UVC Procedure Flashcards
What are the primary indications for Umbilical Venous Catheter (UVC) placement?
- Emergency vascular access for fluid and medication infusion
- Emergency blood sampling
- Exchange transfusion
- Central venous pressure monitoring
- IV fluid administration
These indications are critical for managing neonates in emergency situations.
What are the secondary indications for Umbilical Venous Catheter (UVC) placement?
- Venous access for Total Parenteral Nutrition (TPN) or higher glucose concentrations in the first week of life
- Primarily in low-birthweight infants
- Also with critically ill infants
- Treatment of hypoglycemia
- Diagnosis of total anomalous pulmonary venous drainage below the diaphragm
Secondary indications are particularly relevant for vulnerable populations, such as low-birthweight and critically ill infants.
What are the contraindications for UVC placement?
- Omphalitis
- Omphalocele
- Necrotizing enterocolitis
- Peritonitis
These conditions pose significant risks and should preclude UVC placement.
What are some complications associated with UVC placement?
- Infections
- Thromboembolic events
- Malpositioning of the catheter
- Pericardial effusion
- Cardiac arrhythmias
- Hemorrhagic infarction of lung
- Necrotizing enterocolitis
- Hepatic necrosis
Complications can arise from the procedure itself or from the effects of the catheter’s placement.
True or False: The infection rate of UVC placement significantly increases after being in place for 7-10 days.
True
It is crucial to monitor UVCs for signs of infection, especially after this time frame.
What is the optimal placement location for a UVC as confirmed by x-ray?
Just above the diaphragm at approximately T8
This placement is critical for ensuring proper function and reducing complications.
Fill in the blank: Informed consent for UVC placement should be discussed with the _______.
[parents]
While general consent may cover the procedure, discussing with parents is ideal, especially outside of emergency situations.
What are the steps for establishing a sterile field during UVC placement?
- Perform hand hygiene
- Don gown/gloves/mask and hat according to sterile technique
- Organize equipment
Establishing a sterile field is essential to prevent infections.
What is the formula for determining the appropriate measurement for UVC placement?
[Measurement from umbilical cord to xiphoid process] + 1 cm + [length of cord outside the body]
Accurate measurement is vital for ensuring proper catheter placement.
What equipment is commonly needed for UVC placement?
- Gown and gloves
- 4x4 gauze
- Cleaning solution
- Surgical drape
- Catheter(s) 3.5 or 5 french
- 3 way stopcock(s) w/ luer-lok
- 10-12ml syringe(s)
- 4-0 silk
- Scalpel
- Umbilical tape
Having the right equipment prepared is crucial for efficient and sterile procedure execution.
What is the first step after confirming the correct placement of a UVC?
Secure appropriately by suturing via a purse string technique
Proper securing of the catheter is essential to prevent dislodgment.
What should be documented after the UVC placement procedure?
Document the procedure in patient chart
Documentation is necessary for legal and medical records.
