Peripheral and Central Access Flashcards Preview

Critical Care Procedures > Peripheral and Central Access > Flashcards

Flashcards in Peripheral and Central Access Deck (20)
Loading flashcards...
1
Q

What Class intervention is Intraosseous Access (IO)?

A

IIa

2
Q

What is the insertion site of choice for IO access?

A

The Proximal Tibia

3
Q

What medication route reaches the heart faster IO or IV?

A

IO

4
Q

How are Fistulas and Grafts made for Hemodialysis shunts?

A

Fistulas are formed by surgically connecting the walls of an artery to the walls of a vein.

Grafts are created by connection the artery and the vein with a synthetic tube.

5
Q

When injecting fluid or medications into a dialysis shunt what is the smallest syringe you can use and why?

A

Do not use a syringe smaller than 10 mL to prevent catheter damage from excess infusion pressure.

6
Q

Central Venous Access Catheter’s (CVAC) provide access to the central circulation for ________ (long or short) term venous access.

A

Long-Term

7
Q

What is an example of a non-tunneled catheter? (CVAC)

A

Peripherally inserted central catheter (PICC)

Designed for short-term or intermediate-term

8
Q

What are some examples of a tunneled catheter? (CVAC)

A
  • Hickman Catheter
  • Broviac Catheter
  • Groshong Catheter
  • Subcutaneous vascular access device (SVAD)
  • Subclavian

Designed for Long-term access

9
Q

Can Tunneled Catheters and portacaths be used with a pressure infuser?

A

No

10
Q

What is an example of a Subcutaneous vascular access device (SVAD) (portacaths)?

A

Power Port

  • Contains a self closing septum for repeated injections
11
Q

What type of needle is required to access a SVAD?

A

Huber Needle (non-coring needle)

12
Q

Describe the term use for each:

Peripheral IV, PICC, Tunneled Catheters, SVAD, and IO.

A
Peripheral IV access: Short term use
PICC line: Short to Intermediate use
Tunneled Catheters: Long term use
SVAD: Long-term to permanent use
IO: Emergency access only, must be removed in 24 hours
13
Q

True or False

Infection is one of leading complications with Peripheral and Central Access.

A

True

14
Q

All medications should be flushed with _____ mL of saline to avoid clots?

A

5 mL

15
Q

A Power PICC can accommodate pressures up to ______ PSI.

A

300 PSI

16
Q

True or False

If a CVAC is infusing sluggishly, it should be vigorously infused with 20-30 mL of Normal Saline.

A

True

17
Q

What is the easiest artery to cannulate for an art line?

A

The Carotid due to its size

18
Q

How often does a typical arterial line transducer need to be changed out?

A

96 hours

19
Q

True or False

A dampened arterial waveform typically overestimates blood pressure.

A

False

20
Q

Why do you not want arterial line flush bags to run dry?

A

When lines run dry there is a chance of air embolism