Vascular Access: Veins and Arteries Quiz

<p>Radial Artery (B)</p> Signup and view all the answers

<p>Perform Allen’s Test (A)</p> Signup and view all the answers

<p>Ability to palpate a pulse (B)</p> Signup and view all the answers

<p>Ultrasound guidance (A)</p> Signup and view all the answers

<p>Arm extended with palm facing up (D)</p> Signup and view all the answers

<p>There is an absence of collateral blood flow. (D)</p> Signup and view all the answers

<p>Below the inguinal ligament, midway between two bony landmarks. (D)</p> Signup and view all the answers

<p>Consultation with a Vascular Access Specialist. (B)</p> Signup and view all the answers

<p>There is a high risk of developing lymphedema. (C)</p> Signup and view all the answers

<p>Internal Jugular CVAD insertion. (D)</p> Signup and view all the answers

<p>Previous type of VAD, site, and any complications. (B)</p> Signup and view all the answers

<p>Additional measures to promote wound healing. (B)</p> Signup and view all the answers

<p>It might disrupt blood flow to the fistula. (B)</p> Signup and view all the answers

<p>Inner side of the leg (B)</p> Signup and view all the answers

<p>Preferably avoid lower extremity access in certain patients (D)</p> Signup and view all the answers

<p>One week after birth (D)</p> Signup and view all the answers

<p>Radial artery (A)</p> Signup and view all the answers

<p>Allen’s Test (A)</p> Signup and view all the answers

<p>To visualize the deeper course of the artery (B)</p> Signup and view all the answers

<p>Popliteal space (B)</p> Signup and view all the answers

<p>4 days (B)</p> Signup and view all the answers

<p>Crawling or ambulatory patients (B)</p> Signup and view all the answers

<p>Most superficial artery in the forearm (B)</p> Signup and view all the answers

<p>It lacks adequate collateral blood flow. (A)</p> Signup and view all the answers

<p>Below the inguinal ligament. (C)</p> Signup and view all the answers

<p>Inserting in the arm or axillary veins of a potential future AV fistula. (B)</p> Signup and view all the answers

<p>Removal of one or more lymph nodes. (B)</p> Signup and view all the answers

<p>Consultation with a vascular access specialist. (D)</p> Signup and view all the answers

<p>They can affect insertion and wound healing. (C)</p> Signup and view all the answers

<p>Previous VAD type and site. (A)</p> Signup and view all the answers

<p>It may lead to stenosis in the AVF. (B)</p> Signup and view all the answers

<p>Inserting a line in the contralateral arm. (A)</p> Signup and view all the answers

<p>Internal jugular CVAD insertion. (A)</p> Signup and view all the answers

The Greater Saphenous vein begins near the foot's arch, ascends along the inner leg, and terminates into the femoral vein behind the knee.

Avoid placing central venous access devices (CVADs) in the lower extremities of patients who crawl or walk as complications may arise.

The Popliteal vein forms from the confluence of the tibial vessels in the popliteal space, behind the knee.

A patent vein in the umbilical cord available for vascular access for up to one week post-birth in infants and neonates.

The Radial Artery, located on the radial side of the forearm, is the most common site for arterial line placement in both adults and children.

The Brachial Artery runs medial to the bicep muscle, can be palpated in the antecubital fossa, and requires ultrasound for cannulation above the elbow.

An Allen's test evaluates collateral blood flow to the hand, essential before accessing the Radial Artery for arterial lines.

Ultrasound guidance allows for more proximal placement of arterial lines in the Radial Artery.

The brachial artery is not a good choice for pediatric patients because it lacks collateral blood flow, meaning that if the artery is blocked, there are no alternative pathways for blood to reach the hand.

The femoral artery is located midway between the pubic bone and the anterior superior iliac spine (top of the hip bone). It's best to use ultrasound to guide insertion into this artery.

Chronic Kidney Disease (CKD) is a serious condition that affects the kidneys' ability to filter waste products from the blood. CKD can lead to complications in vascular access, making it crucial to involve specialists.

Patients with CKD Stage 3 or higher, or those with End-Stage Renal Disease (ESRD), often have an arteriovenous (AV) fistula, a surgically created connection between an artery and a vein, to allow for hemodialysis.

Inserting a vascular access device in the arm, axilla, or subclavian vein of a CKD patient who may need an AV fistula in the future can potentially damage the vessels needed for the fistula, increasing the risk of complications.

A patient's history of prior vascular access device (VAD) use, including type, location, duration, and any associated complications, provides valuable information for selecting the best option for future access.

Conditions such as diabetes, steroid use, edema, and lymphedema can influence device selection, insertion, and wound healing. These conditions can affect the body's ability to heal.

Patients with a history of mastectomy and axillary lymph node dissection are at increased risk of lymphedema, a condition characterized by swelling in the arm. Vascular access should be placed in the opposite arm to minimize the risk of lymphedema.

A test performed before accessing the radial artery to ensure enough blood flow to the hand in case the radial artery is blocked.

The presence of numerous valves in the legs, often found in the greater saphenous vein, can make it challenging to advance the catheter.

The use of ultrasound guidance for insertion procedures is highly recommended to ensure accurate placement and minimize complications.

Reviewing patient's history for allergies or sensitivities to materials used in vascular access is essential to prevent complications and ensure patient safety.