Central lines cvc central venous catheters
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Central Lines CVC-Central Venous Catheters PowerPoint PPT Presentation


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Central Lines CVC-Central Venous Catheters . The placement of a catheter in the right superior vena cava via the cephalic or basilic veins. Purpose of Central Lines. Poor peripheral venous access Administer large volumes & multiple IVF’s Central lines may have 1-4 ports

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Central Lines CVC-Central Venous Catheters

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Central lines cvc central venous catheters

Central LinesCVC-Central Venous Catheters

The placement of a catheter in the right superior vena cava via the cephalic or basilic veins.


Purpose of central lines

Purpose of Central Lines

  • Poor peripheral venous access

  • Administer large volumes & multiple IVF’s

  • Central lines may have 1-4 ports

  • Administration of “caustic” meds

  • Long term administration

  • Diagnostic/blood sampling

  • TPN solutions


Anatomy of a central line

Anatomy of a Central Line

  • Usually made of silicone

  • Has 1-4 ports with male adaptors

  • “Surgically” inserted by MD

  • Sutured into the skin to prevent dislodgement

  • Covered with sterile dressing


Nursing responsibilities

Nursing Responsibilities

  • Verify patient’s consent/allergies

  • Secure supplies-can be performed @ bedside

  • Prepare IVF per MD orders or heparin flush

  • Wash insertion site prior to insertion

  • Patient education


Cvc maintenance care

CVC Maintenance/Care

  • Know facility policy

  • CVC dressing change

    • Assess for redness, warmth, edema, drainage

    • Use transparent dressing

  • CVC site care

    • Do not touch insertion site

    • Use CVC dressing kit if available


Flushing cvc line

Flushing CVC line

  • Essential in maintaining patency

  • Never use a syringe with < 10 mL-creates to much pressure

  • Saline 10-20 mL

  • Heparin (100units/mL) 5 mL-have patient perform Valsalva manuever (prevents occulsion of line)

  • Change male adaptors per policy


Cvc line occlusion

CVC Line Occlusion

  • Line won’t flush-STOP

  • Notify MD


Removal of cvc line

Removal of CVC Line

  • RN can remove CVC line

  • Review procedure per facility policy

  • Position patient in Trendelenberg or flat

  • Hand hygiene

  • Remove dressing/sutures

  • Valsalva maneuver (prevents air embolism)

  • Pull with smooth steady motion


Post cvc line removal

Post CVC Line Removal

  • Assess site

  • Pressure dressing

  • Assess CVC cath

  • Document


Complications of cvc lines

Complications of CVC Lines

  • Sepsis

  • Thrombus formation

  • Air embolism


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