Nsg: Central Venous Access Devices

Question 1

Types of CVAD’s

Answer 1

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

Question 2

What to Assess for all CVADs

Answer 2

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.

Question 3

What are the complications of a CVAD?

Answer 3

1) Infection
2) Occlusion
3) Catheter fracture/leaks/migration
4) Air embolism
5) Pneomothorax + Hemothorax

Question 4

What is a Vascular Access Port? (VAP)

Answer 4

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Question 5

Advantages of VAP

Answer 5

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Question 6

Disadvantages of VAP

Answer 6

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Question 7

Prevention of Infection of CVAD

Answer 7

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Question 8

Nsg care of CVAD infection

Answer 8

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Question 9

S/s of Occlusion of CVAD

Answer 9

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Question 10

How to properly flush a CVAD

Answer 10

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Question 11

Interventions for a Occlusion of CVAD

Answer 11

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Question 12

S/s of Air embolism

Answer 12

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Question 13

How can an Air Embolism Occur?

Answer 13

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Question 14

Interventions for an Air Embolism

Answer 14

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Question 15

Prevention of Air Embolism.

Answer 15

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Question 16

How to prevent an Occlusion of a CVAD

Answer 16

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Question 17

How can pneumothorax/hemothorax happen?

Answer 17

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Question 18

S/s of pneumothorax/hemothorax

Answer 18

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Question 19

Interventions for pneumothorax/hemothorax

Answer 19

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Question 20

PICC Lines

Answer 20

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Question 21

Advantages of PICC lines

Answer 21

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Question 22

Disadvantages of PICC lines

Answer 22

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Question 23

Purpose of CVADs

Answer 23

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Question 24

Long term CVADs

Answer 24

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Question 25

Short term CVADs

Answer 25

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Question 26

Non-Tunneled Catheters

Answer 26

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Question 27

Tunneled Catheters

Answer 27

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