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22 Cards in this Set
- Front
- Back
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Why would a pt have a central line?
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Poor venous access
Long term IV therapy TPN 2 IV fluids needed at the same time |
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Hickman, triple lumen, or PICC is a?
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Short term catheter
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Groshong is for?
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Long term IV therapy- closed tip. Dont need heparin, just pulsation. Use at least 10 cc or else it will balloon. Port a cath is also for long term use
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Non-Tunned catheters have what?
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Fed into vein then into vena cava, just have enterance site.
Triple Lumen |
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Nontunneled catheters only have?
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Entrance site
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Tunned catheters have what?
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Medicated colors to prevent bacterial growth, fed into vena cava, has entrance and exit site
Groshong and Hickman are tunneled |
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If IV has no clamps, it is probably a?
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Groshong
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How do we treat a PICC line?
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Peripherally inserted, but we treat as a central line.
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What are the advantages of a PICC line?
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One time placement
Safer than peripheral lines Cost effective Quick and easy access |
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What are the disadvantages of a PICC?
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More nursing care, higher risk for infection, not consistent protcalls
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What are signs and symptoms of an air emboli?
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SOB, chest pain, level of conciousness changes
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What do you do to prevent a clotted lumen and what do you do if you have one on a PICC line?
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Check blood return qshift and each use
Flush before and after meds and qshift Label clotted if clotted |
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What are the signs and symptoms of pneumothorax?
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SOB/ cough/chest pain
start xray, call MD |
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What is the protcall for Groshong catheters?
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5-10 cc NS qshift and each use
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What is the protocall for flushes for Triple Lumen catheters or Hickman catheters?
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10 cc NS flush (longer trip to the heart) Each use and per shift, each port, then 3-5 cc heparin
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What is the protocall for flushes for portocath?
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Every use and every shift NS and 3-5 heparin
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What is the dextrose amount like in peripheral pariental nutrition?
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Less than 10% dextrose-parental nutrition via a peripheral line
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Where do you administer TPN with dextrose more than 10%?
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Only central lines with dextrose more than 10%-tpn has to be on a filter. Fiter and tubing must be changed each bag.
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What are the risks associated with TPN/PPN and fat emolsion therapy?
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Hyperglycemia, hypoglycemia, infections (high dextrose content), electrolyte imbalances, fluid overload,
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What would cause a pt to become hypoglycemic with TPN?
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Stopping the TPN administration too fast
Instead bring it down to 120ml---90ml ---60 ml NO ANTIBIOTICS OR FLUIDS WITH TPN |
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Do we need another RN to check TPN?
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Yes and change the tubing every day
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What should you always have on hand just in case for pt receiving TPN?
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10% dextrose if you run out of TPN.
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