Central Lines/ IV Flashcards
insertion placement of non tunneled CL
Inserts at Internal Jugular or Subclavian vein (Neck or Chest) and ends at the SVC, just before the right atrium of the heart
Dressing on non tunneled CL
Yes, at all times
Appearance of non tunneled CL
The cannula is inserted directly into vein below entry point in skin
Non tunneled CL- long term or short term
Short-term
non tunneled CL risks
“High risk of infection- sterile precautions, should always have a dressing, use sterile technique when changing dressing, see list of CLABSI prevention
Risk of Pneumothorax after initial placement”
tunneled CL insertion/placement
Inserts into jugular SC vein (after being threaded through subcutaneous tissue and ends at the SVC, just before the right atrium
tunneled CL dressing?
Only after initial placement. After healing occurs, no dressing needed
tunneled CL appearance
The cannula is threaded through subcutaneous tissue for several inches and then enters the vein at a site distant from skin entry site
Tunneled CL - short term or long term
long term
Tunneled CL risks?
Risk of infection, but threading through subcutaneous tissue reduces risk of infection
PICC line insertion/placement
Inserted through vein of antecubital fossa or middle of upper arm in the cephalic or basilica veins with tip in the SVC
picc line dressing
Yes at all times - dressing change every 7 days or if fluid underneath dressing
picc line appearance
The cannula is inserted directly into vein below entry point in skin
picc line- short term or long term
Short term
PICC line risks
less risk for pneumothorax, increase risk for DVT/SVT clots in arm. Risk for phlebitis, thrombophlebitis, and infection.
