Central Venous Catheters
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Central Venous Catheters Purpose To deliver hyperosmolar solutions, to measure central venous pressure, infuse TPN, or to administer multiple IV solutions. ★ Catheter position is determined by X-Ray after procedure. ★ Catheter may be single, double, or triple lumen. ★ Catheter is inserted peripherally into either the basilic or cephalic vein, into the superior vena cava, inserted centrally into the internal jugular vein, or subclavian vein. They may also be surgically installed through Subcutaneous tissue. ★ With multi lumen catheters more than one medication is able to be administered at a time. Tunneled central venous catheter ★ More permanent and used for long term IV therapy. ★ May be single or multilumen. ★ Inserted in the OR. ★ Fitted with an intermittent infusion device, This allows access as needed and the system remains closed when unused. ★ Patency is maintained by flushing the catheter with diluted heparin. PICC Line ★ Used for long term IV therapy frequently in home. ★ The basilic vein is most commonly used. ★ The catheter is inserted so that the tipis terminated in the subclavian vein or superior vena cava. ★ Small amounts of bleeding during insertion are common, if bleeding continues after 24 hours call the HCP. ★ Phlebitis is common. Vascular access ports ( implants) ★ Surgically implanted under the skin. ★ Used for long term IV therapy. ★ Access requires palpation. ★ Accessed with a non coring needle. ★ Patency is maintained with periodic flushing with heparin. Epidural catheter ★ Non central . ★ Placed in the epidural space of the spinal column. ★ Used to administer analgesia. ★ Assess the client's vitals and respiratory status. ★ Monitor the insertion site for infection. ★ Monitor infusion device for proper rate and flow. ★ Aspiration is performed before injection. If more than 1 mL of clear fluid or blood is aspirated do not inject the medication and notify the HCP. NCLEX HINT ! For central line insertion, tubing change, and line removal, the client should be placed in the Trendelenburg's position or supine. Also instruct the client to perform the valsalva maneuver to increase the pressure in the central veins when the system is open. www.SimpleNursing.com 8-8
Transcript of Central Venous Catheters
Central Venous Catheters
Purpose To deliver hyperosmolar solutions, to measure central venous pressure, infuse TPN, or to administer multiple IV solutions.★ Catheter position is determined by X-Ray after procedure.★ Catheter may be single, double, or triple lumen.★ Catheter is inserted peripherally into either the basilic or cephalic vein, into the superior vena cava, inserted
centrally into the internal jugular vein, or subclavian vein. They may also be surgically installed through Subcutaneous tissue.
★ With multi lumen catheters more than one medication is able to be administered at a time.
Tunneled central venous catheter ★ More permanent and used for long
term IV therapy. ★ May be single or multilumen.★ Inserted in the OR. ★ Fitted with an intermittent infusion
device, This allows access as needed and the system remains closed when unused.
★ Patency is maintained by flushing the catheter with diluted heparin.
PICC Line ★ Used for long term IV therapy
frequently in home.★ The basilic vein is most commonly
used.★ The catheter is inserted so that the
tipis terminated in the subclavian vein or superior vena cava.
★ Small amounts of bleeding during insertion are common, if bleeding continues after 24 hours call the HCP.
★ Phlebitis is common.
Vascular access ports ( implants)★ Surgically implanted under the
skin.★ Used for long term IV therapy.★ Access requires palpation.★ Accessed with a non coring
needle. ★ Patency is maintained with
periodic flushing with heparin.
Epidural catheter ★ Non central .★ Placed in the epidural space of
the spinal column.★ Used to administer analgesia.★ Assess the client's vitals and
respiratory status.★ Monitor the insertion site for
infection.★ Monitor infusion device for proper
rate and flow.★ Aspiration is performed before
injection. If more than 1 mL of clear fluid or blood is aspirated do not inject the medication and notify the HCP.
NCLEX HINT !For central line insertion, tubing change, and line removal, the client should be placed in the Trendelenburg's position or supine. Also instruct the client to perform the valsalva maneuver to increase the pressure in the central veins when the system is open.
www.SimpleNursing.com
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