Post on 06-Nov-2015
description
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
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