Ports, PICCs, TLCs Flashcards

1
Q

Tunneled Catheters are designed for

A

long term use

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2
Q

Hickmans, Broviac, Hohn & Leonard are examples of what

A

Tunneled Catheters

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3
Q

T or F: Tunneled Catheters & Implanted ports are inserted in the OR or radiology room?

A

True

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4
Q

Who implants Non-Tunneled catheters?

A

Dr

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5
Q

Tunneled Catheters are used by which kind of patients?

A

Chronically ill patients, Dialysis

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6
Q

Tunneled Catheter transparent dressing should be changed every ____ or if soiled

A

week

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7
Q

Tunneled Catheter gauze dressing should be changed every ____ hours

A

48

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8
Q

Always use a ____ ml syringe when doing flushing or aspirating

A

10 ml syringe

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9
Q

After a blood draw from a picc line, you should flush how many liters and of what

A

20 ml of NS

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10
Q

After removing & replacing a picc line hub, you should flush with what?

A

5 ml of NS & Heprin

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11
Q

PICC lines are used for

A

therapies, blood collection and daily infusions

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12
Q

How many ml should you waste from a picc line

A

aspirate with a 10 ml syringe and waste atleast 5 ml then flush with 10 ml

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13
Q

what technique is used to flush a picc line?

A

positive pressure

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14
Q

How many ml should you flush when flushing a lumen in a picc line?

A

10 ml of saline per lumen followed by 3-5 ml of heprin, keep thumb on plunger and close cap

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15
Q

Check site for how many hours after CVAD is removed & how many hours before you change dressing?

A

24 hours; 24 hours

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16
Q

Ports should be flushed

A

monthly

17
Q

Do ports have external parts?

A

no

18
Q

Ports are used for which kind of patients?

A

chronic or long term, chemo

19
Q

How is a port covered?

A

with dressing until site heals

20
Q

3 common problems with CVADs

A
  1. )Catheter related sepsis
  2. )Catheter malposition
  3. ) Catheter malfunction
21
Q

What do you clean port with before excessing it?

A

alcohol then betadine

22
Q

Huber is used for which CVAD?

A

port

23
Q

After Huber is in port, what do you secure it with?

A

transparent dressing

24
Q

which CVAD is at the highest risk for catheter related sepsis?

A

non-tunneled

25
Q

s/s of sepsis

A

sudden spike in temp, shoulder pain, redness at site, purulent drainage, staph. epidermis (%50 of cases)

26
Q

Huber needle & dressing should be changed every ___ days

A

7 days

27
Q

s/s of catheter malposition

A

increased HR, changes in external length, “Heart beating out of chest” -Notify MD