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Vascular Access Devices
Patients may require complex cancer treatments that require a variety of
vascular access devices (VAD). Short term and long term VADs are available, the
list includes:
peripheral intravenous catheters , subcutaneous infusion devices, midline
catheters, PICCs, central venous lines (nontunneled), tunneled central venous
lines catheters (CVCs), implanted ports, and apheresis/hemodialysis catheters.
(ONS Access Device Guidelines, 2004)
Other indications for using a VAD are:total parenteral nutrition (TPN), blood
and blood products transfusion, blood sampling, supportive therapies for e.g.
fluid for hydration and medications including bisphosphanates, chemotherapy and
biotherapy (bolus or continuous. (ONS Access Device Guidelines, 2004)
Reference
Oncology Nursing Society. (2004). Access Device Guidelines Recommendations for
Nursing Practice and Education.Pittsburgh, ONS Publising
If you wish to know more about VADs, below is a list of additional references
available:
Otto, Shirley.E. (eds), 2001. Oncology nursing, 4th edition. St. Louis:Mosby.
RNAO Best Practice Guidelines-Assessment and Device Selection
for Vascular Access
Yarbro, C.H., Frogge, M.H. , Goodman, M. & Groenwald, S. L.(eds) 2000.
Cancer nursing
principles and practice. 5th edition, Mass., Jones and Bartlett.
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