5 Written Questions
5 Matching Questions
- What are the 3 types of Tunneled Central Venous Lines?
- What do you do if you suspect circulatory overload?
- Hypotonics cause a ______ in the circulatory volume.
So never give to what kind of patients?
- How often do you have to flush tunneled caths?
- The 3 sites for CVL insertion are;
- a daily
- b jugular
- c Hickman
- d stop or slow infusion
raise head of the bed
get vital signs
- e depletion
Pts with LOW blood pressure
5 Multiple Choice Questions
- certified PICC RN's and up
- 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.
- inflammation of a vein associated with a clot
- turn patient on to LEFT side with head DOWN
notify the MD
- needles become dislodged from vein, solution goes into subcutaneous tissue.
S/S-edema at injection site, blanches skin, no blood return, pain and IV pump flow may stop.
5 True/False Questions
What are a few advantages to ports? → minimal effects on ADL's, body image and available in double lumen
Who can insert a Port a Cath? → catheter inserted through the skin into a large vein, usually the superior vena cava or inferior vena cava or within the R atrium of the heart
Who should you be especially cautious with for fluid overload while getting IV fluids? → patients with HTN or CHF
patient with intercranial pressure or third spacing
Hypertonic Solutions can cause _____ ______ due to great expansion of IV compartments → circulatory overload
What is a Central Venous Line? → 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