seminar 9 Flashcards
where is a PICC usually inserted
usually inserted into a vein above the ACF (the ditch)
should you take blood pressure on the arm where there is a PICC
NO
How long are non tunneled CVADS used for
usually left in place less than 7 days but can be used for up to one month
how is a non tunneled CVAD inserted into a PT
inserted surgically by a physician and sutured in place since there is a risk for excessive bleeding if it is pulled out
where are non tunneled CVADs usually inserted
into the internal/external jugular or subclavian vein
What kind of CVAD would be used for long term access
a tunneled CVAD
how long is a tunneled CVAD used for
usually used for treatments that are expected to last longer than one year since they can be left in place indefinitely
how does a tunneled CVAD stay in place and have a better chance of not becoming infected
since it has a dacron cuff which 3-4 weeks after insertion granulation tissue will grow onto and create a seal and barrier to infection
Which CVAD requires a sterile dressing a tunneled or non tunneled
non tunneled since it needs a barrier to protect the site from infection
what type of CVAD requires heparin flushing tunneled or non tunneled
tunneled CVAD requires heparin flush
where is the end of the catheter located on an IVAD
usually placed in the distal third of the superior vena cava
when is a dressing required for an IVAD and what type of dressing
is only required when in use and it can just be an aseptic dressing
Does an IVAD require heparin flushing
YES
How often does an IVAD need to be heparin flushed when not in use
every 1-3 months
Where is the tip of the catheter located in a CVAD
located in the lower third of the superior vena cava
what kind of access device would be used for TPN
CVAD
how often does the tubing for TPN need to be changed
every 24 hours