care of patient with invasive monitoring lines

Card Set Information

Author:
Martia
ID:
258883
Filename:
care of patient with invasive monitoring lines
Updated:
2014-01-30 16:56:35
Tags:
nursing
Folders:
N303Critical Care,Test 1
Description:
nursing school
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  1. CLABSI
    • Central Line associated blood stream infection
    • hand hygiene
    • CHG skin wash
    • avoid femoral line for central venous
  2. complications of triple lumen catheter
    • pneumothorax
    • air embolism
    • malpositioned catheter/migration
    • catheter dislodgement
    • lumen occlusion
    • CLABSI
  3. arterial pressure line
    • perform allen's test before trying to place the line
    • arterial waveform: dichrotic notch signals closure of the aortic valve
    • dampened waveform: kinked A-line
    • don't remove if person is unable to clot
  4. PA catheter
    • if u change the position of pt., readjust the transducer
    • phlebostatic axis leveled with transducer
    • never allow balloon to remain inflated and wedged for more than 8-15 seconds
  5. complications
    • migration of catheter into right ventricle
    • abnormal tracing - will show tall tracings
    • v tach
    • inability to wedge

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