Presented by jonna bobeck bsn rn cen
Download
1 / 27

Arterial Line Set-up and Hemodynamic Monitoring - PowerPoint PPT Presentation


  • 1006 Views
  • Uploaded on

Presented by: Jonna Bobeck BSN, RN, CEN. Arterial Line Set-up and Hemodynamic Monitoring. Objectives. Define blood pressure Discuss indications Describe contraindications Identify equipment Define procedural steps Discuss Complications. Introduction.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Arterial Line Set-up and Hemodynamic Monitoring' - chance


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Presented by jonna bobeck bsn rn cen

Presented by:

Jonna Bobeck BSN, RN, CEN

Arterial Line Set-up and Hemodynamic Monitoring


Objectives
Objectives

  • Define blood pressure

  • Discuss indications

  • Describe contraindications

  • Identify equipment

  • Define procedural steps

  • Discuss Complications


Introduction
Introduction

  • Direct monitoring of systolic, diastolic, and mean arterial pressures

  • Highly accurate

  • Waveform reflects pressure





Mean arterial pressure map
Mean Arterial Pressure (MAP)

  • MAP = CO X total peripheral resistance

    MAP =[ SBP + (DBP x 2)]

    3

  • Importance of measuring MAP


Calculate map 120 80
Calculate MAP: 120/80

100

93

87

65



Factors affecting blood pressure
Factors Affecting Blood Pressure

  • Rate of pumping

  • Volume

  • Resistance

  • viscosity


Indications
Indications

  • Monitor arterial pressure continuously and accurately

  • To monitor response of vasoactive drugs

  • Facilitate frequent sampling of lab specimens

  • To determine derived hemodynamic parameters such as MAP


Cautions and contraindications
Cautions and Contraindications

  • Knowledge and understanding of A-lines

  • Potential for significant blood loss if tubing becomes disconnected

  • Close patient monitoring

  • Avoid insertion into injured extremities



Procedure
Procedure

  • Site selection

  • Explain procedure

  • Obtain consent

  • Proper hand hygiene

  • Modified Allen test


Procedure continued
Procedure Continued

  • Gather equipment

  • Attach transducer to Philips monitor and set scale

  • Prepare pressure tubing with heparin

    1000 units per 500 ml

  • Set up and level transducer

  • Check manual BP

  • Set alarms and scale appropriately


What is the correct heparin concentration
What is the Correct Heparin Concentration?

25,000 units in D5W

10,000 units/ml

1000 units in 500 ml

5000 units/ml



Square box test the dynamic response
Square Box Test(The DynamicResponse)



Troubleshooting waveform
Troubleshooting Waveform

  • Overdamped

  • Underdamped


An overdamped waveform causes
An Overdamped Waveform Causes?

Your patient’s systolic pressure to be inaccurately low

Your patient’s blood pressure to be accurate

Overdamped is rare and is not of any concern

Your patient’s systolic pressure to be inaccurately high


An underdamped waveform causes
An Underdamped Waveform Causes?

Your patient’s systolic pressure to be inaccurately low

Your patient’s blood pressure to be accurate

Overdamped is rare and is not of any concern

Your patient’s systolic pressure to be inaccurately high


Complications
Complications

  • Air embolism

  • Severe blood loss

  • Dampened wave form

  • infection

  • Median nerve damage

  • Clot formation

  • hematoma


Patient teaching
Patient Teaching

  • Use care

  • Report dampness, redness, pain, or warmth


Documentation
Documentation

  • Education

  • Peripheral and neurovascular assess

  • Insertion site

  • Response

  • Alarms and parameters

  • Flush solution

  • Waveform

  • Unexpected outcomes



References
References

  • Lynne-MChaleWiegard, D., Carlson, K., Initials. (Ed.). (2001). AACN procedure manual for critical care. United States: Elsevier Saunders.

  • Proehl, J. (Ed.). (2004). Emergency nursing procedures. United States: Elsevier Saunders.


ad