SECTIONF - Section Five-Troubleshooting with the Swan-Ganz...

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Section Five--Troubleshooting with the Swan-Ganz Catheter First name,, The major problems that can effect the Swan-Ganz Catheter performance are the following: 1) Dampening of the Waveform 2) Catheter Fling 3) High Positive Airway Pressures 4) Permanent Wedging of the Balloon 5) Failure of the Balloon to Wedge Let’s deal with each of these individually. 1) Dampening of the Waveform--When the Distal Lumen tip becomes partially occluded by the vessel wall or a thrombus, the recorded waveform suffers. Amplitude diminishes until the tip of the catheter is completely blocked and the waveform is lost. The waveform can usually be restored by purging the distal lumen with heparinized saline. This can be done by pulling the red pigtail on the Sorenson Interflow for two to three seconds. Graphic of Dampened Pulmonary artery with Distal Lumen flushed. Graphic of Pigtail on Sorenson Interflow. 2) Catheter Fling--High Cardiac Output or abnormal vessel diameter (vasoconstriction) can cause turbulent
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This note was uploaded on 09/21/2011 for the course PUBLIC HEA 181 taught by Professor Staff during the Spring '11 term at Community College of Philadelphia.

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SECTIONF - Section Five-Troubleshooting with the Swan-Ganz...

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