What is it?
Catheters placed in large Veins for the delivery of intravenous therapy
What is a Central venous access device (CVAD)
#5 advantage of CVAD
What is decrease need for frequent venipunctures?
The health professional who can complete CVAD dressing changes
Who is the RN and the LPN?
Two methods used to collect blood samples from a CVAD
What are (1) syringe method and (2)vacutainer method?
Definition of an occluded CVAD
CVAD's are occluded if they do not have satisfactory blood return or if any resistance to flushing occurs
Most often used access sites
What are the internal jugular, subclavian, cephalic, brachial, basilic or femoral vein.
#4 advantage of a CVAD
What is necessary for iv access in patients with limited peripheral veins
During a dressing change, important to measure__ to ensure placement of the catheter
What is the external catheter length from the insertion site to the end of the catheter hub
Using sterile technique it is preferred to draw blood directly from
What is directly from the hub of the catheter?
2 Types of occlusions
What are partial occlusions and complete occlusions?
Where the tip of the CVAD catheter is located
What is in the superior vena cava?
(above the right atrium)
#3 advantage of a CVAD
What is provides access for IV medications, vasoactive vesicants?
Time we allow for cleaning and drying of the CVAD site.
What is cleaning for a minimum of 30 seconds and allow to air dry for a minimum of 2 minutes?
when blood return is confirmed, flush with 10 ml of 0.9% of NaCL, withdraw 10 mL of blood and.....
What is discard?
Medication ordered by Physician for unblocking CVAD's
What is Cath-flow?
4 types of CVAD's
What are Non-tunneled ie. triple lumen, Tunneled ie. Hickman, Peripherally Inserted ie. PICCs, and Implanted Port ie. Port-A-Cath
#2 advantage of CVAD
What is long term therapy?
Solution used to cleanse the skin at the insertion site of the CVAD
What is 2% CHG with 70% Isopropyl Alcohol?
Collect blood samples as ordered
What are:Blue, Red, Gold, Green, Lavender, Pink and Grey?
Nursing professional who can complete the unblocking procedure
Who is the RN?
Bonus Question*****
Blood flow in the svc is brisk and high in volume
What is 2 L/mins?
#1 Advantages of a CVAD
What is access to the central circulatory system?
dressing applied around insertion site and down the catheter to the hub after cleaning
What is a semi-permeable transparent dressing no gauze?
Important to obtain blood cultures before or after other blood samples
What is before?
successful unblocking of a CVAD regains brisk blood return and then drawing a minimum of 4-5 mL of blood or until blood clots are absent we then can safely return the blood to the patients system
What is wrong action , we discard this blood