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PCA and central line

PCA , Epidural and central line catheters

QuestionAnswer
what is Nontunneled Multi-lumen Central Venous Catheter? A large-diameter catheter, multiple lumens 3 ports
where is the end of Nontunneled Multi-lumen Central Venous Catheter rest? rests in the superior vena cava or right atrium (chest placement)
how long does Nontunneled Multi-lumen Central Venous Catheter need to be changed 7-14 days
what is CVC ? where does it insert? where is the end rest? central venous catheter; inserted via the subclavian, jugular or femoral vein ; rests in the superior vena cava
what is PA catheter? Pulmonary Artery Catheters ; Nontunneled percutaneous central venous catheter Nontunneled percutaneous central venous catheter
what is PA used for? Used to monitor pulmonary artery blood pressure and cardiac function, may give IV fluids through some of the lumens. ; Pulmonary artery blood pressure, cardiac output, left heart pressures
Proximal Injectate Port (blue)of PA use for what? Outlet in right atrium ; Measurement of central venous pressure ; Prone to clotting ; Crystalloids only ; No vasoactive or antiarrythmia drugs ; Used to inject fluid for a cardiac output measurement
Proximal Infusion (white) of PA use for? No hemodynamic or monitoring value Can be a variety of colors Outlet in SVC or in right atrium No restrictions on types of fluids infused
Pulmonary Artery Distal of PA use for Used for measuring pulmonary artery pressures and cardiac pressures only! ; Never give medication or fluids/blood to this port. ; A pressure bag flush solution of NS is attached to keep the blood from backing up in the line.
how CVC and a PA catheter: similar and different ? Both: nontunneled CV Access lines for fluid/drug administration. ; CVC or “central line”: can measure right side of the heart pressures only PA Catheter: measures right & left side heart pressures, pulmonary artery blood pressure, and cardiac outpu
what catheter use for dialysis? Quinton cath
what indicate to use Central Catheters? Multiple infusions of fluids, medications, or chemotherapy: Patients receiving incompatible medications ; Infusion of fluids that are hypertonic, hyperosmolar or have divergent pH values: Infusion of Total Parenteral Nutrition (TPN) ; dialysis
what cause Pneumo/Hemothorax when having central cath? Injury to pleura, vein, artery or thoracic duct during catheter insertion
what cause Air embolism when having central cath? Occurs when intrathoracic pressure becomes less than atmospheric pressure when the catheter is open to air.
what cause Catheter embolism when having central cath? Occurs when the catheter is pulled back and sheared off through inserting needle or from catheter rupture.
what s/s for Catheter embolism chest pain, cardiac dysrhythmias
what do you do when flushing? Never use excessive force when flushing VADs. Avoid using syringes < 3ml in size to decrease pressure on catheter. 10mL syringes are recommended
Created by: tp667