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Central Venous Access Devices: Care and Management

ISBN: 978-1-4051-1952-8
216 pages
March 2007, Wiley-Blackwell
Central Venous Access Devices: Care and Management (1405119527) cover image
Central venous access devices (CVADs) are used within a variety of areas in both hospital and community health care settings to administer blood or fluids, to provide long term access for repeat transfusion of blood or blood products, chemotherapy, parenteral nutrition and antibiotic therapy, and to provide immediate access in emergency situations.

Central venous access devices is a practical guide to the care and management of CVADs aimed at student nurses, newly qualified nurses and more experienced nurses who are unfamiliar in dealing with these devices.

Central venous access devices addresses patient assessment and education, relevant anatomy and physiology, appropriate device selection, and guidelines on insertion, follow-up care and management of CVADs. Each category of CVAD - including peripherally inserted central catheters, non tunnelled central venous catheters, skin tunnelled catheters and implanted ports - is explored in turn. Concluding chapters explore hazards of insertion, prevention and management of complications, and patient perspectives on living with a CVAD

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Introduction.

1. What is a CVAD?.

Definition.

Uses.

Advantages and disadvantages.

Patient assessment.

General aspect of Insertion – by whom, where, infection control issues such as skin cleansing etc.

Issues related to consent.

2. Peripherally inserted central catheters (PICCs).

Definition.

Types.

Uses.

Advantages and disadvantages.

Insertion.

Immediate care.

Follow up care.

Removal.

3. Non tunnelled short-term central venous catheters.

Definition.

Types.

Uses.

Advantages and disadvantages.

Insertion.

Immediate care.

Follow up care.

Removal.

CVP monitoring.

4. Skin-tunnelled catheters.

Definition.

Types.

Uses.

Advantages and disadvantages.

Insertion.

Immediate care.

Follow up care.

Removal.

5. Implanted ports.

Definition.

Types.

Uses.

Advantages and disadvantages.

Insertion.

Immediate care.

Follow up care.

Removal.

6. Management of CVADs.

Securement and dressing.

Maintaining patency.

Prevention of infection.

Taking blood samples.

7. Hazards of insertion.

Pneumothorax.

Definition.

Prevention.

Management action.

Haemorrhage.

Definition.

Prevention.

Management action.

Air embolism.

Definition.

Prevention.

Management action.

Infection.

Definition.

Prevention.

Management action.

Thrombosis.

Definition.

Prevention.

Management action.

8. Managing complications.

Catheter damage.

Catheter malposition.

Catheter occlusion.

9. Patient Perspective.

Patients view of CVADs.

Education and training – examples of teaching programme.

Patients information sheets – examples.

.

Appendix 1: The AccessAbility Decision-Making Model.

Appendix 2: Consent form for PICC insertion.

Appendix 3: Sources of Information

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Lisa Dougherty is Clinical Nurse Specialist, Intravenous Services, The Royal Marsden Hospital, Chelsea and Surrey. She is co-editor of the fifth and sixth editions of the Marsden Manualand is well respected nationally and internationally for her work on Intravenous therapy.
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* Contains evidence-based guidelines for care and management of CVADs
* In the Essential clinical skills for nurses series
* Examines pros and cons of CVADs and selection of the most appropriate device
* Assumes no prior knowledge
* Explores patient assessment, risk assessment and prevention and management of complications
* Enables staff to develop the essential clinical skills needed to care for patients with CVADs
* Includes learning objectives and scenarios
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'This book is an up to date invaluable resource for all practitioners who are involved in the management of central venous access devices [CVADs]. The information is evidenced based and follows a logical and simple to follow format.'


British Journal of Anaesthetic and Recovery Nursing


'I work in an area where we have patients with CVADs on an almost daily basis and I will be recommending this book to my staff. It is also small in size and so can be easily carried around and referred to.'


British Journal of Anaesthetic and Recovery Nursing

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