CVC Flashcards
1
Q
Preferred CVC location
A
RIJ
2
Q
Most direct route to RV
A
RIJ
3
Q
CVC which requires transversing innominate vein
A
LIJ
4
Q
Highest risk of arterial puncture
A
Femoral
5
Q
Location of Femoral CVC
A
Below inguinal ligament medial to femoral artery
6
Q
Indications for CVC
A
CVP monitoring PA monitoring transvenous pacing Temporary hemodialysis Rx admin Rapid infusion of fluids Aspiration of air emboli inadequate PIV repeated blood testing
7
Q
CVC Complications
A
Mechanical -vascular injury (venous, arterial, cardiac tamponade) -resp compromise (airway compression from hematoma), pneumothorax -nerve injury -arrythmias Thromboembolic -arterial/venous thrombosis -PE -catheter/guidewire embolism Infxn (site/blood/endocarditis) Misinterpretation of data Misuse of equipment
8
Q
PA catheter assess what?
A
LV fxn
9
Q
Thermodilution
A
Measures cardiac output
10
Q
Complications of PAC
A
Catheterization (arrhythmia, VF, RBBB, complete HB)
Catheter Residence (mechanical, catheter knots, thromboembolism, pulm infarct, infxn, endocarditis, Endocardial damage, cardiac valve injury, PA rupture, PA pseudoaneurysm)
misinterp of data
misuse of equip
