44

Turn head to cough Raise arms overhead Reposition arm on same sude as the catheter Have pt stand up Change position in bed Place in trendelenburg Take a deep breath Administer Alteplase(anticlotting)

Question 45

Cvad protocols

Answer 45

Use 9ml NS to flush syringe

Question 46

When to flush port or lumen

Answer 46

Every shift After every med after every blood draw

Question 47

Dressing change

Answer 47

Dressing 24 hrs post insertion Or every 7 days or prn Max zero caos every 7 days with dressing change and prn

Question 48

Cvad Protocols

Answer 48

Pt in trendelenburg position Xray confirmation Post procedure and vs and assessment Assisst PCP OR PICC team

Question 49

What do you use to lower air embolism during catheter removal

Answer 49

Petroleum based gauze

Question 50

Cvad catheter removal

Answer 50

Drs order Clip sutures Supine position Pt Hold breath and pull line with deliberation Hold pressure 5 mins or until bleeding stop Cover with occlusion dressing leave for 24 hours no shower or bath Remain supine atleast 30 mins document pt teaching

Question 51

CVAD catheter removal PICC line

Answer 51

Same as A - E Cover with occlusive dressing for 48 hrs Must add 4xr folded gauze over occlussive dressing and secure with COBAN WRAP Make sure catheter length of PICC line recorded Remain supine for 30 mins Document and pt ed

Question 52

Documentation catheter removal

Answer 52

Gen assessment Time and date Site condition/appearance Any indicatirs of infection Culture obtained Cathter length Type of cvad Any fluid infusing Concerns/notif who Pt ed