![]() These include:ĬVCs are not suitable for use in coagulopathic or thrombocytopenic patientsĬVCs are not suitable for patients with increased intracranial pressureĬVCs are not suitable for patients with wounds, cellulitis, vasculitis or other lesions in the region of the jugular veinĬVCs have a higher cost than standard cathetersĬVCs require more intensive monitoring and care, compared with peripheral catheters (24-hour care and monitoring must be available on-site)Ĭomplications associated with CVC use include:īacterial contamination – introduction of infection into the central circulation has more significant consequences than peripheral circulation. They are suitable for longer-term use than peripheral catheters – and can be left in situ for up to 14-21 days.ĬVCs do carry increased risks and special considerations when compared with standard peripheral IV catheters, and as nurses, we need to be aware of these to plan our nursing care effectively. The administration of hyperosmolar solutions which would not be suitable for peripheral veins, due to an increased risk of phlebitis these solutions include concentrated glucose (>7.5%) solutions and parenteral nutrition solutionĪllowing measurement of central venous pressure (CVP)Ĭollection of multiple blood samples through the sampling port, without performing repeated venipuncture The administration of multiple (incompatible) agents at once through multi-lumen catheters (two or three separate lines, allowing for complete separation of incompatible substances through the same catheter) Why use one?ĬVCs have several benefits and specific indications, including: ![]() These are generally large-bore catheters and can be multi-lumen, allowing multiple fluids to be administered simultaneously. What is a central venous catheter?Ĭentral venous catheters (CVCs, or central lines) are catheters placed in such a way that the tip of the catheter sits in the vena cava. In today’s post, we’re talking all about what central venous catheters are, how they are placed, when to use (and when not to use!) them, and how to nurse the CVC patient. These are incredibly fun to place, allow us to administer multiple drugs and fluids easily, and collect samples without the need for repeated venipuncture - what’s not to like? One fantastic example of how we can do more to support our critical medical patients is through placing and maintaining central venous catheters. ![]() You folks know that if there’s one thing I’m passionate about, it’s us nurses doing more with our skills.
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