Ace the Vascular Access Cert Exam 2025 – Level Up Your Skills and Make Your Mark!

The choice indicating that chronic kidney disease (CKD) with a glomerular filtration rate (GFR) of 60 or lower is a contraindication for using a midline catheter is correct because a midline catheter is typically suitable for patients requiring intermediate-term venous access, usually for 1 to 4 weeks. However, in the case of CKD, particularly with a GFR at or below 60, there's an increased risk of complications.

Patients with decreased renal function may be more susceptible to the effects of irritant medications and have an altered response to fluid management. The midline catheter can be used safely for non-irritating medications, but if a patient has CKD and is at higher risk for thrombosis, infiltration, or catheter-related infections, using a midline catheter may pose additional challenges. Therefore, careful consideration of renal function and medication compatibility are critical in determining the appropriateness of a midline catheter for an individual patient.

Other considerations, like having a GFR greater than 60 or the presence of non-irritating medication, would generally suggest that a midline catheter could be an appropriate choice rather than a contraindication. Similarly, short-term infusions usually align with the intended use of midline