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Discussion

insertion of a CVAD

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Um? Place a dressing on it and get a cxr? prevent infx and verify placement?

  • Quote
    • Experts
    What is the first thing that must be done after a central venous device is inserted a the bedside? Why?

    Stat Chest x-ray before use of the device to determine placement and check for pneumothorax (lung collapse) which is a complication of insertion in the neck (external/internal jugular) or chest (subclavian vein)

  • Quote

    Xray, to verify placement and to make sure that the a pneumothorax didn't develop because the MD inadvertently punctured a lung (applies to subclavian and IJ placement, not femoral, obviously.)

    Ideally the site gets dressed by the MD while the patient is still sterile and draped.

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    • Author

    Thank you all so much...I thought that was the answer, but with my instructors, it's usually NOT the first thing that comes to my mind. Hope you all have a blessed day :)

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