Exam (elaborations)
Vascular Access Certification (Vascular Access Device Placement 25% 25 items) 2024!!
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Vascular Access Certification (Vascular Access Device Placement 25% 25 items) 2024!!
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Name: Score:61 Multiple choice questions
Definition 1 of 61
can be used for urgent chemo or acute need or as bridges for any continuous infusion
IVAD
CVC
TPN
PICC
Definition 2 of 61
-MSBP
-CHG with alcohol better than povidone iodine,isopropyl alcohol
- CHG friction for 30 sec and dry
for femoral are - 2 min and dry
-CHG not recommended for <2months age
Skin cleanse prep
Stenosis or thrombosis
Ways to prevent CLABSI and CRBSI
Catheter tip malpostion
Definition 3 of 61
Retract using aseptic technique
Subclavian tip
Ij
Azygos tip
R atrium tip
,Definition 4 of 61
Wire can get trapped
General maintainance Of cvad
Contraindication with IVF filter
Contraindications for cvad
Contraindication with aicd/pacemaker
Term 5 of 61
Central line - long term (IJ or subclavian)
Picc, Non Tunneled Perc. Cath
Piv, Midline
- Measure Extrinsic Pathway Of Coagulation -monitor Tendency Of Blood To Clot -measure
Of Warfarin Effectiveness -assess Prior Invasice Procedures Such As Cvad Insertion
IVAD, TCVAD
Definition 6 of 61
-largest upper body vein
-no valves
-2L/min blood flow-rapid hemodilution
-tip in lower III of SVC or CAJ
MSBP
IVC
PICC
SVC
, Definition 7 of 61
-risk of air embolism
-lie pt flat or slightly trend
- for pt on respirator, remove quickly at highest inspiration point
- air embolism can occur if pt inhales during removal
- Gently and swiftly remove with Valsalva maneuver for pt's who can control breaths
-with venospasm occurs, secure catheter and apply warmth, retry 15-30 minutes later. IF pt gets
anxious, venospasms can occur. IF resistance is still encountered, secure cath, order xray to r/o
cath knots and contact IR
-Xerofoam gauze for 24 hrs or until site is epitheliazed
-PIV replaced 72-96 hours but in children only if clinically indicated
Abx locks
Need for CVAD
Femoral
Cath removal
Definition 8 of 61
only for 5-9 ph and <600 osM/L
CAC
PIV
PICC
OS&Y
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