COMPLETE ANSWERS VERIFIED
◉ CVAD indications. Answer: parenteral nutrition
chemotherapy, other vesicant or irritating solutions
blood products
antibiotics
IV meds or solutions (when peripheral access is limited)
central venous pressure monitoring
hemodialysis
◉ CVAD implications. Answer: 10 mL syringe or larger to flush
pulsing motion when flushing
may require heparin flushing
may have a valve that opens from pos/neg pressure when flushing
or aspirating
clamp when not in use
draw blood from the distal port
turn off distal infusions for 1-5 mins before obtaining a blood
sample
◉ central line dressing change procedure. Answer: review checklist
,◉ CVAD care. Answer: change dressing using sterile technique
transparent semipermeable membrane dressing: change every 5-7
days
gauze dressings: change every 48 hrs
◉ best CVAD choice for an avid swimmer. Answer: implanted port
◉ CVAD for immediate fluid/blood replacement. Answer: non-
tunneled percutaneous central catheter
◉ CVAD ports. Answer: Distal lumen: admin of blood and viscus
fluids
Middle lumen: parental nutrition
Proximal lumen: admin of meds or blood
◉ air embolism interventions. Answer: 1. Tell client to hold breath
2. Clamp catheter,s top all fluids
3. Call for help
4. Place pt in left lateral trundelberg
5. Aspirate air from all ports until there is fluid or blood
6. Put pt on 100% O2 via non rebreather 15 L/ min
, ◉ straight catheter assessment. Answer: allergies
mental status
urine qualities
voiding patterns: inc or dec urination
vitals: T, BP
skin assessment: hydration, skin breakdown
abd assessment: bladder distension
◉ urine assessment. Answer: color
odor
sediment, blood
amount
◉ catheter care. Answer: at least once per shift (Q8H)
perineal care
◉ catheter indications. Answer: clients who are unable to void
clients who need constant fluid status monitoring
*straight caths are for one-time use
◉ straight catheter implications. Answer: sterile procedure