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AVA CERTIFICATION EXAM: VASCULAR ACCESS DEVICES 2024/2025 already graded A+ R186,24   Add to cart
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AVA CERTIFICATION EXAM: VASCULAR ACCESS DEVICES 2024/2025 already graded A+
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AVA CERTIFICATION EXAM: VASCULAR ACCESS DEVICES 2024/2025 already graded A+

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  • February 29, 2024
  • 5
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • va bc
  • in the presence of a newly placed automatic intrac
  • tunneled cvad may be indicated for infants and tod
  • then down to the third intracoastal space land m

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  • VA-BC
  • VA-BC

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Ashley96

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AVA CERTIFICATION EXAM: VASCULAR
ACCESS 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

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