Central Lines Care
-
Upload
prototypeallhell -
Category
Documents
-
view
214 -
download
1
description
Transcript of Central Lines Care
-
N60B SKILLS LABSPRING 2015
Central Lines
-
Indications for Central LinesNo peripheral sitesComplex treatmentInfusion of vesicant drugsExample: ChemoIrritating SubstancesVancomycin, DilantinRapid blood replacement Hyperosmolar solutionsPPN = Osm = 1100TPN=Osm = 1900-2300Need for multiple lumens
-
InsertionSterile procedurePrimary RN assistsStitched vs STAT LOCKChest X-rayComplications
-
Single, Double and Triple Lumen
-
LumensWhich lumen is largest?Recommend: distal lumen Proximal Medial lumen Administer simultaneous or incompatible infusions
Exit sitesPigtailsStatlock
-
GroshongValves
Valve stays closed
-
CENTRAL LINE
Subclavian veinTunnled Double lumen
-
CENTRAL LINE
Subclavian veinTriple lumen7 daysDressing ChangeFlushingBlood Draw
-
PICC LINE
Inserted by PICC RN1, 2 & 3 lumensUltrasound GuidedDressing ChangeFlushingBlood Draw
-
Port-a-Cath OP surgery ProcedureSingle or double lumenAccessHuber needleDressing ChangeFlushing Blood Draw
-
Dialysis CatheterEmergency/ temporary vs. tunneled2 ports Venous vs. arterialDialysis RN: access maintenance & careCan be accessed in an emergency. (Code Blue)
-
ASSESSMENT & DRESSING CHANGEASSESSMENTCentral line dressing kitBio PatchSterile procedureSterile glovesMaskPt. Positioning
-
Administering MedicationsGather your supplies10 ml syringesPush Pause methodPositive pressure in last 0.2-0.5 ml
****** *
******