Central lines, TPN, PICC lines

The purpose of a Dacron Cuff in a Tunneled CVAD is to..... (select all that apply)

• Support growth of tissue

• Prevent CVAD dislodgement

• Provide a barrier for disinfection

• Provide a route for medication administration

When the patient's TPN solution runs out before the next bag is available, the nurse know to hang a solution of:

• Normal saline

• Ringer's lactate

• A dextrose solution

• 0.45% NS

When the nurse suspects dislodgement of a CVAD, they would.... [select all that apply]

• Stop the infusion

• Notify the physician

• Flush very gently with NS

• Secure the catheter with tape

• Anticipate an ultrasound of the site

The nurse suspects that the patient on TPN is experiencing hypoglycemia when she observes the patient..... [SATA]

• Irritability

• Increased thirst

• Dry mouth

• Pallor

• Sweating

Your patient has a CVAD inserted on his right side. When he complains of sudden chest pain and increased heart rate, you suspect an air embolus, and position the patient:

• HOB elevated 45 degrees

• Head down on their left side

• Head down on their right side

• Supine on their left side

Your patient has a tunneled CVAD inserted on the right side. In this picture, what is the line with the blue label indicating?

• Non-coring needle

• Portal body

• Dacron cuff

• A lumen

Your patient is being discharged on an Implanted CVAD. Further teaching is indicated when the patient says:

• "A non-coring needle is used to access it"

• "I cannot swim or take showers with this in"

• "Blood sampling can be obtained from it"

• "Even when I'm not using it, it still needs to be flushed every 4 weeks"

The nurse is concern that her CVAD has become occluded. How might the nurse assess for this complication?

• Listen for gurgling sounds

• Assess patient's pain at the site

• Check for local inflammation at insertion site

• Check for blood return

Thrombosis is a complication of CVADs. Which of the following are signs/symptoms of thrombosis? Select all that apply.

• Edema and tenderness in neck, shoulder, or arm of catheter insertion

• Impaired movement of neck and jaw

• Engorged peripheral veins in chest wall or arm

• High white blood cell count

Any central line below the umbilicus is inserted into the heart via the:

• Inferior vena cava

• Superior vena cava