handouts and in class info Flashcards
when is it likely that central line will be used instead of peripheral IV
- freq accss
- high volume meds
- irritant meds
- TPN
- blood sampling
- ultiple meds at once
what type of soln to use with electrolyte imbalance
hypotonic to dilute the lytes (i think this would depend)
antidote to heparin
protamine sulfate
you find pt with PICC that isnt length it should be what do
stabilize it with tape stop infusion call dr lie in trendelenburg xray
when to document IV fluid balance
• Document when you change the bag, when you’re totalling at either 12 or 24 hours
when to give med IV direct
• Give iv direct: if must give more than one med at same time, if incompatible, if in septic shock, for speed
if pt in fluid overload what do (v briefly)
slow to KVO, inc HOB, vitals-chest, start on 2l oxygen, report, diuretic
what is midline catheter
peripheral infusion device (combo of picc and peripheral kind of
where do midline catheters terminate and how long are they
cephalic, basilic or brachial vein distal to shoulder
they are 8-10cm long
benefit of using midline
dec risk of septicemia, arrythmias etc from insertion of CVC
less invasive than PICC
can use for more irritating meds than periph IV
t or f drsg and cap change procedure is same for midline as PICC
true
except we dont do the drsgs its some specialist
how many lumens does midline have
1 unlike a picc
use heparin for midline? how to flush
no just 10ml ns q8h
can you put TPN through a midline catheter
no
pt has phlebitis and IV has been removed. warm or cool?
warm
