Doppler and ECG in Tip Positioning


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Please complete this education by answering the following questions.

  1. What is the correct position for the tip of the catheter according to the AVA guidelines?
    Upper SVC
    Lower third of the subclavian
    Lower third SVC-CAJ
  2. What is the major complication of the tip being too high in the SVC?
    Infection
    Arrhythmia
    Pneumothorax
    Thrombosis
  3. How far should the VPS®Stylet extend from the tip of the PICC?
    1 mm
    2 mm
  4. Name the three technologies utilized by the ARROW® VPS G4 Device
    ECG
    Ultrasound with clot buster
    Doppler Ultrasound
    Proprietary Algothrim
    3D Images
  5. In most patients, where is the P-wave generated from?
    SA node
    Brain activity
    AV node
  6. Doppler Ultrasound is able to detect antegrade and retrograde blood flow
    True
    False
  7. With the ARROW® VPS G4 Device Technology, ECG and Ultrasound Doppler readings are primarily____ while threading the catheter
    Intravascular
    Extravascular
  8. Atrial blood flow is primarily
    Turbulent and retrograde
    Laminar and antegrade
  9. Name advantages of threading the catheter Stylet assembly slowly as the clinician threads the catheter
    Less intimal damage to vein
    Blood flow carries catheter throughout vein
    Symbols are in real time
    Clinician has ability to understand Doppler readings and flow
    All of the above
  10. A clinician should not finish a case on which symbols
    Green
    Yellow
    Blue Bullseye
    Orange