Venous Access

Question 1

timing for venous access

Answer 1

6 weeks= PICC
6 months= Hickman
months-years= Portacath

Question 2

veins for venous access

Answer 2

1. PICC= basilic vein
2. Hickman= R internal jugular vein
3. Portacath= jugular vein

Question 3

indications for PICC line

Answer 3

• fluids
• TPN
• drugs
• coagulopathy
• skin infection

Question 4

relative contraindications to PICC line

Answer 4

• central venous occlusion
• unsuitable veins
• poor renal function
• haemodialysis
• IV contrast allergy

Question 5

cuff with which venous access?

Answer 5

HICKMAN catheter– fibrin– local protective barrier for infection

Question 6

indications for Hickman

Answer 6

• fluids
• TPN
• drugs
• renal failure– hemodialysis
• cancer patients– blood products and chemo

Question 7

contraindications to Hickman

Answer 7

• coagulopathy
• skin infection
• active infection/sepsis
• haemodialysis
• thromboses central veins

Question 8

portacath contraindications

Answer 8

active infection

coagulopathy