Central venous catheter access for hemodialysis

1. REVIEW:
Central Venous Catheter
Access for Hemodialysis

2. 1. The volume of anticoagulant needed for the
solution lock is standard for all catheters.
A. True
B. False

3. 2. Short term catheters are soft and therefore not
prone to kinking.
A. True
B. False

4. 3. Use of a disinfectant agent not recommended by
the manufacturer can cause deterioration of the
catheter.
A. True
B. False

5. 4. To remove the solution lock and check for
presence of clots in a catheter aspirate 3-5mls from
each lumen of the catheter.
A. True
B. False

6. 5. An advantage of a femoral site for catheter
insertion is the ease of insertion at this site.
A. True
B. False

7. 6. __________________is the most common
complication with the central venous catheter (CVC)
access.
A. Kinking
B. Splitting
C. Infection

8. 7. The dose of anticoagulant needed for the solution
lock has a standard concentration and volume.
A. True
B. False

9. 8. Central venous catheters (CVC) designed for short
term use have cuffs.
A. True
B. False

10. 9. At the end of the dialysis the catheter is usually
locked with _________________.
A. Saline
B. Alcohol
C. Heparin

11. 10. The exit site is where most central venous
catheters (CVC) infections begin.
A. True
B. False

12. 11. When considering insertion sites the subclavian
vein is the preferred site for a central venous
catheters (CVC).
A. True
B. False

13. 12. The ____________________ insertion site is the
most difficult and should be avoided if possible.
A. Femoral
B. Subclavian
C. Jugular

14. 13. Central venous catheter (CVC) access are much
more prone to _______________than an AVF /AVG
Access.
A. Clotting
B. Splitting
C. Leaking

15. 14. The first step in beginning the connection
procedure with a (CVC) is the establishment of at
minimum a _________________ working area.
A. Separate
B. Clean
C. Tidy

16. 15. The jugular vein is the most difficult insertion and
should be avoided unless there are no other options.
A. True
B. False

17. 16. Long term central vein catheters (CVC) should
have cuffs.
A. True
B. False

18. 17. When considering insertion sites the Internal
jugular vein is the preferred site for a central venous
catheters (CVC).
A. True
B. False

19. 18. Hygiene is very important to consider due the
high risk of central venous catheter (CVC) infections.
A. True
B. False

20. 19. Always use scissor type clamps to clamp the
lumen when disconnecting a catheter.
A. True
B. False

21. 20. Short term catheters are rigid and prone to
kinking.
A. True
B. False

22. 21. ______________________in particular is an
activity restriction for patient’s with a CVC.
A. Swimming
B. Tai Chi
C. Yoga

23. 22. The disinfectant agent to be used with a catheter
is dependant on the material that it is made of and is
usually indicated on the catheter package.
A. True
B. False

24. 23. When a central venous catheter (CVC) access is
required a______________________ should be the
first choice for most patients.
A. Tunneled jugular
B. Temporary subclavian
C. Tunneled femoral

25. 24. The____________________________site is chosen
because, the insertion technique is simple, the vessel is
less complicated to find, and there is almost a straight
passage towards the heart
A. Right internal jugular
B. Right external jugular
C. Left internal jugular

26. 25. Flush each lumen of the catheter quickly with
__________________ mls of saline to remove
residual blood from inside the lumen.
A. 2-5 ml
B. 20-50 ml
C. 10-20 ml

27. 26. Reversing the bloodlines when using central
venous catheters (CVC) has a minimal effect on
treatment adequacy.
A. True
B. False

28. 27. The purpose of a cuff on central venous catheters
(CVC) is to create a barrier to prevent the entry of
bacteria.
A. True
B. False

29. 28. Tunneled catheters (CVC) should have
_______________.
A. Sutures
B. Cuffs
C. Wings

30. 29. Central venous catheters (CVC) designed for
temporary use are always sutured into place and
have a limited life span.
A. True
B. False

31. 30. Catheter ends must always be kept covered
either with sterile caps or syringes.
A. True
B. False