Chapter 4

Case Study #1

1. Patient education for Autumn regarding her PICC line:

• Explanation of the PICC line: A peripherally inserted central catheter (PICC) line is a long, thin tube inserted into a vein in the arm and passed through the vein until the tip lies in a larger vein near the heart.
• Importance of hand hygiene.
• Avoidance of heavy lifting and vigorous activities that may put pressure on the PICC line or dislodge it.
• Signs and symptoms of PICC line complications such as redness, swelling, pain, and drainage.
• Promptly reporting any concerns or changes to the health care provider.

2. Maintenance care priorities for a PICC line:

• Monitoring for signs of infection at the insertion site.
• Keeping the PICC line and dressing dry and secure. Monitor length of catheter visible at insertion site and arm circumference.
• Changing the dressing as directed.
• Avoiding tugging or pulling the PICC line.

3. Specific concerns related to Autumn’s need for a PICC line:

• Assessing for phlebitis (inflammation of the vein) related to the PICC line.
• Monitoring for complications related to the cellulitis.

4. Purpose of the PICC line: The PICC line is used to provide long-term, continuous access to the bloodstream for administering medications or drawing blood.

5. Frequency of PICC line assessment: The PICC line should be assessed every shift or as directed by the health care provider.

6. Changing the dressing for a PICC line: The dressing should be changed every 48-72 hours or as directed by the health care provider. A sterile dressing should be used, and aseptic technique should be followed to minimize the risk of infection.

7. Difference between PICC line and a peripheral IV: A peripheral intravenous (IV) line is a short-term solution for administering medications or fluids, whereas a PICC line is a long-term solution. A peripheral IV is inserted into a vein in the hand or arm, whereas a PICC line is inserted into a vein in the arm and passed through a large central vein until the tip lies near the heart.

Difference between PICC line and an implanted port: A port is a device similar to a PICC line that is surgically implanted under the skin and has a small reservoir that can be accessed with a needle. Unlike a PICC line, a port does not need to be reinserted, as the port can remain in place for months or years.

All of the answers to the interactive element are found within the element.