ARROW VPS G4

Please complete this education by answering the following questions.

Chest X-ray

1. Parallax can be described as_____
   Patient movement during chest X-ray
   Rapid breathing during chest X-ray causing hyperinflation of lungs
   Apparent shift of object caused by observational position
   Two parallel markings on patient's chest to observe tip position
2. Which patient conditions may affect the image quality of chest X-ray?
   Wet lungs
   Obstruction from devices
   Obesity
   Anatomical anomalies
   All of the above
3. Name 2 workflow issues associated with placing the central line and chest X-ray correlation
   Delays in obtaining confirmatory chest X-ray
   Patients unable to hold their breath for the length of time necessary
   Delays waiting for Radiologist report of confirmatory chest X-ray
   Pregnant patients unable to obtain confirmatory chest X-ray
4. Name one patient landmark used to identify catheter tip placement_____
   SVC-RAA junction to CAJ (1.8 cm, range: 1.0 – 3.0 cm)
   Carina to CAJ (4.7 cm, range: 2.5 – 7.0 cm)
   Intercostal spaces (ICS):
               First and Second: overlie origin of SVC (45% and 55% resp.)
               Third and Fourth: overlie the CAJ (39% and 52% resp.)
   All the above
   

Respiration and Movement

1. Which three factors could cause catheter tip position to vary?
   Respiration
   Diabetes
   Abduction of arm
   Fractured femur in spika cast
   Supine position
   
2. Name three benefits that occur when a central catheter tip position is in the lower 1/3 SVC-CAJ
   Far enough from higher risk areas
   Tip will not move in this position
   Large vein diameter
   High blood flow velocity
   Cardiac tamponade will be prevented
   
3. Thrombosis is increased ____ times, when the tip of the central catheter is located in the upper SVC?
   5 times greater
   10 times greater
   16 times greater
   30 times greater