week 11 central venous access devices Flashcards
what is a central venous line/acess?
inserted into superior vena cava or in most major veins
flexible hollw silicon tube that terminate proximal to the heart
what are the incdications?
poor peripheral acess
medication not sutible peripherally - inotropes
long term antibiotics
chemotherapy
acute pts with multiple infections
parelle non compatable medications
frequent blood sampling
heamodynamic monitoring
dialysis
transvenous pacing
what is a picc?
peripherally inserted central catheter
what are some paramedic considerations?
ensure they are safe and anchored
heightened infection control mesures
often heprin locked and require aspiration prior to use
may inhibit bp on limbs
clinical consideration of cause for febril/septic pt
can these be used in emergencies by parmedics?
advisable in cardiac arrest
preform best infection control
aspiration of potential heprin lock
flush well
avoid pre hopsital uses exept for life savig ie no analgesis
what are cytotoxics?
medications used to inhibit cell growth and replication
how do health professionals come into contact with cytotoxis?
medicaion or body fluids
define
cytotoxic
chemotherapy
mutagenic
carionogenic and tetrogenic
cytotoxic - agent that is toxic to cells
chemotherapy - use of chemical agents to treat/control disease
mutagenic- capablie of cauisng alterations/damge to genes
carciongenic- causing cancer
tetrrogenic 0 capable of causing foetal defects
what are the possible exposure routes for paramedics of cytoxoic cells?
inhalation, ingestion, dermal absorption, mucosal absorption, precutaneous injury
what are some common cytotoxic medications?
methotrexate, tacrolomus, mycophenolate
whate are the clical cues that a pt might be on something cytotoxic?
hair loss, nausea, vomiting, damage to mouth, damage to bone marrow
how do paramedics avoid cytotoxic exposure/risks?
identfy risk
normal ppe - mask, gown
tyvec suit
utalise waste equipment
ensure medications in closed container
