PN Access

Question 1

What is the key to reducing catheter infections?

Answer 1

prevention

Question 2

Name a thrombolytic

Answer 2

streptokinase & urokinase

Question 3

How long is the SVC

Answer 3

7 cm

Question 4

How to identify a CRBSI (cath related blood stream infection)

Answer 4

isolate same organism, culture cath/periph bld, ratio > 5:1

Question 5

Superior skin antiseptic

Answer 5

2% chlorhexidine solution

Question 6

What med decreases phlebitis

Answer 6

heparin

Question 7

Guidewire changes to CL can

Answer 7

increase infection

Question 8

Tunneled lines can

Answer 8

decrease infection

Question 9

What meds do you check prior to placing a CL

Answer 9

ASA, NSAIDS, coumadin and heparin

Question 10

When do you check coags prior to CL placement

Answer 10

coumadin, heparin, rliver disease

Question 11

What period of time do you hold coumadin before line placement

Answer 11

2 days then check INR

Question 12

What period of time do you hold heparin

Answer 12

4-6 hours

Question 13

Why not use antibiotic ointment

Answer 13

disturb flora—may cause resistent bact/fungi

Question 14

Decreased manipulation of hub/tubing causes

Answer 14

dec risk of infection

Question 15

Most IVs are made of this

Answer 15

silicone

Question 16

Most frequent complication of percutaneous IV placement

Answer 16

malposition

Question 17

Most common non-infectious complication of long term IVs

Answer 17

cath occlusion-thombosis

Question 18

Where does the infection come from

Answer 18

migrate from skin to hub from insertion site

Question 19

What strain majority of cath infections

Answer 19

Gram positive isolates

Question 20

What strain causes slime

Answer 20

Coag Neg. Staph

Question 21

MRSA comes from (Staph A)

Answer 21

hand contamination is #1

Question 22

Contaminated Sol’n may cause these strains

Answer 22

Enterobacter, Acinebacter

Question 23

High failure rate with ABX

Answer 23

Pseudomonas

Question 24

What disease seen with recurrent Gram Neg infections of IVs

Answer 24

Short gut sundrome

Question 25

Cannot aspirate blood but can infuse

Answer 25

Fibrin sleeves

Question 26

Inability to infuse or aspirate

Answer 26

intralumen thrombus, catheter malposition

Question 27

Causes intralumenal occlusions

Answer 27

drug/heparin interactions, CPN with inapprop CA/Phos ratio and lipid residue

Question 28

Hydrocholoric acid treats

Answer 28

occlusions of Ca/Phos precipitates

Question 29

Ethyl ETOH treats

Answer 29

lipid occlusions

Question 30

Na Bicarb treats

Answer 30

ABX/heparin occlusions