University:
West Coast University
Course:
NURS 122 | Introduction to Medical Surgical Nursing
Academic year:

2020
Views:

69

Pages:

1
Author:

rezancuk2j

ACTIVE LEARNING TEMPLATE: Therapeutic Procedure STUDENT NAME _____________________________________ Central Venous Access Device PROCEDURE NAME ____________________________________________________________________ REVIEW MODULE CHAPTER ___________ Description of Procedure CVAD can be used for a short term or long term unfusion port. They can be sued for parenteral nutrition, chemotherapy, or other medications that can be irritants to the smaller veins. Blood and blood products can also be administered in patients with smaller peripheral access. Indications -Longterm therapy (ex. chemo) -Hemodialysis -Parenternal nutrition -central venous pressure monitoring -blood products -antibiotics -IV medications -Frequent blood draws Outcomes/Evaluation The CVAD is successfully placed. Cathereter ßushes without resistance and no sign or infection. The patient will be able to verbalize proper care of the CVAD and demonstate. Potential Complications failure to insert the access device Catheter becomes blocked or knoted Infection at the sight of access or the blood. air embolism Thrombosis ACTIVE LEARNING TEMPLATES CONSIDERATIONS Nursing Interventions (pre, intra, post) -Pre: explain the procedure to the patients gather supply and clean surface areas. Insertion is a sterile process -Intra: monitor patient vital signs for any rapid changes -Post: follow post procedure vital sign proticall. -Monitor bleeding from the insertion site. -Assess the patient and rule out pneumothorax, haemothorax, or potential cardiac tamponade. Client Education Educate the client about care of the port and the shcedule of changing port dressings Educate caregiver/ pt. that if receing TPN blood glucose needs checked every 2 hours. Educate on signs of infection to monitor for. Nursing Interventions Monitor bleeding, change dressing as needed. Monitor vital signs for decreased blood pressure and increased heart rate. Assess sight for inßamation or severe edema. THERAPEUTIC PROCEDURE A13