A client that a nurse anticipates to be a candidate for a peripherally inserted central catheter (PICC) is:
A. An older adult having cataracts removed
B. A perinatal client having a prolonged labor
C. A neonate requiring extended antibiotic therapy
D. An adolescent having surgery for the reduction of a fracture
C
C. When child is critically ill or long-term IV access is anticipated, PICC catheter, Broviac catheter, or implanted port may be used to access larger vein. PICCs can be used to infuse IV fluids, parenteral nutrition, blood and blood products, and medications such as antibiotics.
A. Veins of older adults are very fragile, there is less subcutaneous support tissue, and there is thinning of the skin. In older clients, use the smallest gauge possible. For example, a 22-gauge needle is adequate for fluid and medication therapy.
B and D. PICCs are used for long-term IV need.
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