Vascular Venous Devices

Question 1

What are vascular access devices?

Answer 1

catheters, cannulas, or infusion ports designed for repeated access to the vascular system

Question 2

What are the two VADs?

Answer 2

peripheral vascular devices PVADS and central vascular access devices CVADs

Question 3

Are peripheral access devices short term use or long term use?

Answer 3

short term use

Question 4

What are the long-term use catheters?

Answer 4

central venous catheter, PICC, tunnelled catheter, and implanted ports

Question 5

Where are PVADs located?

Answer 5

hand, forearm, feet, wrist

Question 6

What are the 4 PVAD assessments

Answer 6

• type of PVAD and insertion date
• dressing (is it dry and intact)
• Lines/IV (is it secured with a dressing, is it continuous or saline locked - are caps on or leaking)
• Insertion site (is skin free from redness/swelling/drainage

Question 7

Can PVADs be able to use by gravity or pump

Answer 7

Yes
- if by gravity - make sure you are calculating the correct drip rate
- if by pump make sure that line has gone interstitial

Question 8

Does central lines require confirmation of placement by MRP?

Answer 8

YES

Question 9

What are CVADs

Answer 9

central vascular access devices
- used for parenteral fluid, electrolyte replacement, parenteral nutrition, and administration of medications

Question 10

What are the different CVADs

Answer 10

• Percutaneous CVAD (subclavian)
• PICC line
• IVAD

Question 11

Where does the tip of the catheter sit in patients with CVADs

Answer 11

distal tip of catheter sits in lower end of superior vena cava

Question 12

What are percutaneous CVAD used for

Answer 12

strictly used for dialysis and only specialized dialysis nurse can work with it

Question 13

What are CVAD assessments

Answer 13

• type of CVAD and insertion date
• dressing (is it dry and intact)
• Lines/IV (is it secure with stat lock or steri-strips/how many number of lumens, is it open-ended or closed ended
• Insertion site (is the skin free from redness/swelling drainage
• Vital signs

Question 14

Can CVADs be run on gravity or pump

Answer 14

CVADS must be run by pumps - do NOT run by gravity

Question 15

should you always use a pump with central lines

Answer 15

YES

Question 16

Should CVADs external length be measured per protocol to ensure migration has not occured

Answer 16

YES it should be measured length insertion point to IV hub