Term
| • What are the indications for a central line IV catheter? |
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Definition
- Lg vol crystalloid or collaid infusion
- Continuous drug infusion
- Repeated blood sample collection
- Infusion of parenteral nutrition or other hyperosmolar substances
- Central venous pressure measurement |
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Term
| • What are the contraindications for placing a central line IV catheter? |
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Definition
- Coagulopathies
Thrombocytopenia
Thrombocytopathia
Vit k antagonist rodenticide
- Hypercoagulable states
Hyperadrenocorticism
Disseminated intravascular coagulation (DIC)
Protein losing enteropathy
Protein losing neuropathy |
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Term
| • Which vessels should central venous catheters not be placed into? |
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Definition
| - Not placed in the jugular vein in cases of increased intraocular or intracranial pressure or thrombosis of one jugular vein |
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Term
| • What are the indications, and contraindications, for a vascular cutdown to facilitate the placement of an IV catheter? |
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Definition
Indications
- Catheterization of vessel in pts w/ extreme hypotension, peripheral vasoconstriction, or obesity
- Infusion of crystalloid or colloid fluids
- Infusion of blood products
- Infusion of drugs
- Obtain blood samples
Contraindications
- Abrasion, burn or pyoderma over catheter site
- Direct percutaneous catheterization is possible |
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Term
| • Which scalpel blade is recommended for use in performing an IV cutdown? |
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Definition
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Term
| • Which suture material is recommended for use in performing an IV cutdown? |
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Definition
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Term
| • What specific types of catheters are indicated when performing IV cutdowns? |
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Definition
| - 14 – 18 g venocath or over the needle peripheral catheter |
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Term
| • How long should catheters placed by cutdown in emergency situations be left in place? |
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Definition
| - Only until pt’s vol and BP have been normalized |
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