Vascular Access Device Flashcards
Vascular Access Device
● Tube inserted into a vein or artery
● Ready access to the patient’s circulation
●Eliminating multiple phlebotomies Uses:
1.Administer fluids or medication
2. Draw blood
3. Central venous pressure reading
● Specialized personnel
● Never apply torniquet or perform venipuncture
on an arm w/VAD
A-line or Art-line
Arterial line
Administering medication
3.Heparin or Saline lock
Hep lock
catheter that is placed in an artery
Arterial line
most commonly placed in a radial artery
Arterial line
drawing blood
3.Heparin or Saline lock
Hep lock
Never apply a blood pressure cuff or tourniquet, or perform
venipuncture, on an arm with a shunt
Arteriovenous shunt/AV fistula
continuous blood pressure monitoring
Arterial line
Erosion of arterial treatment
Arteriovenous shunt/AV fistula
blood gas analysis
Arterial line
hemodialysis treatment
Arteriovenous shunt/AV fistula
Never apply a tourniquet or perform
venipuncture on an arm with an arterial line
Arterial line
Arterial line
● A-line or Art-line
● catheter that is placed in an artery
● most commonly placed in a radial artery
● continuous blood pressure monitoring
● blood gas analysis
● Never apply a tourniquet or perform
venipuncture on an arm with an arterial line
surgical procedure that fuses vein & artery
Arteriovenous shunt/AV fistula
vein in the lower arm above the wrist
3.Heparin or Saline lock
Hep lock
Thin plastic tube or catheter
4.Intravenous (IV) Sites
can be left in place for up to 48 hours
3.Heparin or Saline lock
Hep lock
inserted in a vein to administer fluids
4.Intravenous (IV) Sites
blood specimens can be contaminated or diluted with
the IV fluid, causing erroneous test result
○ Draw blood below the IV site
4.Intravenous (IV) Sites
IV in one arm: Collect blood from the other arm
4.Intravenous (IV) Sites
flushed with heparin or saline to keep it from clotting
3.Heparin or Saline lock
Hep lock
5-mL discard tube should be drawn first
3.Heparin or Saline lock
Hep lock
Drawing coagulation specimens is not recommended
3.Heparin or Saline lock
Hep lock
IVs in both arms or the other arm is unavailable?
collect by capillary puncture
4.Intravenous (IV) Sites
Only specially trained personnel
3.Heparin or Saline lock
Hep lock
4.Intravenous (IV) Sites
● Thin plastic tube or catheter
● inserted in a vein to administer fluids
● blood specimens can be contaminated or diluted with
the IV fluid, causing erroneous test result
○ Draw blood below the IV site
● IV in one arm: Collect blood from the other arm
● IVs in both arms or the other arm is unavailable?
collect by capillary puncture
3.Heparin or Saline lock
Hep lock
● Administering medication
● drawing blood
● vein in the lower arm above the wrist
● can be left in place for up to 48 hours
● flushed with heparin or saline to keep it from clotting
● 5-mL discard tube should be drawn first
● Drawing coagulation specimens is not recommended
● Only specially trained personnel
- Arteriovenous shunt/AV fistula
● surgical procedure that fuses vein & artery
● hemodialysis treatment
● Erosion of arterial treatment
● Never apply a blood pressure cuff or tourniquet, or perform
venipuncture, on an arm with a shunt
- Arterial line
● A-line or Art-line
● catheter that is placed in an artery
● most commonly placed in a radial artery
● continuous blood pressure monitoring
● blood gas analysis
● Never apply a tourniquet or perform
venipuncture on an arm with an arterial line