Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
14 Cards in this Set
- Front
- Back
Why would a pt have a central line?
|
Poor venous access
Long term IV therapy TPN 2 IV fluids needed at the same time |
|
Hickman, triple lumen, or PICC is a?
|
Short term catheter
|
|
Non-Tunned catheters have what?
|
Fed into vein then into vena cava, just have enterance site.
Triple Lumen |
|
How do we treat a PICC line?
|
Peripherally inserted, but we treat as a central line.
|
|
What are the advantages of a PICC line?
|
One time placement
Safer than peripheral lines Cost effective Quick and easy access |
|
What are the disadvantages of a PICC?
|
More nursing care, higher risk for infection, not consistent protcalls
|
|
What are signs and symptoms of an air emboli?
|
SOB, chest pain, level of conciousness changes
|
|
What do you do to prevent a clotted lumen and what do you do if you have one on a PICC line?
|
Check blood return qshift and each use
Flush before and after meds and qshift Label clotted if clotted |
|
What are the signs and symptoms of pneumothorax?
|
SOB/ cough/chest pain
start xray, call MD |
|
What is the dextrose amount like in peripheral pariental nutrition?
|
Less than 10% dextrose-parental nutrition via a peripheral line
|
|
Where do you administer TPN with dextrose more than 10%?
|
Only central lines with dextrose more than 10%-tpn has to be on a filter. Fiter and tubing must be changed each bag.
|
|
What are the risks associated with TPN/PPN?
|
Hyperglycemia, hypoglycemia, infections (high dextrose content), electrolyte imbalances, fluid overload,
|
|
What would cause a pt to become hypoglycemic with TPN?
|
Stopping the TPN administration too fast
Instead bring it down to 120ml---90ml ---60 ml NO ANTIBIOTICS OR FLUIDS WITH TPN |
|
What should you always have on hand just in case for pt receiving TPN?
|
10% dextrose if you run out of TPN.
|