100%(1)1 out of 1 people found this document helpful
This preview shows page 8 - 10 out of 10 pages.
oAssess for signs and symptoms and progression of thrombi and bleeding.QuestionWhat is the most reliable sign of cardiac arrest in an adult and child?
oWhen an entire arterial segment becomes dilated, a fusiform aneurysm developsLopressor for cerebralAortic will have severe back or abdominal pain, Increased HR, Increased BP, Bedrest with bathroom privileges with assistance, avoid stimulating patients. Bed in semi fowlers to decrease pressure on brain.Systemic Arterial Pressure MonitoringComplications of an Arterial LineoThrombosisoBlood LossoAir embolism or thromboembolismoSystemic InfectionoArterial spasmoHematomaoInaccurate pressure readingIndications for Hemodynamic MonitoringAny deficit or loss of cardiac function: such as AMI, CHF, CardiomyopathyAll types of shock; cardiogenic, neurogenic, or anaphylacticDecreased urine output from dehydration, hemorrhage, G.I. bleed, burns, or surgeryPurposes of Invasive Hemodynamic MonitoringEarly detection, identification, and treatment of life-threatening conditions such as heart failure and cardiac tamponadeEvaluate the patient’s immediate response to treatment such as drugs and mechanical support and to guide therapyEvaluate the effectiveness of cardiovascular function such as cardiac output and indexComponents of a Pulmonary Artery CatheterNormally has 3 or 4 ports and 1 connection pigtail for Temperature and measuring COoProximal port– [Blue]used to measure central venous pressure/RAP and injectable port for measurement of cardiac outputoInfusion port– [White]used for fluid infusionoDistal port– [Yellow]used to measure pulmonary artery pressureoBalloon port– [Red]used to determine pulmonary wedge pressure; 1.5 special syringe is connectedProximal port– [Blue]used to measure central venous pressure/Right Atrial Pressure and injectate port for measurement of cardiac outputInfusion port– [White/Gray]used for fluid infusionoAn extra port for infusing medications that need to be given centrallyDistal port– [Yellow]oThis port is at the very end of the catheter.
Balloon port– [Red]used to determine pulmonary wedge pressureo1.5ml special syringe is connected to the red port to prevent over inflating the balloon.oMust always remove the air from the balloon after completing the measurement.Transducer level with Phlebostatic point 4thintercostal space, mid axillary line.Flushing place on the line to onitor pressure and there is a pressure bag inflated to 300 mm and monitor pressure waveforms for any abnormalities…