5 Written questions
5 Matching questions
- After CVL is placed and an xray is taken, what is the next step?
- Tunneled Caths such as the Groshong have a Dacron cuff that does what?
- What are the advantages of a Heparin Lock?
- What are the 2 types of Non-Tunneled Central Venous Lines?
- what is a catheter fragment embolism?
- a Breaking off the tip of the IV catheter inside the vein; the tip then travels through the venous system, where it can lodge in pulmonary circulation as a pulmonary embolism
- b Call MD to verify proper placement
Obtain and Write order for usage
- c supports ingrowth of tissue which helps prevent infection and dislodgement
- d Multilumen
PIC (peripherally inserted central catheter)
- e no continuous fluid infusion required
provides venous access for NPO patients
increases pt mobility
5 Multiple choice questions
Pts with LOW blood pressure
- DANGEROUS: Fluid accumulation where fluid is not meant to pool. WHERE? Peritonieal Cavity, Pericardium & Pleural spaces (most common) WHY? Not enough Albumin in vascular system so it can't hold fluid like it's supposed to and ends up leaking. Body can't get rid of it (has to be drained) ALSO BECAUSE OF changes in oncotic or hydrostatic pressure, RESULT: Fluid that is "lost" from circulation.
- -emergency access
-npo (nothing by mouth) status
- long term therapy
inability to access periph veins
administration of TPN or irritating agents
to monitor internal pressure
5 True/False questions
What do you do if you suspect an air embolism? → stop or slow infusion
raise head of the bed
get vital signs
What do you do if you suspect circulatory overload? → turn patient on to LEFT side with head DOWN
notify the MD
Crystalloids are capable of forming _____ and dissolve in solutions how?
Can diffuse through____
and are usually _____ solutions → For a dialysis pt on diuretics
Isotonic IV FLuids are generally used to replace fluids with ______ → FVD
symptoms of pneumothorax? → cyanosis
weak rapid pulse
increased venous pressure