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Adult and peds IO access class
Class IIa interventions.
Intraosseous access is first line to IV access.
When cannulating dialysis shunt
Make sure IV fluids dont run dry
When injecting meds do not use syringe smaller than 10mL to prevent catheter damage from excess infusion pressure
CVACs
Central Venous Access Catheters
Provide access to central circulation for long-term venous access for hemodynamic monitoring or when peripheral access is limited.
PICC
A form of a non tunneled catheter
Care reqs for non tunneled catheters
Keep occlusive dressing over exit site (preferably translucent)
Use aseptic techniques for dressing changes
Tunneled catheters
Silicone central venous catheter
Single, double a or triple lumen large bore catheters
Constructed of a thick walled silicone
Designed for at home long term use (>3 months)
SVADs
Subcutaneous Venous Access Device
Aka portacaths
Venous access devices that have an injection port wherein the port includes a self closing septum for repeated injections
Requires Huber needle, non coring needle
Other care requirements for central lines
Always flush central access catheters regularly and after each use
Always wash hands before handling a central access catheter
Always use aseptic techniques whenever accessing
Monitor for signs of infection
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