Nursing 3910A/B Chapter Notes - Chapter 1: Trendelenburg Position, Parenteral Nutrition, Percutaneous
13 Mar 2018
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Inserted through a catheter inserted into a high-flow large blood vessel: 4 types of central venous access devices, nontunnelled (percutaneous) central catheters, peripherally inserted central catheters (picc, tunnelled catheters. Insertion site changed every 4-6 weeks or as recommended. Insertion: patient is in supine trendelenburg position, shaved if necessary, cleaning of the area, procaine or lidocaine to anesthetize the skin, catheter insertion site swabbed. If tapered too quickly rebound hypoglycemia can occur: weakness, faintness, sweating, shakiness, feeling cold, confusion, ^ hr. Introduce strange equipment the child may see: describe how long the procedure will last. Identify unusual sensations that may occur during the procedure. Inform eh child about any pain or expected sensations that may be involved. Identify any special care required after the procedure: children respond best to play materials or peer modeling films (age dependent, gain trust and provide support, always include parents.
