parental nutrition

Question 1

why do we use CVADs?

Answer 1

• used in patients with 2 or more diseases
• need IV fluids, blood products, blood draws, or vesicant medications like cardiac drugs like (dopamine or vasopressors)

Question 2

What type of patients typically have a CVAD?

Answer 2

• pts on dialysis
• pts on chemotherapy

Question 3

nurse’s role

Answer 3

consider why a CVAD is being placed and whether it is safe for them.

how long will the client need this device?
what is the clients age and their comorbities? ex: age, diabetes, HTN, ESRD, Obesity

Question 4

cvads have a higher osmalarity

Answer 4

• they are safer to give multiple medications and high volume of fluids at once because it is less likely to crystalize the IV

Question 5

3 types of central venous acces devices

Answer 5

• Centrally inserted
  
  • Nontunneled catheters
  • Tunneled catheters
• Peripherally inserted
  * PICC lines
  * Midlines
• Implanted ports

Question 6

Centrally inserted

Answer 6

• central venous catheters
• rest in the distal end of the superior vena cava at or near cavoatrial junction

Question 7

Nontunneled catheters

Answer 7

• Placed in the subclavian or internal jugular vein
• (best for short term needs in acute care setting)