Peripheral and Central Access Flashcards
If performing an External Jugular (EJ) IV, which side is preferable?
The LEFT side is most preferable in the event a Pulmonary Artery Catheter (PAC) is needed.
What is the preferred site of IO in pediatric patients?
The proximal tibia is the preferred/optimal sight for IO placement is pediatric patients.
Approximately how long does it take for medication to reach the heart via Humeral Head IO?
Approximately 1 second
** 4 seconds via the tibia **
True or False:
Blood cannot be administered via IO due to the potential of hemolysis.
False.
Anything that can de administered via IV can be administered via IO
What can be done to mitigate the painful side effects of IO fluid administration?
40 - 100 mg of Lidocaine slow IVP
What are the four FDA approved IO devices currently available?
- Jamshidi
- EZ-IO
- Bone Injection Gun (B. I. G.)
- F. A. S. T. 1
Which IO device is intended for sole use on the sternum?
F. A. S. T. 1
** only FDA approved IO device for sternal application. **
True or False:
When using the EZ-IO, the operator should engage the driver upon placing the needle on the patient’s skin.
False.
When using the EZ-IO, push the needle into the skin, making contact with the bone BEFORE engaging the driver.
_____ are formed by surgically connecting the walls of an artery to the walls of a vein.
Fistulas are formed by surgically connecting the walls of an artery to the walls of a vein.
** takes 3 - 6 months to mature **
True or False:
Patients requiring long term dialysis will need to have a central line catheter placed to facilitate their long term dialysis treatments.
False.
Fistula or Graft
Patients requiring long term treatment will need to have a fistula or graft placed o facilitate their long term dialysis treatments.
______ are created by connecting the artery and the vein via a synthetic tube.
Grafts are created by connecting the artery and the vein via a synthetic tube.
** takes 2 - 6 weeks to mature **
What is a major contraindication for accessing a dialysis shunt, in the event of an emergency?
The shunt being accessed is no longer active.
** either an inactive fistula or an inactive graft **
Tunneled catheters, non-tunneled catheters, and subcutaneous implanted venous access ports are all considered to be what?
Central Venous Access Catheter (CVAC) -
*** in order to be considered a central line, the end of the catheter MUST terminate in the central circulation.
What is the most significant complication that impacts patient’s who receive central venous access catheters (CVAC)?
Infection is the most significant complication that impacts patient’s who receive central venous access catheters.
** 10 - 30% of patients develop an infection **
True or False:
The Peripherally Inserted Central Catheter (PICC) line is a type of tunneled catheter.
False.
The Peripherally Inserted Central Catheter (PICC) line is a Non-Tunneled catheter.
