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Related Concept Videos

Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
Ethical Dilemmas II01:30

Ethical Dilemmas II

Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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Ethical Dilemmas I01:17

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
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Take the case of caring for minors, particularly in areas related to reproductive...

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Venous Access Devices: Clinical Rounds.

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Central venous catheter care for the patient with cancer: American Society of Clinical Oncology clinical practice guideline.

Journal of clinical oncology : official journal of the American Society of Clinical Oncology·2013
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Related Experiment Video

Updated: Jul 13, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

Clinical dilemmas: vascular access devices.

Dawn Camp-Sorrell1

  • 1Hematology & Oncology Associates of Alabama, Sylacauga, AL, USA. ONPDawn@bellsouth.net

Seminars in Oncology Nursing
|August 19, 2007
PubMed
Summary

Managing vascular access devices (VADs) presents ongoing clinical challenges. Evidence-based guidelines for VAD maintenance care are still needed to address these practice dilemmas.

Area of Science:

  • Vascular Access Devices
  • Clinical Practice
  • Patient Care

Background:

  • Vascular access devices (VADs) are increasingly utilized for venous system access.
  • Their use has risen significantly over the past 30 years due to effectiveness and convenience.

Purpose of the Study:

  • To review clinical dilemmas associated with VAD maintenance.
  • To highlight challenges in managing VAD complications.

Main Methods:

  • A review of current research and published literature was conducted.
  • Analysis focused on identifying practice dilemmas in VAD care.

Main Results:

  • Despite widespread VAD use, significant challenges persist in their maintenance.

Related Experiment Videos

Last Updated: Jul 13, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

  • Clinical practice dilemmas arise from the difficulties encountered during VAD management.
  • Conclusions:

    • No universal standard exists for VAD maintenance care, even after 30 years of use.
    • Further research is essential to develop evidence-based practices for VAD care and maintenance.