Vascular Access Device Removal Flashcards

Besides positioning, which intervention is a priority for suspected air embolism after CVC removal?

Answer: Administer 100% oxygen and call for emergency assistance

High-flow oxygen supports oxygenation and helps reabsorb nitrogen in the air bubble.

How long should a patient remain lying flat after removal of a nontunneled CVC when possible?

Answer: About 30 minutes

Remaining supine for about 30 minutes reduces risk of delayed air entry through the tract.

Who should remove a tunneled cuffed CVC?

Answer: A provider or specially trained clinician, because the cuff may require dissection

The tissue-ingrown cuff often requires dissection, so removal is done by trained, competent personnel.

What is the primary method of removing an implanted port?

Answer: Surgical removal through an incision by a qualified provider

Ports are implanted subcutaneously and require a minor surgical procedure for removal.

A vesicant infusing through a peripheral IV has extravasated. What should the nurse do before removing the catheter?

Answer: Stop the infusion, disconnect the tubing, and attempt to aspirate residual drug from the catheter

Aspiration may remove some vesicant from the catheter and tissue before removal; flushing would push more drug into tissue.

For peripheral IV catheters, when should removal occur according to current evidence-based standards?

Answer: When clinically indicated or no longer needed, rather than on a routine fixed schedule

Clinically indicated replacement is supported over routine time-based removal.

Which patient needs extended pressure and closer monitoring after CVC removal?

Answer: A patient receiving therapeutic anticoagulation with a low platelet count

Coagulopathy and anticoagulation increase post-removal bleeding risk.