Surgically implanted. Often used in oncology. 90 degree Huber needle is needed for access. Once accessed, transparent dressing is placed over site. Only one needle in each port – therefore all infusions/medications administered at same time with same needle MUST be _________________.
Can draw all labs from. Must flush per shift, per intuition policy. A ________ return is a valid way to check for patency.
General Principles for Central Lines
Syringe size – must use a ______ mL syringe or larger to administer meds or saline. The smaller the syringe, the ____________ pressure it exerts on the catheter. Be aware that excessive pressure can ______________ catheter.
Flushing – use __________ solution to flush the central line using the push-stop-push-stop method. This method creates ________________________ which helps to clear blood and medication from the line.
DO NOT flush the line ______________________! (can push clot or shear catheter into bloodstream)
Blood Collection – only use lumen of 4F or larger is recommended for drawing blood. The Infusion Nurses Society recommends using the distal port of a multi-lumen catheter for blood sampling. This is the largest port (16-gauge).
__________ flow of all other infusions until the blood drawing is completed.
Nursing interventions: use proper sterile technique when inserting catheter; sterile gloves, gown, mask for
person inserting catheter and _______________ for everyone in room
If suspect air embolism:
1) ____________catheter
administer ______________
place patient on _____side in Trendelenberg position – this position helps to trap
the air in apex of the right atrium rather than entering right ventricle and then
moving into pulmonary arterial system
stay with patient while colleague calls HCP