Care of Your Central Venous Catheter

M. D. Anderson Cancer Center

You may have been told that you or your loved one will need to have a central venous catheter called a CVC.  The purpose of this program is to teach you how to safely care for the catheter.  This video is a supplement to any information you may receive from the Infusion Therapy Team.  Before we begin the training demonstration, let's take a look at the different types of CVCs and talk about what they are used for.  The central venous catheter is a small tube placed in a vein and then threaded down into the largest vein in your body.  The CVC usually can be inserted into 1 of 3 locations.  The PICC catheter is inserted into a vein in the arm.  The subclavian catheter is inserted under the collar bone.  The femoral catheter is inserted into the groin.  Your doctor will decide which type is best for you.  Regardless of which type you have, it will be made of the following parts: the catheter, winged hub, catheter extension, the clamp and injection cap.  CVCs generally come with 1, 2 or 3 extensions depending on the type of treatment you will have.  As long as there are no problems, the catheter can stay in place for the duration of the treatment.  The CVC can be used for receiving different types of IV treatments including chemotherapy, blood transfusions, fluids and IV nutrition.  The advantage of having a CVC is that it can be used repeatedly instead of having an IV inserted every time you needed treatment or procedure.  Also, many chemotherapy treatments are required to be given through a CVC and can not be given through a regular small IV.  However, there may be times in the course of your treatment that a small, temporary IV still will need to be inserted in your arm.  There are 3 parts to the care of your CVC: the weekly injection cap change, the flush injection to keep your CVC open usually given daily, and the CVC sterile dressing change. 

 

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