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NRSG 115: Central Lines definition; ATI Central Venous Access Devices Also with Question and Answers

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Central Lines antecubital fossa, area on the anterior surface of the arm situated in front of the cubitus, or elbow; anterior area where the arm bends when flexing at the elbow asepsis, methods used to assure that an environment is as pathogen-free as possible basilic vein, large superficial vein that arises from the ulnar side of the hand, passes up the forearm, and joins with the brachial veins to form the axillary vein brachial veins, veins following the course of the brachial artery and joining with the basilic vein to form the axillary vein catheter, a flexible tube passed into the body to remove or instill fluids or to keep a passageway open catheter pinch-of, rare complication of tunneled central venous catheters that occurs when the catheter is compressed between the first rib and the clavicle, causing an intermittent mechanical occlusion central vascular access device, umbrella term that includes a variety of catheters, cannulas, and infusion ports that allow intermittent or continuous central access to a blood vessel; a device usually inserted into the subclavian or jugular vein with the distal tip resting in the superior vena cava just above the right atrium and used for long-term intravenous therapy or parenteral nutrition cephalic vein, superficial vein that arises from the radial side of the hand and winds anteriorly to pass along the anterior border of the brachioradialis muscle, ascends along the lateral border of the biceps muscle and the pectoral border of the deltoid muscle, and finally opens into the axillary vein chlorhexidine gluconate, antibacterial compound with substantial residual activity that is used as a liquid antiseptic and disinfectant; trade name ChloraPrep® colloid solution, plasma expander; protein-containing fluid infused intravenously to help restore circulating blood volume distal, farthest from the origin of a part dysrhythmia, abnormal heart rhyth

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NRSG 115: Central Lines,meaning latest Version; ATI Central Venous
Access Devices Also with Question and Answers
Quiz:> Antecubital fossa
{{{Answer}}} (area on the anterior surface of the arm situated in front of the cubitus, or
elbow; anterior area where the arm bends when flexing at the elbow)

Quiz:> Asepsis
{{{Answer}}} (methods used to assure that an environment is as pathogen-free as
possible)

Quiz:> Basilic vein
{{{Answer}}} (large superficial vein that arises from the ulnar side of the hand, passes up
the forearm, and joins with the brachial veins to form the axillary vein)

Quiz:> Brachial veins
{{{Answer}}} (veins following the course of the brachial artery and joining with the basilic
vein to form the axillary vein)

Quiz:> Catheter
{{{Answer}}} (a flexible tube passed into the body to remove or instill fluids or to keep a
passageway open)

Quiz:> Catheter pinch-off
{{{Answer}}} (rare complication of tunneled central venous catheters that occurs when
the catheter is compressed between the first rib and the clavicle, causing an intermittent
mechanical occlusion)

Quiz:> Central vascular access device
{{{Answer}}} (umbrella term that includes a variety of catheters, cannulas, and infusion
ports that allow intermittent or continuous central access to a blood vessel; a device
usually inserted into the subclavian or jugular vein with the distal tip resting in the
superior vena cava just above the right atrium and used for long-term intravenous
therapy or parenteral nutrition)

Quiz:> Cephalic vein
{{{Answer}}} (superficial vein that arises from the radial side of the hand and winds
anteriorly to pass along the anterior border of the brachioradialis muscle, ascends along
the lateral border of the biceps muscle and the pectoral border of the deltoid muscle,
and finally opens into the axillary vein)

Quiz:> Chlorhexidine gluconate

, {{{Answer}}} (antibacterial compound with substantial residual activity that is used as a
liquid antiseptic and disinfectant; trade name ChloraPrep®)

Quiz:> Colloid solution
{{{Answer}}} (plasma expander; protein-containing fluid infused intravenously to help
restore circulating blood volume)

Quiz:> Distal
{{{Answer}}} (farthest from the origin of a part)

Quiz:> Dysrhythmia
{{{Answer}}} (abnormal heart rhythm)

Quiz:> Embolus
{{{Answer}}} (blood clot or bolus of air developed in or introduced into a blood vessel
that moves from its place of origin and is capable of obstructing blood flow)

Quiz:> Extravasation
{{{Answer}}} (see page or introduction of fluid, such as intravenous fluid, into the tissues
surrounding a blood vessel; sometimes used interchangeably with infiltration but more
accurately describes catheter dislodgement with medication infusing into the tissues
and causing actual or potential tissue damage)

Quiz:> Fibrinolytic agent
{{{Answer}}} (agent that dissolves fibrin, a protein that is essential for blood clotting, for
the purpose of eliminating thrombi (blood clots); also called thrombolytic drugs)

Quiz:> Gauge
{{{Answer}}} (standard of measurement used to quantify a lumen's size, with lower
numbers reflecting larger catheters and vice versa)

Quiz:> Heparin
{{{Answer}}} (parenteral anticoagulant)

Quiz:> Huber needle
{{{Answer}}} (noncoring device used to access an implanted port)

Quiz:> Implanted port
{{{Answer}}} (catheter whose end is attached to a small chamber placed in a
subcutaneous pocket (instead of exiting from the skin), either on the anterior chest wall
or on the forearm)

Quiz:> Implanted vascular access device
{{{Answer}}} (any of a number of types of access devices that are surgically affixed
underneath the skin)

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