This study used a descriptive design with a chart review of patients from the PICU who had a CVAD
In the postimplementation group, removal of CVAD
within 14 days of bacterial identification was more frequent (11 of 111 [9.
Cesaro et al (2009) found the incidence of CVAD
occlusion was significantly higher in the experimental PPMV group (2.
Others require locking the CVAD
with higher-dose heparin in a volume that is equivalent to the lumen and then require the practitioner to withdraw the heparin (to prevent systemic administration) prior to flushing with normal saline (ISMP Canada, 2004).
The central lines that most family physicians learned to insert during residency are only one of a dizzying array of CVADs
Discuss the use of power injectors for administering contrast media through a CVAD
thrombi are likely to form at four sites: (a) the lumen of the catheter, (b) the site where the catheter enters the vein, (c) the catheter tip; and (d) the external surface of the catheter (Haire & Herbst, 2000).
was flushed with 3 mL of normal saline, and 3 mL of blood was withdrawn and discarded prior to obtaining the tobramycin level.
A patent CVAD
allows for the infusion of intravenous fluids as well as the aspiration of blood from the catheter.
Dressing Change in Compliance 1 2 3 4 5 6 7 8 9 10 * PIV/PIL changed q 24 hrs COMMENTS:-- * CVAD
changed q 7 days and 24 hours after insertion * Dressing labeled with date and time (Observation) * Dressing change documented in the medical record * Gauze dressing changed q 24 hours (PIV)/ q 48 hours (CVAD
Finally, about half of parenteral nutrition patients have multi-lumen CVADs
, which provide additional locations for bacteria to enter.
a viable treatment option for a CVAD
complication that can