Comprehensive Questions
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List six indications for using a central venous catheter? - Answer: A central venous catheter is
indicated: (1) to measure central venous pressure. (2) for rapid infusion of fluids. (3) for
transvenous pacemaker insertion, (4) for parenteral alimentalion, (5) for chemotherapy, (6) to
remove air if there is a high risk for venous air embolism
What jugular vein, right or left, is most often preferred for cannulation for central venous
pressure (CVP)? Why? - Answer: The right internal jugular is preferred because of its straight
course to the superior vena cava. The left internal jugular vein has the thoracic duct
You are considering insertion of a central venous line via the left internal jugular vein; what are
three risks of using the left jugular vein for central line insertion? - Answer: Left-sided
catheterization via the left jugular vein increases the risk of (1) vascular erosion, (2) pleural
effusions, and (3) puncture of the thoracic duct, leading to chylothorax
Where should the tip of a central venous
pressure catheter be located? - Answer: The tip of the catheter for measuring central venous
pressure should be located just above the junction of the superior vena cava and the right
atrium