Reading...
Play button
Play button
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;
8 Cards in this Set
- Front
- Back
|
What is the purpose of a cuff in a hickman central venous catheter?
|
The cuff encourages fibrous tissue adherebce, helps secure the catheter to the site and decreases the risk of bacteria entering central ciruculation.
|
|
|
The Groshong central venous catheter does not require routine heparinization. T/F
|
True- This catheter should be flushed with heparin twice a month. It has a small self-sealing end that can be flushed with normal saline.
|
|
|
A PICC line is not tunneled and placed directly into a vein. T/F
|
True- PICC lines are usually placed in the basilic or median cubital vein.
|
|
|
What is the most common problem associated with CVL?
|
Infection - incidence is between 2% and 60%. Signs and symptoms of infections must readily be recognized and treated aggressively with antibiotics.
|
|
|
What causes an occlusion with CV devices?
|
- Thrombus in the line or at the end of the catheter
- Fibrin sheath around the catheter tip - Precipitate caused by the administration of medications with incompatible fluids. |
|
|
A fibrin sheath around the catheter tip allows blood withdrawl but inhibits fluids to flow through the CVD. T/F
|
False- A fibrin sheath allows fluids to flow but inhibits blood withdrawl.
|
|
|
A 9yo male with ALL comes to the outpatient clinic for an office visit. While you are attempting to access a patients' CVL, you are unable to withdraw blood or flush, he reports pain when flushing and there is swelling along the tubing and the port. What may be the cause of this?
|
Malpositioning of the CVL can cause these symptoms. Use of the CVL must be suspended until the correct location can be insured.
|
|
|
When a central venous line is suspected to have an external break, you should instruct the family to clamp the line proximal to the break and cover the end with sterile guaze to prevent an air embolism, blood loss and contamination. T/F
|
False - Clamp line that is distal to the break.
|
