Peripheral and Central Access Flashcards
What Class intervention is Intraosseous Access (IO)?
IIa
What is the insertion site of choice for IO access?
The Proximal Tibia
What medication route reaches the heart faster IO or IV?
IO
How are Fistulas and Grafts made for Hemodialysis shunts?
Fistulas are formed by surgically connecting the walls of an artery to the walls of a vein.
Grafts are created by connection the artery and the vein with a synthetic tube.
When injecting fluid or medications into a dialysis shunt what is the smallest syringe you can use and why?
Do not use a syringe smaller than 10 mL to prevent catheter damage from excess infusion pressure.
Central Venous Access Catheter’s (CVAC) provide access to the central circulation for ________ (long or short) term venous access.
Long-Term
What is an example of a non-tunneled catheter? (CVAC)
Peripherally inserted central catheter (PICC)
Designed for short-term or intermediate-term
What are some examples of a tunneled catheter? (CVAC)
- Hickman Catheter
- Broviac Catheter
- Groshong Catheter
- Subcutaneous vascular access device (SVAD)
- Subclavian
Designed for Long-term access
Can Tunneled Catheters and portacaths be used with a pressure infuser?
No
What is an example of a Subcutaneous vascular access device (SVAD) (portacaths)?
Power Port
- Contains a self closing septum for repeated injections
What type of needle is required to access a SVAD?
Huber Needle (non-coring needle)
Describe the term use for each:
Peripheral IV, PICC, Tunneled Catheters, SVAD, and IO.
Peripheral IV access: Short term use PICC line: Short to Intermediate use Tunneled Catheters: Long term use SVAD: Long-term to permanent use IO: Emergency access only, must be removed in 24 hours
True or False
Infection is one of leading complications with Peripheral and Central Access.
True
All medications should be flushed with _____ mL of saline to avoid clots?
5 mL
A Power PICC can accommodate pressures up to ______ PSI.
300 PSI
