Exam (elaborations)
AVA CERTIFICATION EXAM: VASCULAR ACCESS DEVICES 2024/2025 already graded A+
- Course
- Institution
AVA CERTIFICATION EXAM: VASCULAR ACCESS DEVICES 2024/2025 already graded A+
[Show more]
Seller
Follow
Ashley96
Reviews received
Content preview
AVA CERTIFICATION EXAM: VASCULARACCESS DEVICES
In the presence of a newly placed automatic intracardiac defibrillator or pacemaker - ANSAvoid
PICC insertion on ipsilateral side for six months
CVAD insertion in the presents of an IVC filter - ANSCan Inadvertently trap wires in the filter
PIV is indicated for adequate venous availability for indicated therapy. This includes -
ANSNon-vesicants and non- irritants with a pH 5 to 9 and osmolality <600 mOSm/L
PICCS can be utilized for - ANSChemotherapy, TPN, IV solutions and medication, blood
products, plasmapheresis, hemodialysis, diagnosing, frequent blood sampling.
Power Injectable devices are made of polyurethane and withstand high pressure of >300
pounds per square inch to be used during - ANSCT or MRI scan
Tunneled CVAD may be indicated for infants and toddlers receiving - ANSTPN
Axillary lymph node dissection including sentinel node biopsy, requires special considerations
with vascular access placements - ANSUse contralateral arm for PIV or PICC placement.
In morbid obesity the most appropriate vein selection may be - ANSThe cephalic vein.
Ultrasound appearance of a target vein that changes in size from large to small and back again
as you move up the arm - ANSMay represent venous dilatation from a distal stenosis or
occlusion
How does one measure for PICC placement? - ANSPosition arm at 90 degree angle.
Measure from planned insertion site to the right
Clavicular head,
Then down to the third intracoastal space.
Land-marked measuring techniques have
reported failure and complications as high as - ANS30 percent and 18.8 percent respectively
Catheter-related infections most often result from - ANS-contamination of the central venous
catheter
-contamination of the insertion site
-break in sterile technique during insertion
, Maximum sterile barrier protection may reduce the incidence of - ANSCatheter contamination
and CLABSI
Chlorhexidine with alcohol is superior to - ANSPovidone/iodine or isopropyl alcohol
How should Chlorhexidine be applied? - ANSFriction on clean skin for 30
seconds, then allow to dry completely.
How should Chlorhexidine or appropriate skin antiseptic be applied to the femoral area? -
ANSShould be applied for at least two minutes using friction, then allow to dry.
Use 10 ml syringe - ANSTo minimize pressure on the catheter
Lock solutions include - ANSNormal Saline, or Heparinized saline 10 to 1000 units per milliliter
Preferred skin antiseptic for site care. - ANS0.5% Chlorhexidine preparation with alcohol
Allow chlorhexidine to dry completely before applying - ANSSecurement device or transparent
dressing
Catheter removal. Place patient in what position? - ANSSupine or slight Trendelenburg position
If patient inhales during catheter removal what could occur? - ANSAir embolism
After removing the catheter apply what to site? - ANSAntiseptic ointment
Occlusive dressing should remain in place how long after catheter is removed - ANS24 hours
Assessment of PICC. - ANSObserve insertion site and affected arm for signs and symptoms of
potential problems every 8 hours. Exit site bleeding. Exit site infection. Catheter related sepsis
with temperature greater than 101 degrees. External catheter leakage.
Catheter tip malposition - ANSMay complain of gurgling
noise, ear, and neck pain during infusion, catheter embolus or rupture of catheter.
PICC CATHETER
Phlebitis pain, redness, swelling, can appear - ANSanywhere along the cannulated vein.
GROSHONG CATHETER ADVANTAGES - ANSClamping nor Heparin is needed.
Only saline flush is needed.
Irrigate every 7 days and after use.
GROSHONG CATHETHER DISADVANTAGES - ANSSurgery required
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Ashley96. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for CA$14.39. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now