VA-BC exam review
What dissolves a Lipid precipitate/fat emulsions clogged cvl? - ANS70% ethanol
(Ethyl alcohol)
Transillumination - ANSTransmission of light through tissues of the body. Used for peripheral iv
and blood draws
How many vertebrae are between the Carina and the CAJ? - ANS2
Central vascular access devices with the lowest CRBSI is? - ANSImplanted port
Ultrasound technology is used for - ANSLocating the vein, determine vein depth, diameter and
compressibility
This vein is difficult to visualize with US-guided CVAD placement - ANSSubclavian vein
Which lumen on a cvl is recommended for lab draws? - ANSDistal lumen
Patient with a eGFR of less than 60 or chronic kidney disease stage 3 or higher - ANSConsult
Nephrologist
Congenital heart disease patients are at increased risk of - ANSOccluded vessels
For measurement of piccs placed in the arm - ANSMeasure the planned insertion site to the
right clavicular head, then down to the third intercostal space
In younger patients consider creative strategies for securing the catheter this will - ANSReduce
risk of accidental dislodgement, catheter migration or breakage
Tunica media - ANSComposed of muscle and elastic tissue
Catheter removal when pt is on vent - ANSPlace pt flat or slight trendelenburg position, cath
should be removed at maximum inspiration, and quickly.
If pt awake for cath removal should have them - ANSExecute valsalva maneuver
After cath removed - ANSPlace sterile 4x4 gauze pad over site while applying pressure to stop
bleeding and prevent air from entering the tract.
Apply antiseptic ointment at the site and cover with a sterile occlusive dressing for at least 24
hrs
What dissolves a Lipid precipitate/fat emulsions clogged cvl? - ANS70% ethanol
(Ethyl alcohol)
Transillumination - ANSTransmission of light through tissues of the body. Used for peripheral iv
and blood draws
How many vertebrae are between the Carina and the CAJ? - ANS2
Central vascular access devices with the lowest CRBSI is? - ANSImplanted port
Ultrasound technology is used for - ANSLocating the vein, determine vein depth, diameter and
compressibility
This vein is difficult to visualize with US-guided CVAD placement - ANSSubclavian vein
Which lumen on a cvl is recommended for lab draws? - ANSDistal lumen
Patient with a eGFR of less than 60 or chronic kidney disease stage 3 or higher - ANSConsult
Nephrologist
Congenital heart disease patients are at increased risk of - ANSOccluded vessels
For measurement of piccs placed in the arm - ANSMeasure the planned insertion site to the
right clavicular head, then down to the third intercostal space
In younger patients consider creative strategies for securing the catheter this will - ANSReduce
risk of accidental dislodgement, catheter migration or breakage
Tunica media - ANSComposed of muscle and elastic tissue
Catheter removal when pt is on vent - ANSPlace pt flat or slight trendelenburg position, cath
should be removed at maximum inspiration, and quickly.
If pt awake for cath removal should have them - ANSExecute valsalva maneuver
After cath removed - ANSPlace sterile 4x4 gauze pad over site while applying pressure to stop
bleeding and prevent air from entering the tract.
Apply antiseptic ointment at the site and cover with a sterile occlusive dressing for at least 24
hrs
