Ports, PICCs, TLCs Flashcards
Tunneled Catheters are designed for
long term use
Hickmans, Broviac, Hohn & Leonard are examples of what
Tunneled Catheters
T or F: Tunneled Catheters & Implanted ports are inserted in the OR or radiology room?
True
Who implants Non-Tunneled catheters?
Dr
Tunneled Catheters are used by which kind of patients?
Chronically ill patients, Dialysis
Tunneled Catheter transparent dressing should be changed every ____ or if soiled
week
Tunneled Catheter gauze dressing should be changed every ____ hours
48
Always use a ____ ml syringe when doing flushing or aspirating
10 ml syringe
After a blood draw from a picc line, you should flush how many liters and of what
20 ml of NS
After removing & replacing a picc line hub, you should flush with what?
5 ml of NS & Heprin
PICC lines are used for
therapies, blood collection and daily infusions
How many ml should you waste from a picc line
aspirate with a 10 ml syringe and waste atleast 5 ml then flush with 10 ml
what technique is used to flush a picc line?
positive pressure
How many ml should you flush when flushing a lumen in a picc line?
10 ml of saline per lumen followed by 3-5 ml of heprin, keep thumb on plunger and close cap
Check site for how many hours after CVAD is removed & how many hours before you change dressing?
24 hours; 24 hours
Ports should be flushed
monthly
Do ports have external parts?
no
Ports are used for which kind of patients?
chronic or long term, chemo
How is a port covered?
with dressing until site heals
3 common problems with CVADs
- )Catheter related sepsis
- )Catheter malposition
- ) Catheter malfunction
What do you clean port with before excessing it?
alcohol then betadine
Huber is used for which CVAD?
port
After Huber is in port, what do you secure it with?
transparent dressing
which CVAD is at the highest risk for catheter related sepsis?
non-tunneled
s/s of sepsis
sudden spike in temp, shoulder pain, redness at site, purulent drainage, staph. epidermis (%50 of cases)
Huber needle & dressing should be changed every ___ days
7 days
s/s of catheter malposition
increased HR, changes in external length, “Heart beating out of chest” -Notify MD
