central lines cvc central venous catheters
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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

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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