List indications for Vascular Access: - ANS1. Total parenteral nutrition (TPN)
2. Partial parenteral nutrition
3. I.V. fluids and medications
4. Blood and blood components
5. Chemotherapeutic agents
6. Cardiac monitoring
7. Plasmapheresis
8. Aquapherisis
9. Hemodialysis
a. Diagnostic testing
b. Frequent blood sampling
What is the French Scale? - ANSMeasurement of the outside size (diameter) of a catheter
What is the range of Central venous catheter French sizes? - ANS1.2fr for Neonates up to 15fr
for dialysis catheters
As the French size increases, what does the diameter of the catheter do? - ANSIt increases
What is the gauge scale? - ANSMeasurement of the outside size(diameter) of a catheter
As the gauge number gets larger, what happens to the catheter size? - ANSIt gets smaller.
What is the gauge range of IV catheters? - ANS24ga to 12 ga
Why are all I.V. devices manufactured in the USA are required to be radiopaque? - ANSTo
facilitate location of catheter emboli in the event of shearing or fracture
From what two materials are IV catheters made? - ANSSilicone and Polyurethane
Which catheter material can be affected by alcohol? - ANSPolyurethane
, What are the indications for short peripheral catheters? - ANS-Infusions projected for 6 days or
less
-Non-irritating medications and solutions
-Non-vesicant medications and solutions
What are contraindications for short peripheral catheters? - ANS-Placement into an arm with
fracture, trauma, infection, or compromised circulation
-Veins in the arm on the same side of a mastectomy, breast surgery or lymph node dissection
-Veins in the arm with an A/V fistula or graft
What veins are used for short peripheral catheters? - ANSMetacarpal, cephalic, basilic and
accessory veins of the arms
How many short peripheral catheter insertion attempts per healthcare provider are allowed? -
ANS2
What additional veins in pediatrics may be used for non-irritating/non-vesicant infusions? -
ANSMetacarpal, cephalic or basilic, scalp veins if <18mo
What are the indications for a midline catheter? - ANS-Infusions projected for 6 days- 4 weeks
-Non-irritating medications and solutions
-Non-vesicant medications and solutions
What are contraindications for a midline? - ANS-Arms with: A/V fistula, infection, fracture,
trauma, or compromised circulation
-Chronic Kidney Disease
What are the sites and vessel selection for midline catheters? - ANSBasilic or cephalic vein in
the antecubital fossa or lower part of the upper arm
What product should be used for a midline placement? - ANSA product that is specifically
designed and labeled as a peripheral midline catheter
What barrier precautions should be considered for midline placement? - ANSMaximun sterile
barrer
Why should a PICC device NOT be used for midline placement? - ANSUsing a PICC device for
midline placement will risk confusion related to the type of access device a patient has; places
the catheter tip outside the SVC, which is contrary to the manufacturers' DFU related to the
intention of the product and risks potential liability for the nurse.
What is optimal tip location for a midline catheter? - ANSOne inch below the axillary area
2. Partial parenteral nutrition
3. I.V. fluids and medications
4. Blood and blood components
5. Chemotherapeutic agents
6. Cardiac monitoring
7. Plasmapheresis
8. Aquapherisis
9. Hemodialysis
a. Diagnostic testing
b. Frequent blood sampling
What is the French Scale? - ANSMeasurement of the outside size (diameter) of a catheter
What is the range of Central venous catheter French sizes? - ANS1.2fr for Neonates up to 15fr
for dialysis catheters
As the French size increases, what does the diameter of the catheter do? - ANSIt increases
What is the gauge scale? - ANSMeasurement of the outside size(diameter) of a catheter
As the gauge number gets larger, what happens to the catheter size? - ANSIt gets smaller.
What is the gauge range of IV catheters? - ANS24ga to 12 ga
Why are all I.V. devices manufactured in the USA are required to be radiopaque? - ANSTo
facilitate location of catheter emboli in the event of shearing or fracture
From what two materials are IV catheters made? - ANSSilicone and Polyurethane
Which catheter material can be affected by alcohol? - ANSPolyurethane
, What are the indications for short peripheral catheters? - ANS-Infusions projected for 6 days or
less
-Non-irritating medications and solutions
-Non-vesicant medications and solutions
What are contraindications for short peripheral catheters? - ANS-Placement into an arm with
fracture, trauma, infection, or compromised circulation
-Veins in the arm on the same side of a mastectomy, breast surgery or lymph node dissection
-Veins in the arm with an A/V fistula or graft
What veins are used for short peripheral catheters? - ANSMetacarpal, cephalic, basilic and
accessory veins of the arms
How many short peripheral catheter insertion attempts per healthcare provider are allowed? -
ANS2
What additional veins in pediatrics may be used for non-irritating/non-vesicant infusions? -
ANSMetacarpal, cephalic or basilic, scalp veins if <18mo
What are the indications for a midline catheter? - ANS-Infusions projected for 6 days- 4 weeks
-Non-irritating medications and solutions
-Non-vesicant medications and solutions
What are contraindications for a midline? - ANS-Arms with: A/V fistula, infection, fracture,
trauma, or compromised circulation
-Chronic Kidney Disease
What are the sites and vessel selection for midline catheters? - ANSBasilic or cephalic vein in
the antecubital fossa or lower part of the upper arm
What product should be used for a midline placement? - ANSA product that is specifically
designed and labeled as a peripheral midline catheter
What barrier precautions should be considered for midline placement? - ANSMaximun sterile
barrer
Why should a PICC device NOT be used for midline placement? - ANSUsing a PICC device for
midline placement will risk confusion related to the type of access device a patient has; places
the catheter tip outside the SVC, which is contrary to the manufacturers' DFU related to the
intention of the product and risks potential liability for the nurse.
What is optimal tip location for a midline catheter? - ANSOne inch below the axillary area
