ESRD - answer✔all VAD's should be discussed with nephrologist for clearance
PIV - answer✔only for 5-9 ph and <600 osM/L
PICC - answer✔can be used for urgent chemo or acute need or as bridges for any continuous
infusion
TCVAD - answer✔Treatment of blood CA, leukemia, marrow transplant, peds
Power injectable - answer✔>300Psi for MRI /CT with contrast
TPN - answer✔dedicate lumen, any CVAD ok, TCVAD for peds
Need for CVAD - answer✔- for rapid hemodilution (2L per minute in SVC)
- for concentrated infusions like saline
-for vesicants
-for high volume infusions
-SVO2 or CVP readings
- blood products
-Chemo infusions
-TPN
-infusions out of 5-7 ph or >600 osm/L
-dialysis (tunneled dialysis CVAD)
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