Peripherally Inserted Central Catheter Case Study Answers

I am comparing and contrasting a peripherally inserted central catheter (PICC) line, tunneled catheter and an implanted port. A PICC line is inserted into a vein in the arm rather than into the neck or chest. It is usually inserted inside of the upper arm then threaded into the larger vein in your chest. A PICC allows medications to be given that would otherwise cause damage if given in the smaller veins. It is also used if a patient will be receiving IV therapy for a long period of time, typically longer than a week. Some teaching points for patients who have a PICC line keeping the PICC line dry. They can shower as long as the site is covered with a water-resistant covering. They will need to check the site daily for signs of infection including redness, swelling or pain. Instruct to never use scissors to remove the dressing. Always secure the PICC line at the exit to prevent snagging or pulling it out. They also

For all types of central lines it is important always wash your hands before touching your central line. Keep the exit site dry to prevent infection. When showering make sure to cover the site with waterproof material. Be sure to tape the central line to your body to prevent it from being pulled. Avoid bending your central line. Be sure to wear clothing that doesn't rub or pull the central line. Call your doctor or 911 if you think you may need emergency care. For example, passing out, trouble breathing, sudden chest pain, shortness of breath, uneven pulse. Signs of infection to watch for are pain, swelling, warmth or redness, red streaks from the exit site, drainage from the exit site, swollen lymph nodes in neck, armpits or groin, fever of over 100 degrees F, chills, swelling in face, chest, neck or arm on the central line catheter, leaking central line, resistance when injected medicine or fluids through line, displacement of the central line. (CDC,