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CVAD > CVAD > Flashcards

CVAD Flashcards

1
Q

What is CVAD?

A

Intravenous catheter
Infusion Port

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2
Q

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

A

CVAD

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3
Q

DISTAL CVAD

A

blood draw, blood infusions, meds and CVP

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4
Q

Proximal CVAD

A

IV fluids. Meds, blood draw

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5
Q

Medial CVAD

A

TPN

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6
Q

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

A

Superior Vena Cava

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7
Q

Indications for CVAD

A
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8
Q

What is the schedule care and how?

A

Every 7 days or as needed

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9
Q

CVAD INSERTION PRE AND POST PROTOCOLS

A
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10
Q

Types of CVAD

A

Non tunneled
Tunneled
Port A Cath

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11
Q

Cardiac Circulation

A
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12
Q

Central Venous Catheter Sites

A

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

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13
Q

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

A

Non tunneled

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14
Q

Acute or moderate term usev6 weeks

A

Non tunneled

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15
Q

Has higher infection rate and nurse can discontinue

A

Non tunneled

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16
Q

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

A

Non tunneled

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17
Q

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

A

Non Tunneled

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18
Q

Tends to clot easier

A

PICC

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19
Q

No phlebotomy or blood pressures in affected arm

A

PICC

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20
Q

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

A

PICC

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21
Q

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

A

Tunneled

22
Q

Dacron cuff helps secure to prevent infection

A

Tunneled

23
Q

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

A

Tunneled

24
Q

Nurse cannot discontinue and must surgically removed bec of dacron cuff

A

Tunneled

25
Q

Tunneled catheter

A

Groshong
Hickman Broviac

26
Q

Port a cath or infusaport

A

Implanted port

27
Q

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

A

Implanted port

28
Q

It is expensive and long term use for months or years

A

Implanted port

29
Q

Silicone septum sorrounded by titanium stainless steel or plastic

A

Implanted port

30
Q

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

A

Implanted port

31
Q

When do you notify PCP OR PICC TEAM

A

If signs of infection shows

32
Q

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

A

Infections CLABSI signs/Complications of CVAD

33
Q

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

A

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

34
Q

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

A

Pneumothorax

35
Q

Nursing ontervention for pneumothorax

A

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

36
Q

Signs and symptoms of Pneomothorax

A

Dyspnea
Hypoxia
Tachycardia
Restlessness
Cyanosis
Chest pain
Decrease breath sounds

37
Q

Air entering the circulatory system

A

Air embolism

38
Q

Air embolism S/S

A

Dyspnea
Chest pain
Tachycardia
Hypotension
Anxiety
Nausea

39
Q

If air embolism exist what is nurse intervention

A

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

40
Q

Lack of blood return or sluggish flow
Improper flushing between med

A

Occlusion

41
Q

Clot that blocks the catheters lumen

A

Thrombosis

42
Q

May be causrd by excessive force used while flushing

A

Catheter rupture

43
Q

Displacement or lengthening of a catheter

A

Catheter Migration

44
Q

Catheter occlusion

A

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)

45
Q

Cvad protocols

A

Use 9ml NS to flush syringe

46
Q

When to flush port or lumen

A

Every shift
After every med after every blood draw

47
Q

Dressing change

A

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

48
Q

Cvad Protocols

A

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

49
Q

What do you use to lower air embolism during catheter removal

A

Petroleum based gauze

50
Q

Cvad catheter removal

A

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

51
Q

CVAD catheter removal PICC line

A

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

52
Q

Documentation catheter removal

A

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

CVAD (1 decks)

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