CARE OF CENTRAL VENOUS DIALYSIS CATHETERS (CVC)

Evangelia Prevyzi, Sofia Pavlopoulou

Friday, January 1, 2016

Publication year:

2016

Authors:

• Prevyzi Evangelia, RN, MSc, Nephrologic Clinic, G.H.P. 'Tzanio "
• Pavlopoulou Sofia, 2. RN, MSc, Dialysis Unit, G.P.H.. “Tzanio "

Keywords index:

• Hemodialysis
• bacteremia
• international guidelines dialysis catheters
• central venous catheters
• nephrology nurse role

Pages: 36-44

Abstract:

Introduction: The need for vascular access for performing hemodialysis, leads to the use of a central venous catheter (CVC). The use of CVC is associated with infections particularly dangerous for hemodialysis patients. Nursing care has an important role in preventing infections caused by CVC. The purpose of this review was to explore the role of nursing care in the prevention of infections of hemodialysis CVC. The methodology used consisted of searching and reviewing research studies by international (Pubmed, Medline, KDIGO) and Greek (Iatrotek) databases care KFK Dialysis. The studies were carried out during the period 2006-2014. The keywords used were: hemodialysis, bacteremia, international guiding catheters, dialysis instructions, central venous catheters, nephrology nurse role. Results: The role of nephrology nurse is particularly important both at placement and afterwards for the care of central venous dialysis catheter. He also holds an important role in assessment of the CVC state before and after the dialysis session. The key-elements of their care is the antiseptic solution, the use of ointments, input pads, the appropriate wash solution and securing the timely resumption of their dysfunction, replacing their time and end the training of nursing staff. Conclusions:Strict adherence to protocols and international guidelines from the nurses, protects patients undergoing hemodialysis through central venous catheters, acute and chronic complications and ensure better quality of dialysis.