Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NRSG 301 lab > Lab 1 CVAD's > Flashcards

Lab 1 CVAD's Flashcards

1
Q

Where is the catheter tip located with a CVAD

A

the lower portion of the distal superior vena cava

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How long can a PICC stay in situ for

A

Up to 1 year but usually only used for 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How long can a non tunneled CVAD stay in for

A

1 week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

how long can a tunneled CVAD stay in for

A

up to 3 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

how long can a IVAD stay in for

A

up to 5 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How often is a PICC drsg changed

A

every 7 days and PRN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

how often is a PICC flushed

A

every 12 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

how do you verify the placement of a PICC

A

chest X-ray

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

If a patient was going to receive treatment that’s expected to last 2-6 months what type of CVAD might the get

A

PICC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the maximum rate in mL/Sec you can administer through a power PICC

A

5 mL/sec

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What type of treatment are Non tunneled CVAD’s used for

A

SHort term therapy ie less the one week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What keeps a Tunneled CVAD in place and acts as a barrier to infection

A

the Dacron cuff

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How often is an IVAD flushed

A

usually every 8 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How could you access if the catheter tip has become dislodged with an IVAD

A

-neck or ear pain
-palpitations
-patient hears gurgling sounds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the two types of tunneled CVADS

A

Cuffed and non cuffed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what length of treatment would a non cuffed CVAD be used for

A

used in emergencies of treatments less than 3 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What length of treatment would a cuffed CVAD be used for

A

Used for treatments that are going to last longer than 3 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

when is a hemo line used

A

usually when temporary access is needed for a hemo patient or they are waiting to get a fistula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

where is the tip of the catheter located if it is a subclavian or jugular CVAD

A

the lower third of the superior vena cava

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What type of CVADs require heparin locking

A

non valved ones (ones with clamps)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

when routinely flushing a CVAD do you need to flush all lumens

A

yes always have to flush them all to maintain patency

22
Q

What is the white port most often used for on a PICC

A

Often used for TPN

23
Q

where is a CVAD typically placed for central venous pressure monitoring

A

subclavian or jugular vein

24
Q

when do you change needles caps on PICC devices

A

Every 7 days or when you can not clear all the blood from the caps

25
Q

How much is a PICC line allowed to move before you need to contact the IV team

A

If OVER 2 cm in either direction you have to contact the IV team

26
Q

How often does a PICC need to be routinely flushed

A

every 24 hours

27
Q

how much do you flush a picc with before med administration

A

10 mL

28
Q

how much do you flush a PICC with after med administration

A

20 mL

29
Q

Do you have to flush after a needless cap or tubing change

A

Yes

30
Q

How often do you change the IV tubing for PVADs and CVADs

A

Every 24 hours

31
Q

what pH range is okay to administer peripherally

A

anything with a pH of 5-9 is okay to administer peripherally

32
Q

What is the severity of an air embolism dependant on

A

Depends on
-Volume of air
-Rate of entry
-Clients position at the time of entry

33
Q

What volume of air is generally considered significant if it enters the vascular space

A

anything over 50 mL is generally considered significant

34
Q

If a patient does get an air embolism what position should they be put in and why?

A

Trendelenburg left lateral decubitus position (laying on left side head flat feet up) because it traps air in the lower right ventricle

35
Q

what is the most common cause of a chemical occlusion of a CVAD

A

Usually related from incompatible medications being mixed and forming a precipitate

36
Q

What is a mural thrombus

A

when the thrombus is just attached to the side wall of the catheter which can result in a partial or complete occlusion

37
Q

what are two signs and symptoms of catheter migration

A

-Edema of chest or neck during infusion
-Client complains of gurgling sound in ear

38
Q

can you withdraw blood from a PICC for lab tests

A

Yes but sometimes it is not as accurate as fresh blood

39
Q

which lumen is usually the best for a blood draw

A

usually the biggest lumen (since blood is quite viscous)

40
Q

if a CVAD is infusing how long do you have to wait after stopping the infusion to draw blood

A

have to wait at least 2 minutes to get an accurate blood sample

41
Q

how much fluid do you flush with after a blood draw

A

20 mL

42
Q

how much blood must be discarded before sampling collection in general and specifically for in IH

A

5-10 mL IH policy is 6 mL

43
Q

When do you change a needless cap on a CVAD

A

-Every 7 days
-when unable to clear blood from the cap
-if sterility is compromised

44
Q

What does a StatSeal disk do

A

used to stop bleeding and keep the site dry

45
Q

How long is a StatSeal disk left on for

A

Left on until the first Drsg change (7 Days) then is removed

46
Q

what should a PICC Drsg be labelled with

A

-Date
-Time
-Initials of the nurse doing the Drsg

47
Q

after removing a CVAD how often do you assess for hemorrhage

A

assess site every 15 min for 1 hour then hourly

48
Q

after a CVAD removal how often do you have to assess respiratory status

A

every 15 min for 1 hour

49
Q

what is one downside of a multi lumen central line

A

having multiple lumens increases the risk of infection

50
Q

what is the most important reason to flush a patients central line

A

to prevent thrombus formation

NRSG 301 lab (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions