indwelling catheters Flashcards

1
Q
  • healthcare devices inserted in a body cavity, vessel, or organ for a prolonged time to enable administration of medication, fluids, or to aid withdrawal of body fluids.
  • are normally left in position for longer than a day and are of different designs and uses.
A

Indwelling catheters

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2
Q

TYPES OF INDWELLING CATHETERS

A

urinary catheters
central venous catheters (cvcs)
peripherally inserted central catheters (picc)

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3
Q

Inserted into the bladder to drain urine and often used in patients who are unable to urinate independently. Foley, Suprapubic

A

urinary catheter

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4
Q

Inserted into a central vein (like the jugular or subclavian) for medication and fluid administration, blood sampling, or hemodialysis.

A

central venous catheters (cvcs)

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5
Q

type of CVC inserted into a peripheral vein and advanced to the central veins for prolonged access.

A

peripherally inserted central catheters (picc)

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6
Q

leaking urine or being unable to control when u urinate

A

urinary incontinence

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7
Q

being unable to empty your bladder when u need to

A

urinary retention

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8
Q

catheters come in many sizes, mateials

A

latex
silicone
teflone

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9
Q

catheters types

A

straight
coude tip

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10
Q

common type of indwelling catheter. has a soft, plastic or rubber tube that is inserted into the bladder to drain the urine

A

foley catheter

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11
Q

3 main types of catheters

A

indwelling catheter
condom catheter
intermittent self-catheter

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12
Q
  • immensely significant medical devices that can be applied in the management of numerous conditions, such as chronic and critical diseases
  • Such catheters are inserted into large, significant veins in the body, ensuring constant vascular access, and can be employed for multiple reasons, such as giving medication or fluids, drawing blood samples, or checking blood pressure
A

central venous catheters

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13
Q

types of venous catheters

A

tunneled catheters
non-tunneled catheters

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14
Q

why small catheter

A
  • minimizing trauma
  • decreased risk of complications
  • vein preservations and appropriate functionality
  • ease of insertion and management
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15
Q
  • central venous catheter that is inserted subcutaneously
  • this type of catheter has an entry site and an exit site
  • are a length of thin, long tubing.
  • have a single lumen, or channel, through which fluids such as blood and drugs can pass, or multiple lumens.
  • typically have a cuff, a small antimicrobial device located at the site of entry that is used to keep the catheter in place and prevent infection
  • enable them to pass beneath the skin and into the venous system.
  • usually intended for long-term use of at least a few weeks, up to several months or more, and can be used for a range of purposes, such as delivery of antibiotics or chemotherapy drugs.
A

TUNNELED CATHETER

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16
Q
  • simply inserted into the vein, not going underneath the skin. These catheters do not have exit sites, only entry sites.
  • narrow section of tubing that can accommodate the passage of drugs and fluids. They can have one or more lumens for the transfer of various fluids, and they can have some attachments at the tip, but are otherwise less complex in design compared to tunneled catheters.
  • less difficult to insert overall and are intended for use over the short
    term.
  • beneficial for giving a patient temporary access to specific fluids through routine IV therapy, or for conducting tests and examinations of the patient’s blood pressure and cardiovascular functions.
A

NON-TUNNELED CATHETER

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17
Q

have to be tunneled through a space under the skin and have both entry and exit sites

A

tunneled

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18
Q

pass straight into t he vein without any tunneling

A

non-tunneled

19
Q

presence of a cuff, near the entry site

20
Q

usually be chosen for standard IV therapy and short-term procedures

A

non-tunneled

21
Q

used for treating long-term illnesses

22
Q

aimed for short-term or temporary use

A

non-tunneled

23
Q

designed t o be used for a minimum of two week s and may even be left in place for months at a time

24
Q
  • devices used for long-term access to the venous system, particularly for patients who require frequent or continuous intravenous (IV) therapy
  • designed to be accessed through the skin, allowing for medication administration, fluid therapy, or blood sampling without the need for repeated venipuncture.
A

IMPLANTABLE PORTS

25
2 common types of implantable ports
Porth-a-Cath Medport
26
implanted system that provides access to your veins. This enables you to receive intravenous medication and have blood tests drawn
PORTACATH
27
common name of a portacath is
Totally Implantable Venous Access Device (TIVAD)
28
best for individuals who require ongoing, long-term intravenous therapy like chemotherapy.
PORTS
29
- placed into a peripheral vein, usually of the arm, and is carried until the catheter tip sits in one of the central veins - utilized for long-term intravenous access and form an essential part of different medical therapies. - minimizing the risks of conventional central line insertions - favored option in most clinical practices, especially in oncology, critical care, and long-term therapy management
PERIPHERALLY INSERTED CENTRAL CATHETER (PICC)
30
INDICATIONS FOR CATHETER PLACEMENTS
1. Short-term or long-term medication administration 2. Monitoring of fluid status 3. Drainage of excess fluids 4. Nutritional Support 5. Hemodynamic Monitoring
31
CONTRAINDICATIONS FOR CATHETER PLACEMENTS
1. Infection at the Insertion Site 2. Coagulation Disorders 3. Allergy to Catheter Materials 4. Anatomical Abnormalities 5. Infection or Inflammation at Other Sites 6. Previous Catheter-Related Complications 7. Poor Skin Integrity
32
can occur at the insertion site or systemically, leading to serious complications.
INFECTION
33
Blood clots can form around or inside the catheter, leading to reduced blood flow and potential complications.
THROMBOSIS
34
complications can arise from improper technique during insertion, leading to different mechanical issues.
MECHANICAL COMPLICATIONS
35
occur when pathogens enter the bloodstream via the catheter, leading to serious systemic infections.
CATHETER-RELATED BLOODSTREAM INFECTIONS (CRBSI)
36
most important aspects of catheter management and maintenance
regular assessments cleaning flushing policies patient education on care
37
Check the insertion site at least once per shift (or more frequently as needed) for signs of infection, inflammation, or catheter-related complications. Look for redness, swelling, discharge, or pain
SITE INSPECTION
38
Assess for patency and flow issues. If resistance is encountered during flushing or if blood return is absent, further evaluation is necessary
CATHETER FUNCTIONALITY
39
Regularly monitor the patient's vital signs and symptoms that could indicate complications (e.g., fever, chills, increased heart rate)
PATIENT MONITORING
40
Maintain detailed records of assessments to track changes and inform the healthcare team for continuity of care.
DOCUMENTATION
41
CLEANING AND FLUSHING
hand hygiene aseptic technique avoiding clots
42
care instructions
* Keeping the site dry and clean. * Changing dressing instructions. * The need to keep the area clean.
43
signs of infection
* Redness,swelling, or warmth at the site that is more than usual. * Discharge at the insertion site. * Fever or chills. * Pain or discomfort.
44
regular assessment
site inspection catheter functionality patient monitoring documentation