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June 2, 2025 at 01:17 PM
*CVC (Central Venous Catheter):*
*Definition:*
A *CVC* is a long, thin, flexible tube inserted into a large central vein, usually the *subclavian*, *jugular*, or *femoral vein*, and advanced toward the *superior vena cava* or *right atrium*.
*Purpose:*
- Administer medications, fluids, blood products
- Long-term IV therapy
- Parenteral nutrition
- *Measure CVP (Central Venous Pressure)*
*Types:*
- Non-tunneled (short-term use)
- Tunneled (long-term)
- PICC (peripherally inserted)
- Implantable ports
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*CVP (Central Venous Pressure):*
*Definition:*
*CVP* is the pressure of blood in the *thoracic vena cava*, near the *right atrium*. It reflects the *right ventricular preload*, i.e., the volume status and venous return to the heart.
*Normal CVP Range:*
*2β6 mmHg* or *3β8 cmHβO*
*Measured via:*
- A CVC connected to a transducer or water manometer.
*Rationale & Clinical Importance:*
*CVC use rationale:*
- Ensures access to central circulation for rapid medication action.
- Used when peripheral veins are inaccessible.
*CVP monitoring rationale:*
- *Assess fluid status* (e.g., hypovolemia or fluid overload)
- Guide *fluid therapy*
- Monitor in *shock, sepsis, heart failure*
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