REVIEW: Central Venous Catheter Access for Hemodialysis

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Central Venous Catheter Access for Hemodialysis

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REVIEW: Central Venous Catheter Access for Hemodialysis:

REVIEW : Central Venous Catheter Access for Hemodialysis

Slide2:

1. The volume of anticoagulant needed for the solution lock is standard for all catheters. A. True B. False

Slide3:

2 . Short term catheters are soft and therefore not prone to kinking. A. True B. False

Slide4:

3 . Use of a disinfectant agent not recommended by the manufacturer can cause deterioration of the catheter. A. True B. False

Slide5:

4 . To remove the solution lock and check for presence of clots in a catheter aspirate 3-5mls from each lumen of the catheter. A. True B. False

Slide6:

5 . An advantage of a femoral site for catheter insertion is the ease of insertion at this site. A. True B. False

Slide7:

6 . __________________is the most common complication with the central venous catheter (CVC) access. A. Kinking B. Splitting C. Infection

Slide8:

7 . The dose of anticoagulant needed for the solution lock has a standard concentration and volume. A. True B. False

Slide9:

8 . Central venous catheters (CVC) designed for short term use have cuffs. A. True B. False

Slide10:

9 . At the end of the dialysis the catheter is usually locked with _________________. A. Saline B. Alcohol C. Heparin

Slide11:

10 . The exit site is where most central venous catheters (CVC) infections begin. A. True B. False

Slide12:

11 . When considering insertion sites the subclavian vein is the preferred site for a central venous catheters (CVC). A. True B. False

Slide13:

12 . The ____________________ insertion site is the most difficult and should be avoided if possible. A. Femoral B. Subclavian C. Jugular

Slide14:

13 . Central venous catheter (CVC) access are much more prone to _______________than an AVF /AVG Access. A. Clotting B. Splitting C. Leaking

Slide15:

14 . The first step in beginning the connection procedure with a (CVC) is the establishment of at minimum a _________________ working area. A. Separate B. Clean C. Tidy

Slide16:

15 . The jugular vein is the most difficult insertion and should be avoided unless there are no other options. A. True B. False

Slide17:

16 . Long term central vein catheters (CVC) should have cuffs. A. True B. False

Slide18:

17 . When considering insertion sites the Internal jugular vein is the preferred site for a central venous catheters (CVC). A. True B. False

Slide19:

18 . Hygiene is very important to consider due the high risk of central venous catheter (CVC) infections. A. True B. False

Slide20:

19 . Always use scissor type clamps to clamp the lumen when disconnecting a catheter. A. True B. False

Slide21:

20 . Short term catheters are rigid and prone to kinking. A. True B. False

Slide22:

21 . ______________________in particular is an activity restriction for patient’s with a CVC. A. Swimming B. Tai Chi C. Yoga

Slide23:

22 . The disinfectant agent to be used with a catheter is dependant on the material that it is made of and is usually indicated on the catheter package. A. True B. False

Slide24:

23 . When a central venous catheter (CVC) access is required a______________________ should be the first choice for most patients. A. Tunneled jugular B. Temporary subclavian C. Tunneled femoral

Slide25:

24 . The____________________________site is chosen because, the insertion technique is simple, the vessel is less complicated to find, and there is almost a straight passage towards the heart A. Right internal jugular B. Right external jugular C. Left internal jugular

Slide26:

25 . Flush each lumen of the catheter quickly with __________________ mls of saline to remove residual blood from inside the lumen. A. 2-5 ml B. 20-50 ml C. 10-20 ml

Slide27:

26 . Reversing the bloodlines when using central venous catheters (CVC) has a minimal effect on treatment adequacy. A. True B. False

Slide28:

27 . The purpose of a cuff on central venous catheters (CVC) is to create a barrier to prevent the entry of bacteria. A. True B. False

Slide29:

28 . Tunneled catheters (CVC) should have _______________. A. Sutures B. Cuffs C. Wings

Slide30:

29 . Central venous catheters (CVC) designed for temporary use are always sutured into place and have a limited life span. A. True B. False

Slide31:

30 . Catheter ends must always be kept covered either with sterile caps or syringes. A. True B. False

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