What should be done if a CVAD occludes?

What should be done if a CVAD occludes?

• A. Notify the family immediately
• B. Attempt to flush the device and reposition the patient
• C. Remove the CVAD right away
• D. Ignore it if the patient shows no symptoms

Answer: (B)

If a central venous access device (CVAD) occludes, the appropriate course of action is to attempt to flush the device and reposition the patient. This approach is grounded in the understanding of how occlusions can occur due to factors like fibrin buildup, kinks in the catheter, or patient positioning. Flushing the device may help to dislodge a partial occlusion, allowing for restoration of patency. Repositioning the patient can sometimes relieve pressure on the catheter, further aiding in clearing the obstruction. Taking immediate action through flushing can prevent complications, such as more severe venous thromboembolism or the need for emergency intervention. It’s essential to keep in mind that many occlusions can be resolved with these first steps before considering more complex solutions, such as removal or further interventions. By addressing the occlusion promptly, healthcare providers can maintain the integrity and functionality of the CVAD, ensuring continued access for medication delivery or fluid administration.

If a central venous access device (CVAD) occludes, the appropriate course of action is to attempt to flush the device and reposition the patient. This approach is grounded in the understanding of how occlusions can occur due to factors like fibrin buildup, kinks in the catheter, or patient positioning. Flushing the device may help to dislodge a partial occlusion, allowing for restoration of patency. Repositioning the patient can sometimes relieve pressure on the catheter, further aiding in clearing the obstruction.

Taking immediate action through flushing can prevent complications, such as more severe venous thromboembolism or the need for emergency intervention. It’s essential to keep in mind that many occlusions can be resolved with these first steps before considering more complex solutions, such as removal or further interventions. By addressing the occlusion promptly, healthcare providers can maintain the integrity and functionality of the CVAD, ensuring continued access for medication delivery or fluid administration.