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Question | Answer |
---|---|
Indications for Central Venous Therapy | inadequate vascular access, complex treatment regimes, hyperosmolar infusions i.e. parenteral nutrition, irritating or vesicant drugs, (i.e. dopamine can cause necrosis) rapid absorption, long term therapy. |
Contraindications for Central venous therapy | altered skin integrity, anomalies of central vasculature, cancer in area, coagulopathies, fractured clavicle, septicaemia, radiation to insertion site |
Risks and Complications of Central Venous Therapy | Air embolism, pneumothorax, sepsis, chest pain, confusion, hypotension, dyspnoea, pallor, tachycardia, tachypnoea, unresponsiveness |
Components of Intravenous Nutritional Support | amino acids, carbohydrates, electrolytes, minerals, vitamins, lipids, other (i.e. insulin) |
Complications of Intravenous Nutritional Support | Hypoglycaemia, hyperglycaemia, dehydration, infection |
Reasons to give IV Nutritional Support | bowel surgery, chronic weight loss, bowel rest, coma, excess nitrogen loss, hepatic or renal failure, malnutrition, low serum albumin, hypermetabolic states |