INVASIVE LINE MONITORING

Question 1

Arterial line indications

Answer 1

Elective hypotensive techniques
Anticipated wide BP swings
End organ disease
Beat BP control
Multiple labs and ABG analysis

Question 2

Most used artery for arterial line

Answer 2

Radial Artery

Question 3

For CABG, surgeon

Answer 3

Will determine A-line location

Question 4

Arterial line Gauge

Answer 4

20ga, 45 degrees, longer needle, ARROW needle

Question 5

Position

Answer 5

Arm supinated on arm board

Question 6

Preparation

Answer 6

Sterile towel 4 ways leaving site exposed
Leaving
No AIR BUBBLES after priming A-line

Question 7

Anatomy of radial site

Answer 7

Tendons under injection site
Nerve runs along blood vessels
Carpel tunnel

Question 8

Approach

Answer 8

Proximal to the

Question 9

Before you use guidewire

Answer 9

test guidewire,

Black line on the tubing, once there, exiting needle tip, meaning wire going into the vessel

Question 10

Radial artery collateral

Answer 10

Ulnar

Question 11

5% of the population have

Answer 11

incomplete palmar arches

Lacks adequate collateral flow

Question 12

Allen test is

Answer 12

A simple BUT NOT ALWAYS reliable method for determining adequacy of ulnar collateral circulation in the even of radial artery thrombosis

Question 13

Before placement of arterial line

Answer 13

Allen’s test for assessment of collateral flow

Question 14

2nd most helfpul site

Answer 14

Axillary

Femoral

Question 15

Most highly infectious site and does not last long

Answer 15

Femoral

Question 16

The primary source of good blood flow

Answer 16

Ulnar

Question 17

If a radial artery stick has been performed

Answer 17

ULNAR cannulation should NOT be attempted

Question 18

Radial vs ulnar

Answer 18

Most larger

Question 19

Femoral artery

Answer 19

prone to pseudoaneurysm

Question 20

Problem with femoral

Answer 20

Increase incidence of infection and thrombosis.

Question 21

Femoral be careful to be

Answer 21

below inguinal ligament

Question 22

Axillary advantages

Answer 22

patient comofrt, access to a central arterial pressure waveform

Question 23

Axillary site is

Answer 23

near axillary pressure, nerve damage possible.

Question 24

Risk of cerebral embolization is increased when more centrally located arterial catheters are used

Answer 24

Axillary

Question 25

Be able to identify

Answer 25

arterial waveform

which artery and which waveform

Question 26

Determine course of artery with

Answer 26

LIGHT FINGERTIP PRESSURE

Do not push too hard