Exam 2 lines blueprint Flashcards
what is an arterial line?
Need for real-time, accurate BP monitoring and MAP
Critical illness, vasoactive meds, hemorrhage, high risk procedures
Inability to use non-invasive monitoring (bariatric burns)
Frequent ABG’s
Only used for monitoring and ABG’s, NO MEDS
Assess often for signs of infection
Keep transducer at phlebostatic axis (level with the atria —> heart level)
Zero transducer with position changes
STRICT adherence to policies
Arterial catheter - artery = measure of pressure inside artery
Accurate readings of SBP, DBP, MAP
Non-invasive BP is not needed and is placed on the same are of art line, will flatten the waveform while inflated
Blood draws: when frequent draws are needed (ABGs
what are the risks with central venous catheters?
Infection: Central line associated blood stream infection (CLABSI)
Arterial puncture
Air embolism
Hematoma
Thrombosis
Hemothorax
what is the CLABSI prevention?
Preventing complications: strict adherence to policies. Dressing changes, cap changes, blood draws, and other precautions.
what is a pulmonary artery catheter?
Can look at partial pulmonary pressure
Placement: inserted into the SVC - right atrium - right ventricle - pulmonary artery
Indications for PA cath use: measurement of CO, SV, SVR, RAP, & PAP, acute pulmonary HTN, PE, and cardiac tamponade.
Precise measurement of: right arterial pressure (RAP/CVP) pulmonary artery pressure (PAP), pulmonary wedge pressure (PCWP), and cardiac output/cardiac index (CO/CI)
