NURA 1500- infusion therapy part 2 Questions and Answers with complete solution

Central line insertion complications - Pneumothorax (collapsed lung) Hemothorax (blood in lung) Hydrothorax (fluid in lung) Common complications of CVC - Air embolism (respiratory, anytime) Arterial puncture (on insertion, hit artery) Catheter migration/dislodgment Lumen occlusion (forced lines weaken cannula) Central line associated bloodstream infection (CLABSI) What to look for on removal of a catheter - Infection, intact tip What to do for on insertion of a catherter - Sterile technique, monitor for infection/problems Complications of local infection - Site infection/cellulitis Phlebitis (red, irritation, ropey) Infiltration/extravastation Ecchymosis Petechial (pin point bruise) Nerve damage Complications of systemic infection - Air embolism Catheter embolism Circulatory overload Septicemia (local becomes systemic)phlebitis - inflammation of a vein from mechanical (movement) or chemical (medication) trauma Phlebitis signs and symptoms - 1. Pain 2. Increased skin temp 3. Erythema (redness) along vein Causes of phlebitis - 1. Catheter to large for vein (mechanical) 2, vein becomes inflamed by irritating or vesicant solutions or medications, improperly mixed or diluted medications (chemical) Phlebitis treatments - 1. Discontinue, remove catheter 2. Elevate the extremity 3. Restart the infusion proximal to site in another extremity 4. Culture site and drainage if present 5. Notify physician 6. Apply warm, moist compress