IR 3 Venous Flashcards

(39 cards)

1
Q

What is the superior vena cava a common site placement for?

A

Central lines (SVC/RA junction)

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2
Q

What are the superficial veins of the upper extremity?

A

Cephalic, Basilic, Median Cubital

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3
Q

What is the longest vein in the body?

A

The great saphenous vein

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4
Q

Describe the pathway of the great saphenous vein

A

Extends from foot along medial aspect of leg to thigh where it becomes the femoral vein

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5
Q

Describe the pathway of the small saphenous vein

A

Originates from the foot and extends posteriorly along the leg terminating at the knee where it becomes the popliteal vein

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6
Q

What are the major deep veins in the lower extremity

A

Posterior tibial, peroneal, anterior tibial, popliteal, femoral

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7
Q

Name the semi permanent venous catheters positioned near the right atrium

A

PICC, Hickman, Subcutaneous Port

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8
Q

What are the common reason for the insertion of venous access devices

A

To administer chemotherapy
To administer large dose of antibiotics
For frequent blood testing

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9
Q

What is a tunneled type of central venous catheter?

A

for long term use
tunneled subcutaneously through the skin to exit a different location
typically cuffed and adheres to the subcutaneous skin to prevent movement and infection

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10
Q

What are different types of central venous catherters?

A

tunneled dialysis catheters
hickman
picc lines

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11
Q

what are non-tunneled central venous catheters

A

for short term suage
direct access to vein

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12
Q

what are types of non tunneled central venous catheters

A

mahurkar
picc

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13
Q

What are subcutaneous central venous catheters

A

small ports placed subcutaneously for long term use
accessed into vein and catheter is tunneled subcutaneously through the skin to exit site
catheter is connected to a port which is indwelling subcutaneously

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14
Q

What is a PICC/Peripheral Inserted Central Catheter

A

Single, dual, or triple lumen

Designed for blood draws, intravenous fluids,
and medication infusion. Power contrast
injections for CT/MR

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15
Q

What is used to extract foreign bodies?

A

Loop snares, basket
catheters, and grabbing
forceps are used to
retrieve:

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16
Q

What would indicate that a patient should have a IVC Filter placement?

A

patients with
a high risk of developing
DVT or a history of
reoccurring pulmonary
emboli

17
Q

what does an IVC Filter do?

A

Traps thrombus from the
lower extremities from
becoming potentially fatal
emboli in the lungs

Prevents blood clots from reaching the lungs

18
Q

what is a thrombus?

A

a blood clot that forms inside a blood vessel

19
Q

What is varicose veins?

A

Dilated, tortuous veins, usually
involving the superficial veins

Primarily involves lower
extremities and is a principal
source of potentially lethal
pulmonary embolism.

20
Q

How does varicose veins happens?

A

Increased blood volume in
affected areas can cause
phleboliths and calcified clots.

Deep vein thrombosis (clot in
vein), may cause pain,
inflammation and swelling of
vein.

21
Q

What happens in a venous ablation?

A

Tissue around vein is
numbed with tumescent

Catheter is inserted into
vein

Probe tip is heated
(Radiofrequency) or laser
is emitted until vein tissue
is destroyed and vein
closes

22
Q

Where is the Inferior Vena Cava (IVF) located when referring to the placement associated to the spine?

A

On the lateral side of the spine

23
Q

list the veins from superior to inferior that extend from the inferior vena cava

A

hepatic, renal, common iliac

24
Q

where do the splenic, inferior mesenteric, and superior mesenteric vein drain into?

A

the portal vein

25
where does the portal vein drain into?
the liver
26
where does the hepatic vein drain into?
the inferior vena cava
27
what is peripheral venography?
the study of the blood flow in the veins of the extremities
28
what would indicate the need to perform peripheral venography?
deep vein thrombosis (DVT) - blood clots occlusion of vessels - tumors, trauma valve incompetence - valves not working which could end up leaking blood which ends up with varicose veins
29
Which 3 common veins are used for catheters and stuff (PICC)
cephalic, basilic, brachial
30
Which veins are punctured in a venogram?
Superficial veins
31
Why does moon face happen?
Stenosis in superior vena cava causes blood not to drain from the head causing the head to swell
32
What are the common access points for venous intervention?
int/ext jugular veins subclavian femoral peripheral: basilic, cephalic, brachial collateral veis
33
what are collateral veins?
blood vessels connect to your main blood vessels and remain small and unused until you need them
34
what veins are uncommon to use as access point for venous interventions?
inferior vena cava through (translumbar) hepatic vein (transhepatic) - often last resort
35
why do patients with deep vein thrombus (DVT) have a high risk of pulmonary emboli?
Thrombus' usually goes into the smallest vein which usually ends up being the pulmonary veins
36
where are IVC filter usually placed?
infrarenal - they are usually placed below the lowest renal vein
37
what does an IVC filter do once it's placed?
It traps the blood clots Usually, the patients will be taking medication that can break down the blood clots overtime the clot then gets broken up and then they get it removed
38
What are fistulas?
when blood vessels are joined together to create a new junction/pathway
39
What is Transjugular Intrahepatic Portosystemic Shunting?
Percutaneous method of reducing portal vein pressure by creating a decompressive channel between a hepatic vein and portal vein