Types Of Lines Flashcards
Central Venous Catheter
is a catheter placed into a large vein in the neck (internal jugular vein), chest (subclavian vein or axillary vein) or groin (femoral vein).
Central Venous Catheter uses
- Administer medications or fluids
- Obtain blood tests (specifically the central venous oxygen saturation)
- Measure central venous pressure (CVP)
CVC: What position do you want the patient?
Lying flat
Arterial line
Is a thin catheter inserted into an artery.
What is the uses of the arterial line?
- It is to monitor the blood pressure real-time (rather than by intermittent measurement), and to obtain samples for arterial blood gas measurements.
- It is not generally used to administer medication.
For an arterial line, it is important to
Assess for perfusion because it can block blood flow
Where is an arterial line inserted?
- Usually inserted in the wrist (radial artery)*
- Can also be inserted into the elbow (brachial artery), groin (femoral artery), foot (dorsalis pedis artery) or the inside of the wrist (ulnar artery).
Pulmonary artery catheterization
is the insertion of a catheter into a pulmonary artery
The purpose of pulmonary artery catheterization is
Diagnostic
Pulmonary Artery Catheterization is used to
- Detect HF or sepsis
- Monitor Therapy
- Evaluate the effects of drugs
- Allows direct, simultaneous measurement of pressures in the right atrium, right ventricle, pulmonary artery and the filling pressure (“wedge” pressure) of the left atrium.
- Can also give medications, give fluids
Where is the PAC (aka Swan-Ganz catheter) placed?
- The catheter is introduced through a large vein—often the internal jugular, subclavian, or femoral veins.
- From this entry site, it is threaded, often with the aid of fluoroscopy, through the right atrium of the heart, the right ventricle, and subsequently into the pulmonary artery.
Right atrial pressure is the same as
CVP
Do not want to give Continuous heparin because it can lead to
Thrombocytopenia
