CVC

Question 1

What is involved in a focused assessment of a CVC?

Answer 1

Site condition, redness, swelling, drainage, clamps if present, line condition, external segment length, CXR to determine appropriate placement.

Question 2

If IV tubing came apart at the CVAD catheter and the clamps were open… what would you do?

Answer 2

Clamp, call for help, left trendelenburg, O2, VS

Question 3

If collecting a blood sample from a CVC for a R and M how can we collect this? For a C and S?

Answer 3

Through the MaxZero cap. Directly from the hub.

Question 4

How often are we changing the CVC caps?

Answer 4

Every 7 days, PRN and after blood draws.

Question 5

In what instances would we hep lock CVCs?

Answer 5

If the CVC is non-valved and not in use.

Question 6

How many mL are we flushing a CVC with? Post blood draw? How often are we flushing CVCs?

Answer 6

10-20. 20. After every medication and q 24 h if not in use.

Question 7

What things are important to monitor if your patient has a CVC?

Answer 7

Air embolus, CXR, external segment, and site.

Question 8

How often do we flush PICCs in use? Not in use?

Answer 8

After every medication. q 7 days.