CVAD Basics
What is sterile technique
What is inserted by a physician or specially trained RN into the basilic or cephalic vein
What is a peripherally inserted central catheter (PICC) line
What is thrombophlebitis
This type of dressing is used protect the insertion site.
What is a transparent semipermeable membrane (TSM)
Syringe size(s) used on CVADs
What are 10mL or larger syringes
The veins a CVAD is inserted into
What are the subclavian, femoral, or jugular veins
This catheter's brand names include Hickman, Broviac, Leonard, PermCath, and Groshong.
What are tunneled catheters
Signs of infection around a CVAD insertion site
What are redness, drainage, inflammation, swelling, tenderness, warmth
Before a port is de-accessed, this should happen.
What is flush site with a heparin solution per facility protocol
This lies within a subcutaneous tunnel created between the insertion site and the site where the catheter enters the bloodstream. It allows tissue to grow into the material, which forms a seal against microbes, anchors the catheter, and minimizes the risk of dislodgment.
What is a Dacron cuff
Different lumen types
What are distal, medial, proximal
A non-coring, non-barbed (Huber) needle is used to access this CVAD.
Occurs with disconnection of the central line tubing, catheter rupture, and catheter removal due to a CVAD catheter being open to the environment.
What is an air embolus
When drawing blood from a CVAD, this amount is typically discarded.
What is 10mL
CVAD(s) allowing client to swim
What is an implanted port
A chest x-ray is done to confirm?
What is proper tip location, catheter position, and absence of pneumothorax
This catheters dwell time is typically >6 weeks
What is a non-tunneled catheter
This occurs when the clavicle and rib move together and compress the central line catheter.
What is pinch off syndrome
When should infusions be paused/put on standby?
What is when blood is drawn and until it has been completed
Catheters that don't require clamping
What are Groshong (valved/closed tipped) catheters
Indications for a CVAD
Parenteral nutrition
Chemotherapy
Blood products
Long term antibiotic infusions
IV medication/solution infusion when peripheral access is limited
Central venous pressure monitoring
Hemodialysis
Chronic illnesses requiring long-term intravenous therapy
Has the greater risk of infection than other CVADs
What is a non-tunneled catheter
Designating and labeling each lumen for a specific infusion and flushing the lumen after use can prevent this.
What is a drug precipitate
Site care and replacement of dressing frequency
What is 5 to 7 days with a clear dressing and every 2 days with gauze dressings
An implanted port needle can be used for how long?
What is up to 7 days