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20 Cards in this Set
- Front
- Back
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Where are catheters placed? |
Subclavian and Jugular veins |
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Three main types of CVADs |
Centrally Inserted, PICC, Implanted |
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Inserted into jugular, subclavian, or femoral and the tip rests in the distal end of the superior vena cava |
Central |
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Can be single, double, triple or Quad lumen. examples of tunneled is hickman and groshong. |
Central |
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A central used for dialysis should not... |
be used for blood draws, medications, or IV solutions unless it's an emergency. |
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Dacron cuff |
stabilizes catheter and reduces infection risk. |
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Tunneled |
Under the skin and through the subQ tissue |
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Nontunneled |
From skin to the entry site |
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Central inserted into a vein in the arm |
PICC |
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Single or multilumen (usually 2), nontunneled. Access 1 week to 6 mos. No BP or blood draw from that arm. |
PICC |
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PICC complications |
Catheter occlusion and phlebitis |
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When you discontinue... |
measure the length and make sure it matches |
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Implanted, single or double subcutaneous injection port, a metal sheath with self sealing silicone septum |
Implanted infusion port |
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Implant Complications |
Catheter occlusion (kink/clamped, tip against wall vessel, thrombosis, precipitate buildup), Embolism (broken, dislodged clot, air entry), Infection (contamination, organism migration, immunosuppression), Pneumothorax (visceral perforation), Catheter Migration (Improper suture, Trauma, forceful flushing, spontaneous) |
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Dressing changes and cleaning |
Transparent semipermeable or gauze, clean with Chlorhexidine |
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When changing Infection caps |
turn head to opposite side and valsava |
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Flushing |
prefilled 10 ml (or larger) syringe NS. |
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Flushing technique |
slow and even or push stop (rpt), no shaming slamming |
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When removing have the patient |
perform valsava, pressure, ensure intact tip, antiseptic ointment and dressing |
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change the dressing |
every 72 hours or prn |
