Venous Lines

Question 1

What are sites of insertion for a CVC (triple lumen)?

Answer 1

subclavian
femoral
jugular veins

Question 2

what are contraindications for insertion of a CVC (triple lumen)?

Answer 2

not in the RA or Rventricle

can cause tamponade

Question 3

how does a PICC line work?

Answer 3

insert into a peripheral vein, then advance cath until it reaches a central vein

Question 4

which veins can be used for PICC access?

Answer 4

basilic
cephalic
brachial

Question 5

when is a PICC line indicated?

Answer 5

anytime you need long term access to veins (ie, abx, chemo, transfusions) or continuous monitoring

Question 6

what is a major advantage of a PICC?

Answer 6

less risk of infection

Question 7

what is the optimal site for hemodialysis access?

Answer 7

right jugular

Question 8

when would you use a tunneled catheter?

Answer 8

when you need long term venous access and pt can’t have AV fistula or who have exhausted all other venous access sites