Central Venous Catheter Management Quiz
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Questions and Answers

Which of the following drugs is prone to cause phlebitis in peripheral veins?

  • Calcium chloride (correct)
  • Vasopressors (e.g., epinephrine, dopamine)
  • Medication
  • Amiodarone

What is the indication for measuring Central Venous Pressure (CVP)?

  • Frequent blood draws
  • Peripheral blood stem cell collections
  • Need for intravenous therapy when peripheral venous access is impossible (correct)
  • Dialysis

What are the absolute contraindications to central venous access?

  • Infection at insertion site
  • Distorted local anatomy (e.g., vascular injury, prior surgery, radiation history) (correct)
  • Blood
  • Rehydration

When should Plasmapheresis be performed?

<p>When there is a need for intravenous therapy when peripheral venous access is impossible (C)</p> Signup and view all the answers

What does monitoring the Central Venous Pressure (CVP) help quantify?

<p>Fluid balance (A)</p> Signup and view all the answers

What is the primary reason for monitoring the central venous pressure (CVP) in acutely ill people?

<p>To quantify fluid balance (A)</p> Signup and view all the answers

Which of the following is an absolute contraindication to central venous access?

<p>Distorted local anatomy (D)</p> Signup and view all the answers

What is a common indication for measuring Central Venous Pressure (CVP)?

<p>Frequent or persistent requirement for intravenous access (A)</p> Signup and view all the answers

Which of the following drugs is prone to cause phlebitis in peripheral veins?

<p>Calcium chloride (D)</p> Signup and view all the answers

In which situation is the monitoring of Central Venous Pressure (CVP) particularly important?

<p>Need for intravenous therapy when peripheral venous access is impossible (C)</p> Signup and view all the answers

Flashcards

Phlebitis risk with Calcium Chloride

Calcium chloride can irritate peripheral veins, causing inflammation (phlebitis).

CVP Monitoring Indication

Central venous pressure (CVP) is measured when peripheral IV access is difficult or impossible.

Absolute Contraindication to Central Venous Access

Distorted local anatomy, like previous surgery or radiation damage, prevents central access.

Plasmapheresis use

Plasmapheresis is used when intravenous access is needed but peripheral veins are unavailable.

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CVP Monitoring Goal

CVP monitoring helps assess the body's fluid balance.

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Frequent IV Need & CVP

Repeated IV use makes CVP monitoring a valuable tool for managing fluid balance.

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CVP in Acute Illness

CVP monitoring is critical to evaluate fluid balance in acutely ill patients.

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Distorted anatomy & Central Access

Anatomical issues, like previous surgeries or radiation damage, can strongly prohibit central vein access.

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Intravenous therapy dependance on peripheral veins

Peripheral veins are typically the primary route for establishing intravenous access.

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Central venous pressure (CVP) monitoring

Monitoring the pressure in large veins near the heart to ensure good fluid balance and IV access

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Study Notes

Central Venous Catheter (CVC)

  • A catheter placed into a large vein for administering medication, fluids, or obtaining blood tests.
  • Can be placed in veins in the neck (internal jugular vein), chest (subclavian or axillary vein), groin (femoral vein), or arms (PICC line).

CVC Uses

  • Administering medication or fluids unable to be taken orally or would harm smaller peripheral veins.
  • Obtaining blood tests, specifically central venous oxygen saturation.
  • Measuring central venous pressure (CVP).

Central Venous Pressure (CVP)

  • Pressure measurement of circulating blood flow within the right atrium via great veins in the thorax.
  • Serves as a guide for assessing right and left side cardiac functions in absence of cardiorespiratory diseases.

Indications for Measuring CVP

  • Long-term intravenous antibiotics.
  • Long-term parenteral nutrition, especially in chronically ill persons.
  • Long-term pain medications.

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Description

Test your knowledge on central venous catheter (CVC) management and CVP measurements through manometer with this quiz. Learn about the placement of CVCs in different veins and their significance in medical-surgical nursing.

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