Pediatric emergency medicine trisk 4345 4345

Indications
1. IV fluid administration
2. Medication administration
3. Blood product administration
4. Blood draws

Complications
1. CVC-associated infection
2. Thrombus
3. Displaced/ruptured/broken catheter
4. Occlusion
5. Phlebitis
6. Cardiac arrhythmias
7. Infiltration
8. Infusion of medications that interact with silicone (e.g., phenytoin or
diazepam)
9. Use caution to avoid infusion of incompatible medications

Equipment
Tunneled Central Venous Catheters
1. Sterile gloves, mask, and eyewear
2. Povidone-iodine, 70% isopropyl alcohol, or chlorhexidine gluconate per
institutional protocol depending on if access is through the cap or directly into
the line
3. Sterile drapes
4. Catheter clamp (never use a hemostat)
5. Three needles (18, 19, or 20 gauge)
6. 10-mL syringe with normal saline flush
7. 5-mL syringe with heparin (100 U/mL)
8. Two sterile 10-mL syringes (for phlebotomy)
9. Fluids and/or medications to be administered

10. 4 × 4 gauze pads
Implantable Venous Access Catheters
1. Sterile gloves, mask, and eyewear
2. Povidone-iodine or chlorhexidine per institutional protocol
3. Sterile drapes
4. Two Huber needles (19, 20, or 22 gauge) with 90-degree bend
5. Extension tubing with clamp or stopcock
6. 10-mL syringe with normal saline flush