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36 Cards in this Set
- Front
- Back
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What type of access does a hickman catheter or pac have?
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external
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What do you do with a hickman catheter?
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clean site regularly and cover
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What are the types of lumens that a hickman catheter have
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single or double
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What do you do with an open ended hickman catheter?
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flush with heparinized saline
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What do you do with a closed ended catheter
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flushed with normal saline; no need for heparinized flush
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What must you do with a catheter
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verify the type because you can't tell by looking
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What do you flush with if you don't know what type of catheter
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heparinized saline
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Where does a catheter rest?
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in the lower third of the superior vena cava; ON the rt. atrium
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What should a patient do when you're accessing a portacath?
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wear a mask or turn their head away
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What type of needle do you use for a portacath?
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non coring needle
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What anchors the port at the proximal end?
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dacron cuff
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Where is the distal tip located?
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at or just above the entry into SVC
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Why do you use the portacath
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less rate of infection
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What is the disadvantage of the catheter?
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needle access
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What do you do when accessing the portacath?
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wash hands, have patient turn head away or wear a mask, use sterile techinque, 10 mL syringe with saline, skin prep
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What size syringe do you use for portacath?
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10 mL syringe
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What are some complications of a portacath?
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infection, thrombophlebitis, septicemia, thrombosis, catheter fracture, reservoir complications (rare)
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What are some types of PICC lines
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basilic, median, cubital, or cephlic vein accessed
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Where does a PICC line tip terminate
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lower third of SVC
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What must you avoid with a PICC line
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AVOID getting water under the dressing with bathing
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When should the PICC line dressing be assessed?
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every shift: is the dressing clean, dry, and INTACT, assess for distal edema, assess upper arm for mechanical phlebitis
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What is the first sign of venous thrombosis?
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edema
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What are signs of mechanical phlebitis?
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tenderness or redness in upper arm
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What do you not do with the arm from a PICC line?
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take blood pressure or blood draws
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What should you do with the PICC line?
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assess the length from teh insertion site outside the body and document
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What should you NOT do if the catheter has advanced out?
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do not re-advance into the puncture site
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Why do you secured a PICC?
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to prevent movement and blood stream infections
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How do you secure a PICC
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secured with sutures or StatLock
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How often should a StatLock be changed?
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every 7 days with routine dressing changes
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What technique must be used with dressing changes?
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aseptic changes
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What must the dressing for a PICC line be like?
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clean, dry, and totally adherent to the skin on ALL sides and should be changed IMMEDIATELY if wet, dirty, or loose
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How often should PICC line dressings be changed?
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every 7 days and prn
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Where should you never place gauze?
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over the site or under the dressing
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What is the purpose of flushing the PICC line?
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prevents mixing of incompatible drugs, prevents precipitate formation, maintains lumen patency
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What is the SAS method for the PICC line?
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0.9% N.S., administer medications, 0.9% N.S.
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What is recommended to flush the PICC line?
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preservative free saline; flush with 10 mL of 0.9% sodium chloride
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