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During a dressing change, the parents note the central line exit site looks different (see photo below). What is the problem? A. Central venous catheter cuff exposed B. Cellulitis at central line exit site C. Eczema at central venous catheter exit site D. Central line exit-site and tunnel infection...

During a dressing change, the parents note the central line exit site looks different (see photo below). What is the problem? A. Central venous catheter cuff exposed B. Cellulitis at central line exit site C. Eczema at central venous catheter exit site D. Central line exit-site and tunnel infection...

A 25 year-old patient with a Port-a-Cath implanted in the right chest complains of sudden onset severe neck pain and headaches with flushing central line and PN infusions. Labs and exam normal, including afebrile. Previous X-ray shows central line tip in at the cavo-atrial junction. Today, chest X...

Appreciate the contributions of the following and others to the website's content: Alexandra Carey, MD Daniel Kamin, MD Jennifer McClelland, FNP-BC Carolyn Rosa, CPNP-BC Mary Gallotto, BSN Melissa Takvorian-Bene, BSN Megan Gray, RD Ana Arena, RD Christina Tascione, BA Kathleen Gura, PharmD Margaret...

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What if patient has a fever? Refer patient to the emergency department. Do not reassure family over the phone. For red flag symptoms, tell them to dial 911 (altered mental status, chills, seizures). Tell family to anticipate admission for at least 48 hours. Call in Expect to ED saying that patient...

Infusion Cycling Calculator 3-in-1 Total Nutrient Admixture Lipid Stability Calculator Parenteral Nutrition Calcium to Phosphorous Calculator Iron Dextran Repletion Dosing Calculator Parenteral Nutrition Osmolarity Calculator Retinol (vitamin A) to Retinol Binding Protein Ratio Caclulator Trace...

Short bowel syndrome (short gut syndrome) Congenital intestinal pseudo-obstruction Microvillus inclusion disease Congenital tufting enteropathy Visceral hyperalgesia

Placement Issues Clinical Vignette 1 Placement Issues Clinical Vignette 2 Central venous access procedure complications As HPN teams are often provide referrals for central line placement, it is important for team members to be familiar with the following common procedural complications: Arterial...