NURS 321 Lecture Notes - Lecture 2: Perspiration, Central Venous Catheter, Heparin
4 Dec 2020
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Nurs 321/431 central venous access devices worksheet. Watch the lecture on central line complications and complete the questions below. This sheet can be used in clinical as a guide for your practice. Patient likely state they do not feel fine. Anticipate swab/culture (clean the site prior to swab/culture) Anticipate blood culture is suspected systemic infection. Maximum barrier precautions (you and patient wearing a mask) Having patient turn head away while you perform the dressing change. Anticipate thrombolytic order (lmw heparin or tinzaparin, warfarin) Report promptly to a physician or resident. Advocate for removal if not being used. Pleural space - chest pain, tachycardia, sob, hypotension, crackling on auscultation. Internal jugular - gurgling sound by patient"s ear, neck swelling. Expect physician to remove catheter and reinsert. Have patient raise arm until removal can be done. Ensure ultrasound or x ray is completed post insertion. Remove all air when priming an iv.
