o Assess for signs and symptoms and progression of thrombi and bleeding

O assess for signs and symptoms and progression of

This preview shows page 8 - 10 out of 10 pages.

o Assess for signs and symptoms and progression of thrombi and bleeding. QuestionWhat is the most reliable sign of cardiac arrest in an adult and child?
Image of page 8
o When an entire arterial segment becomes dilated, a fusiform aneurysm develops Lopressor for cerebral Aortic 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 Monitoring Complications of an Arterial Line o Thrombosis o Blood Loss o Air embolism or thromboembolism o Systemic Infection o Arterial spasm o Hematoma o Inaccurate pressure reading Indications for Hemodynamic Monitoring Any deficit or loss of cardiac function: such as AMI, CHF, Cardiomyopathy All types of shock; cardiogenic, neurogenic, or anaphylactic Decreased urine output from dehydration, hemorrhage, G.I. bleed, burns, or surgery Purposes of Invasive Hemodynamic Monitoring Early detection, identification, and treatment of life-threatening conditions such as heart failure and cardiac tamponade Evaluate the patient’s immediate response to treatment such as drugs and mechanical support and to guide therapy Evaluate the effectiveness of cardiovascular function such as cardiac output and index Components of a Pulmonary Artery Catheter Normally has 3 or 4 ports and 1 connection pigtail for Temperature and measuring CO o Proximal port [Blue] used to measure central venous pressure/RAP and injectable port for measurement of cardiac output o Infusion port – [White] used for fluid infusion o Distal port [Yellow] used to measure pulmonary artery pressure o Balloon port [Red] used to determine pulmonary wedge pressure; 1.5 special syringe is connected Proximal port [Blue] used to measure central venous pressure/Right Atrial Pressure and injectate port for measurement of cardiac output Infusion port – [White/Gray] used for fluid infusion o An extra port for infusing medications that need to be given centrally Distal port [Yellow] o This port is at the very end of the catheter.
Image of page 9
Balloon port [Red] used to determine pulmonary wedge pressure o 1.5ml special syringe is connected to the red port to prevent over inflating the balloon. o Must always remove the air from the balloon after completing the measurement. Transducer level with Phlebostatic point 4 th intercostal 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…
Image of page 10

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture