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from flashcardlet > (3) Exam 2-😗💨 (Lab) Central Venous Catheters > Flashcards

(3) Exam 2-😗💨 (Lab) Central Venous Catheters Flashcards

0
Q

How long are Non-Tunneled Central Catheters used?

A

Short Term use (<6 weeks)

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1
Q

What are the 4 types of Central Venous Catheters?

A

Non-Tunneled (percutaneous) Central Catheters

Peripherally Inserted Central Catheter (PICC)

Tunneled Catheter

Implanted Ports

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2
Q

What vein is most commonly used for Non-Tunneled Central Catheters?

A

Subclavian Vein

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3
Q

Why is the subclavian vein preferred with Non-Tunneled Central Catheters?

A

Because its easy to access and easier to compress incase of hemorrhage.

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4
Q

What vein can be used for 1-2 days as a last resort for Non-Tunneled Central Catheters?

A

Jugular

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5
Q

How often are caps changed on Non-Tunneled Central Catheters?

A

Q7 Days

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6
Q

What is prevented by applying caps to Non-Tunneled Central Catheters?

A

Central Line Associated Blood Stream Infections (CLABSI)

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7
Q

For triple-lumen Non-Tunneled Central Catheters, what is the distal end used for?

A

Administer Blood or other Viscous Fluids

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8
Q

For triple-lumen Non-Tunneled Central Catheters, what is the middle end used for?

A

Parenteral Nutrition

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9
Q

For triple-lumen Non-Tunneled Central Catheters, what is the Proximal port used for?

A

IV Fluids and Medications

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10
Q

What catheter goes directly into the skin to the point of where they’re going to canalize the patient?

A

Non-Tunneled Central Catheters

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11
Q

What Central Venous Catheter is used for immediate, short term use and may be used in patients that are a hard stick?

A

Peripherally Inserted Central Catheter (PICC)

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12
Q

What Central Venous Catheter has in increased amount of infection vs. other types of lines?

A

Peripherally Inserted Central Catheters (PICC)

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13
Q

With Peripherally Inserted Central Catherters (PICC), what vein / veins are accessed above the antecubital space and the catheter is threaded to the Superior Vena Cava?

A

Basilic or Cephalic Vein

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14
Q

What is the difference between a regular PICC and a Power PICC?

A

Purple Color to the catheter

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15
Q

With which Central Venous Catheter can contrast dye be administered?

A

Power PICC

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16
Q

A large volume of fluid at a more rapid rate can be administered using what Central Venous Catheter?

A

Power PICC

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17
Q

How often is a Power PICC flushed

A

Q12 Hours and after each use

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18
Q

When administering medications through a Central Venous Catheter via IV push, what mL syringe should be used to flush

A

10 mL at the least

19
Q

When administering medications through a Central Venous Catheter via IV push, what happens if <10 mL of Normal Saline is used to flush?

A

It will cause too much pressure

20
Q

If administering medications through a Central Venous Catheter via IV push what method is used to administer medications or flush?

A

Push Pause Method

21
Q

What can occur if the Push Pause Method isn’t used when administering medications or flushing a Central Venous Catheter?

A

The pressure can get thrown off and it can cause problems with the integrity of the catheter

22
Q

What used as the final flush to lock each lumen of the catheter?

A

Heparinized Saline.

23
Q

When flushing Q12 hours or according to hospital policy, what port needs be flushed when using a triple lumen?

A

Each port has to be flushed with 10mL

24
Q

When using a Power PICC, what needs to be documented about the line each shift?

A

The number or line on the tub that is right outside of the patients skin.

25
Q

Why do clamps have to be closed when not in use?

A

Keeps anything from entering directly into line and also keeps pressure inside the catheter.

26
Q

What Central Venous Catheter is for long term use, has a larger barrel, and has to be surgically inserted under the skin to the subclavian vein into the SVC?

A

Tunneled Catheters

27
Q

Groshong, Hickman, and Broviac are what type of Central Venous Catheters?

A

Tunneled Catheters

28
Q

What type of Tunneled Catheter is commonly used for Chemotherapy patients?

A

Hickman

29
Q

What is the Broviac Tunneled Catheter commonly used for?

A

Antibiotics and TPN

30
Q

What Central Venous Catheter is surgically implanted and used in patients that are on a medication regimen for years?

A

Implanted Port

31
Q

Port-A-Cath, Mediport, and Hickman Port are what of Central Venous Catheter?

A

Implanted Ports

32
Q

Before accessing an Implanted Port in an unconscious patient, what needs to be checked?

A

Make sure its a port and not a pacemaker

33
Q

How far in advance should Lidocaine Cream be used over the site of an Implanted Port?

A

About 20 mins

34
Q

What Central Venous Catheter uses a Huber Needle?

A

Implanted Ports

35
Q

Once an Implanted Port has been accessed, how do you know you’re in the correct spot?

A

Always check for blood return

36
Q

At what angle is a Huber needle inserted?

A

90°

37
Q

What do you do if you already accessed the implanted port but did not hook up the sterile saline flush?

A

Remove and start over. Must be primed with sterile saline flush before insertion.

38
Q

What type of saline flush is used to prime line for Implanted Ports?

A

Sterile Saline Flush

39
Q

What size syringe is used when administering medications into a Central Venous Catheter?

A

10mL at the least

40
Q

What do you do it the patient with a Central Venous Line exhibits s/s of chest pain, respiratory distress, hypotension and tachycardia?

A 
Put O2 on the Patient
Clamp the Catheter 
Put them on their Left Side
Put their head down
Notify Dr.
41
Q

What is is CathFlo (Alteplase) used for with Central Venous Catheters?

A

Break up / Dissolve Clots

42
Q

How is management for an embolism caused by a Central Venous Cather different than other embolism?

A

Head is down.

43
Q

When De-Accessing a port, what do you want to instruct the patient to do as the last 5-10 cm of the catheter is withdrawn?

A

Valsalva Maneuver

44
Q

After removal of an Implanted Port, what do you want to inspect and document about the needle?

A

That it is intact and no part was left inside the patient.

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