Seminar 7 IV meds and PICC lines Flashcards
What are the three additional rights for parenteral med administration
-Right dilution
-Right compatibility
-Right Rate of administration
What is a PICC
a central catheter that is inserted through a peripheral vessel
Where is the tip of a PICC catheter located
Lower portion of the distal superior vena cava
What length of time is a PICC indicated for
treatments expected to last more than one month but less than a year
after a PICC is inserted what test needs to be performed to verify the tip is in the correct place
Chest X-Ray
Would you ever use a CVAD when the tip position has not been confirmed
NO
Do you have to clamp a Valved CVAD
NO since the valve prevents backflow
What are indications for a PICC line
-administering a large amount of fluid quickly
-Administering medications that would be irritating or damaging to peripheral vessels ie extreme pH or hypertonic
what size of syringe do you always use when flushing a PICC
always use a 10 mL or greater syringe since it creates less pressure
when would you lock a line with saline vs heparin
Saline is for short term CVADS heparin is for long term CVADS
How much do you flush a CVAD with before and after med administration
Flush with 10 mL before and 20 mL after
How often does the transparent dressing need to be changed for a PICC line
Changed every 7 days or PRN
how often are the needless caps changed on a PICC line
every 7 days or PRN
how much can the external length of a PICC change before it is an issue
can move 2cm but any more than that it needs to be report it to the IV team
for a continuous infusion when would you remove fluid from the bag before injecting the medication
if the volume of the additive is 10% or more than the total bag volume the equivalent volume must be removed
