PICC, port a cath, TPN, swan ganz, hickmans

short or long term non tunneled external catheters

PICC

what does PICC stand for

peripherally inserted central canal

how is PICC placed

placed through the skin into the subclavian vein in the arms, superior to the antecubital fossa

where does the tip of PICC end up

superior vena cava

function of PICC

administer medication, draw blood, nutrition

how long can PICC stay in a patient

short or long term, about a year

where are long term tunneled external catheters placed?

beneath the skin and into the desired vein. tip is in superior vena cava between the nipple and sternum

what is required to place a long term tunneled external catheter?

surgery

what are the different types of long term tunneled external catheters

1. hickman

2. groshong

3. permthane

hickman is for

used for long term total parenteral nutrition

groshong is for

administering medications, fluids, blood samples, and comes in single or double lumen

permthane is for

dialysis and has a large double lumen

where is the permthane catheter placed?

internal jugular vein

what is total parenteral nutrition

patients who cant tolerate nourishment by means of the GI tract. there is partial and total nutrition

if it is partial nutrition issue, TPN

they can get part of their natural nourishment. large gauge catheter are placed into a peripheral vein and parenteral solution with lipids, amino acids, and solution is instilled

if it is total nutrition issue, what happens in terms of TPN

they are delivered through a central vein because the solution is hyperosmotic (more solutes than fluid) and would damage peripheral vein

TPN administration is controlled by a x to prevent fluid imbalances

infusion pump

what is another term for a long term implanted infusion ports

venous access ports (port a cath)

who is in need of port a cath

long term illnesses that require Iv medicaitons, transfusions, chemotherapy, blood samples from superior vena cava

where is the tip in a port a cath

SVC

how is a port a cath inserted

surgery under the skin into the subclavian or internal jugular vein

port a cath

port a cath

port a cath

in a port a cath, what is the port made out of

plastic, titanium, metal, stainless

in a port a cath, how do we access the port?

huuber needle

port a cath

1

swan ganz

what is the big indicator of 1

if it loops in on itself, it is a swan ganz

3

nasogastric tube

2

endotracheal tube

4

chest tube

5

sternal wires from open heart

6

monitor lines