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Worksheetschemoport quiz
Total questions: 25
Worksheet time: 13mins
Chemoport can be used for function as stated, EXCEPT
Chemotherapy administration
IV contrast for radiology imaging
withdrawal of blood
hemodialysis
Tip of catheter for long term usage such as for chemoport should be place at
at the level of cavo atrial junction
Just inferior to the cavo atrial junction
Just superior to the cavo atrial junction
superior vena cava
Name the red arrow region
cavo artero junction
aorto caval junction
cavo artrial junction
aorto atrial junction
Name this device
Huble needle
Huber needle
beaver needle
hubel needle
According to International Society of Thrombosis and Hemostasis guideline:
What is the suggested DURATION of anticoagulant for catheter related thrombosis
3 months
6 months
9 months
12 months
a patient developed chills and rigors when administering chemotherapy via chemoport
stop chemotherapy, remove the needle immediately
give antibiotics via the chemoport
stop using chemoport and set a peripheral line for continuation chemotherapy
take blood culture from the port site
Below are the symptoms of deep vein thrombosis, EXCEPT
unilateral arm swelling
Dilated vein over the hands
Pain and swelling at the neck
dyspnoea
Which is the following is CORRECT regarding the deltopectoral groove?
superiorly bound by superior border of clavicle
Medially bound by upper border of pectoralis minor
laterally bound by medial border of deltoid muscle
laterally bound by medial border of pectoralis major
below are the possible causes for chemoport extravasation, EXCEPT:
perforation
leak from tubing
incorrect needle placement
Incorrect IV drip placement
Which is the sign / symptoms of peripheral line extravasation?
icy cold during infusion
faster infusion rate
venous discolouration/blanching
back flow of blood
Which one is a vesicant?
Doxorubicin
Bleomycin
Gemcitabine
methotrexate
CRBSI
Fever >37 degree C
Chills
hypertension
tunneled venous catheter in use 72 hours prior to development of infection
Complication of chemoport insertion as below, EXCEPT:
fracture catheter
disease progression
catheter migration
deep vein thrombosis
What MUST we do right after chemoport insertion?
chest x ray
couselling for chemoport care
Iv fluids for hydration
Check dressing site
after chemoport insertion, patient should:
sleep on the back or opposite insertion site to avoid pressure
apply pressure at insertion site to avoid bleeding
spray with shower at operative site to make sure it is clean
remove dressing day 3 by themselves to avoid crowding at clinic
Name the device shown
Power port Cronoflex
Power port Chronoflex
Power port Clonoflex
Power port Chroneflex
What is the function of the three dots over the septum
its the design stability to ensure port septum does not break easily
For MRI compatibility purposes
For easy identification of the port septum over the skin
For gripping during port placement to avoid port flipping
What is the Power Port tubing made of?
Polycarbonate polymer
Polyethelene polymer
Polypropelene polymer
Polyurethane polymer
Which statement is TRUE?
removal of chemoport needle must wear sterile glove
insertion of chemoport needle can be done by just wearing sterile glove only
We can use a normal blue needle to flush the chemoport
negative pressure removal of chemoport needle is essential to prevent blockage of the tubing
Which of the following is true regarding pinch-off syndrome
It is not a potential life threatening problem
occurs due to impingement of central venous catheter between clavicle and 2nd rib
Should be suspected when catheter function change with neck and arm movement
Treatment of pinch-off syndrome is by repositioning the catheter
Name the instrument shown
Vein Pick
Vein Lifter
Venotomy pick
Vein retractor
Which of the following is TRUE regarding chemoport?
provide easy and painless access than typical branulla usage
Infection free risk compare PICC
Easy care at home
can be kept for long time for ready usage when needed
An oncology patient was planned for chemoport insertion and was noted low in ANC and was given neupogen.
Which of the following is TRUE?
One of the common side effect is thrombocytosis
We can safely use in patient whom have sickle cell disease
dosage is IV 300mcg OD
Low ANC means less than 0.5
Oncology nurse inform you that the patient's chemoport have good IV inflow but no aspiration of blood.
Which of the following is TRUE?
Continue use the chemoport
Do a chest x ray to look for placement of the port and tubing
To connect the chemoport with IV drip to run for 24 hours
To flush the chemoport with heparin saline
What need to be done?
i. dress with povidone while plan for removal
ii. chest x ray
iii. administer broad spectrum antibiotics
iv. once wound clean can trial salvage by appose back the skin
i, ii
i, ii, iii
i, iii
i, ii, iii, iv
