Which clients may benefit from central venous IV access?
1. The client requiring long-term IV therapy
2. The client receiving caustic IV therapy
3. The client requiring numerous IV infusions that are not compatible and cannot be infused together
4. The unstable client requiring reliable IV access for administration of medications required immediately
5. The client who is afraid of needles and does not want a catheter in the peripheral extremity
1, 2, 3, 4
Rationale 1: Central venous access can be very useful for clients requiring long-term IV therapy because the catheter can remain in place for extended periods, and IV sites do not have to be changed every few days.
Rationale 2: Caustic medications are less likely to cause phlebitis when administered into the large central veins as opposed to the smaller peripheral veins.
Rationale 3: In the critical care areas where clients may receive numerous continuous IV medication drips that might not all be compatible infusing through the same site, a multiple-port central venous access device can provide the best option.
Rationale 4: Clients who are unstable and require rapid administration of medications require reliable IV access that might not be available with peripheral IV lines, and central venous access may be the best option.
Rationale 5: Because of the potential complications from central venous access, it would not be an option considered because of client preference if short-term IV therapy is required.
Global Rationale: Central venous access can be very useful for clients requiring long-term IV therapy because the catheter can remain in place for extended periods, and IV sites do not have to be changed every few days. Caustic medications are less likely to cause phlebitis when administered into the large central veins as opposed to the smaller peripheral veins. In the critical care areas where clients may receive numerous continuous IV medication drips that might not all be compatible infusing through the same site, a multiple-port central venous access device can provide the best option. Clients who are unstable and require rapid administration of medications require reliable IV access that might not be available with peripheral IV lines, and central venous access may be the best option. Because of the potential complications from central venous access, it would not be an option considered because of client preference if short-term IV therapy is required.
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