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28 Cards in this Set
- Front
- Back
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name 2 basic types of CVC
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short term non-tunneled
long-term tunneled |
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purposes of CVC
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monitor SVP
poor peripheral access large VTBI TPN/irritating vesicants hemodialysis |
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2 types of short term CVC
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CVC
PICC |
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what size syringe is used to access CVC lines
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10 ml or less
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how do you confirm CVC placement
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CXR
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can a PICC be placed at bedside
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yes - by DR
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can a nurse place a PICC
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yes - must be specially trained and use flouroscopy
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name 3 types of long-term CVC
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hickman/broviac
groshong porta-cath |
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where can CVCs be placed
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internal jug
subclavian femoral |
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a CVC placed where is least likely to become infected
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subclavian
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a CVC placed where will likely be the least comfortable
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internal jug
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a CVC placed where increases the likelihood of pneumo
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subclavian
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who can remove a hickman
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DR
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what type of CVC does not require a heparin flush and why?
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groschong - b/c the tip has a 1-way valve
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how much pressure is required to open the 1-way valve in a groschong
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80 mmHg
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what type of needle would a nurse choose to access a port-a-cath with
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huber
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what is a big advantage of a port-a-cath
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less infection
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how often are CVC dressign changes
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7 days/PRN
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how often are CVC cap cahnges
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3 days/PRN
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where should a CVP transducer be leveled
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4th ICS
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what lumen is manometer tubing attached to when measuring CVP
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distal port
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what position is pt in when measuring CVP
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supine w/ HOB flat if tolerated, if not HOB can be at 45
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when is manometer read when measuring CVP
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end expiration
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what 2 tools are used to monitor CVP
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manometer
transducer |
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what is normal CVP measurement w/ manometer
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5-10 cm H2O
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what is normal CVP measurement w/ transducer
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2-6 mmHg
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what conditions cause increased CVP
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increased intrathoracic pressure
intubation CHF hypervolemia obstruction of SVC pulmonary artery stenosis tension pneumo pleural effusion |
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what conditions cause decreased CVP
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hypovolemia/dehydration
hemmorage vasodilation reduced intrathoracic pressure (inhalation) |
