Central Catheter Care

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Across
  1. 3. A _________ central catheter is NOT used routinely for access, it may be used in a life-threatening emergency. It is accessed, cleaned, and flushed differently than other catheters.
  2. 5. A central catheter must be stabilized to prevent ________, which can damage the intima and cause phlebitis and infection.
  3. 7. The almost-forgotten component of central catheter care is to changing the ______
  4. 9. The CDC recommends using _____________ used to disinfect the skin at each central line dressing change.
  5. 12. The dressing helps _________ the catheter.
  6. 14. Central catheter placement using ___________ allows measurement of the patient's vein size.
  7. 18. If the dressing gets ____ and is no longer intact, change it to prevent infection.
  8. 19. More than 80% of _________ are linked to vascular access devices and 50% of these are preventable.
  9. 20. The IHI recommends bundling to improve patient outcomes and prevent________ (initials)
  10. 23. Patients with central lines should be assed ______ to determine continued patient need.
Down
  1. 1. If you meet _________ during flushing, or if no blood return is seen - assess patency before administering medications and fluids.
  2. 2. The catheter is flushed to maintain patency and help prevent _____ from forming to act as a barrier inside the catheter.
  3. 4. A catheter that is too ________ can cause arm swelling and DVT.
  4. 6. The type of ___________ used depends on the therapy required and patient characteristics.
  5. 8. tunneled A _________ catheter is typically inserted in the neck, chest or groin. It is used for acute short-term conditions, and comes with single, double, triple or quadruple lumens.
  6. 10. hygiene Always perform good ________ before performing any for a central catheter. (two words)
  7. 11. An _____________ port (also called a portacath) is attached to a reservoir and is placed surgically beneath the skin.
  8. 12. When changing the cap, be sure to do this to the new cap with saline and to clean the hub.
  9. 13. A ________ catheter must be inserted invasively. It has a cuff that stimulates tissue growth and helps hold it in place.
  10. 15. The infusion Nurses Society recommends changing the cap on the same schedule as changing this.
  11. 16. Central catheters are ____________ by location, type, indication, and tip location.
  12. 17. dialysis catheter is often ________ with a solution, such as large heparin doses which must be withdrawn before use.
  13. 21. days A central line transparent dressing should be changed every ______ _____ (2 words)
  14. 22. Failure to _____ between giving medications can cause catheter occlusion from precipitate formation.