Nsg: Central Venous Access Devices Flashcards
Types of CVAD’s
1) CVAD in a large vein: Jugular, Femoral) 2-3cm before the atrium. never insert into the atrium.
2) PICC in arm: Median basilic or mediam cephalic
What to Assess for all CVADs
1) Inspect site: Redness, discharge, pain, swelling, intact, clean, dry, tenderness, correct length, number of lumen, what’s it locked with
2) Obtain Hx: how long has it been there and when was it last flushed?
3)Expected outcomes: Pt will remain infection free. Site and drg will be clean and dry and intact.
No complictions shall occur.
What are the complications of a CVAD?
1) Infection
2) Occlusion
3) Catheter fracture/leaks/migration
4) Air embolism
5) Pneomothorax + Hemothorax
What is a Vascular Access Port? (VAP)
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Advantages of VAP
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Disadvantages of VAP
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Prevention of Infection of CVAD
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Nsg care of CVAD infection
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S/s of Occlusion of CVAD
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How to properly flush a CVAD
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Interventions for a Occlusion of CVAD
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S/s of Air embolism
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How can an Air Embolism Occur?
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Interventions for an Air Embolism
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Prevention of Air Embolism.
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How to prevent an Occlusion of a CVAD
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How can pneumothorax/hemothorax happen?
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S/s of pneumothorax/hemothorax
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Interventions for pneumothorax/hemothorax
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PICC Lines
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Advantages of PICC lines
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Disadvantages of PICC lines
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Purpose of CVADs
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Long term CVADs
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Short term CVADs
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Non-Tunneled Catheters
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Tunneled Catheters
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