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6 Cards in this Set
- Front
- Back
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Where would a PICC line be instered?
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-basilic or cephalic vein at least one finger's breadth below or above the anticubital fossa
-tip is positioned in the lower 1/3 of the superior vena cava |
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Why would a PICC line be indicated?
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-administration of blood
-long term administration of chemo, antibx, TPN |
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How should the RN care for a PICC line?
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-assess q 8hr
-->note redness, swelling, drainage, tenderness & condition of dressing -change tube & positive pressure cap per protocol (usually 3 days) -use 10mL or larger syringe to flush the line -clean insertion port c alcohol for 3sec, let dry -perform flush for intermittent med admin usually 10mL of NS before, between, & after meds -use transparent dressings; usually change q 7 days & when indicated -advise clt to avoid excessive physical exercise on affected extremity |
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Where are tunneled Caths (Hickman) inserted?
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-Subcutaneous tunnel separating point where the cath enters the vein from where it enters the skin c a cuff
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When is a tunneled cath indicated?
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-need for vascular access is long term (1year+)
-commonly for chemo |
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How do you care for a tunneled cath in regards to access?
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-apply local anesthetic, palpate to locate the port
-clean c alcohol for 3 sec -access c noncoring needle -flush after every use & at least once a month |
