SATA: Central lines have the following characteristics:
a. distal/ proximal valve
b. non valved
c. tunneled
d. non tunneled
e. dacron cuff
f. short term - CORRECT ANSWER -b,d,f
- central lines are always short-term (1-2 weeks, non-valved, and non-tunneled)
- they are the highest risk for infections
What is the insertion site for a hickman line?
a. the chest
b. the subclavian vein
c. the brachial vein
d. the internal jugular vein - CORRECT ANSWER -b - sublacvian vein
where is the exit site for a hickman line?
a. the chest
b. the subclavian vein
c. the brachial vein
d. the internal jugular vein - CORRECT ANSWER -a - chest
which of the following holds the highest risk for infection?
a. picc line
b. tunneled CVC
,c. IVAD
d. central line - CORRECT ANSWER -d - central line - lowest risk of infection is IVAD
t or f, a valved CVC means that there are always clamps present - CORRECT ANSWER -false
- if they are non valved, they will have clamps
- valved CVCs are either distal or proximal and open from pressure, closed at neutral
the purpose of the dacron cuff is: SATA
a. it is part of a tunneled CVC that gets inserted into the vein
b. it acts as an anchor for the catheter by granulation
c. it acts as an infection barrier from microorganisms
d. it allows for easy removal by physicians - CORRECT ANSWER -b and c
SATA types of tunneled CVCs:
a. permacath
b. hickman line
c. groshong
d. PICC line - CORRECT ANSWER -a,b,c
- groshong is a type of valve in tunneled cvcs
- permacath = hemodialysis cvc
what is the dilution of the superior vena cava
a. 2-4L/ min
b. 1-3L/min
c. 2-3L/min
d.1-4L/min - CORRECT ANSWER -c
, can percutaneous non tunneled CVCs be used in the community setting? - CORRECT
ANSWER -no
- inserted into subclavian, jugular or femoral
SATA disadvantages of PICC lines
a. weekly dressing changes
b. intolerant to some meds
c. accessed in community setting
d. not ideal for rapid infusion
e. needs constant ax of length of line - CORRECT ANSWER -a,b,d,e
administration of phenytoin would be contraindicated in which type of line
a. Central line
b. PICC line
c. hickman line
d. IVAD - CORRECT ANSWER -b
- small tubing, irritating
what should you do if the external length of the PICC line has changed SATA
a. notify provider
b. IV team
c. check if the change in length is an acceptable range in policy
d. assess the client - CORRECT ANSWER -all
to access an IVAD, what needle will you use:
a. non coring
b. blunt fill
c. subcutaneous