A central venous catheter kit comprises a medical instrument and a catheter for use during catheterization. The medical instrument includes a syringe having a barrel and a plunger. A needle extends axially from the syringe. The needle has a lumen which is in fluid communication with the barrel of the syringe. There is a dilator disposed about the needle and a guidewire substantially disposed within the syringe. There is a guide for advancing the guidewire out of the syringe through the lumen of the needle. The catheter has a lumen and there is a guidewire disposed within the lumen of the catheter. The guidewire substantially disposed within the syringe and the guidewire disposed within the lumen of the catheter are each provided with a connector to allow the guidewires to be coupled.