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17 Cards in this Set
- Front
- Back
Pulmonary Artery Complications
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dysrythmias
PA/RA/RV rupture infection balloon rupture thrombus air embolus |
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PAWP (Wedge Pressure)
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determines left atrial pressure
left ventricle and be measured by putting catheter on left ventricle. |
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PAWP reason for measuring
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1. diagnoses severity of LVF and to level the degree of mitral valve stenosis
3. PAWP is necessary to measure when evaluating pulmonary HTN 3. volume status |
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PAWP complications
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infection
thrombus and embolism catheter wedges permanently --->call MD immediately. ventricular irriation |
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central venous pressure
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blood that enters right atrium
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reasons for measuring CVP
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1. hypotension pts not responding to treatment
2. decreased fluid volume 3. determines fluid loss 4. determines R sided pressure |
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nursing responsibilities for CVP catheters
PRIOR TO INSERTION |
1. assemble equipment
2. confirm explanation to patient from MD 3. make sure signed consent 4. baseline vitals 5. prep the skin 6. POSITION FLAT or TRENDELENBERG |
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nursing responsibilities for CVP catheters
DURING INSERTION |
1. stay with patient, provide reassurance
2. lidocaine infiltration 3. observe fluid fluctuation with respirations once the manometers is attached 3. monitor for any dysrythmias 4. attach fluids and regulate |
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nursing responsibilities for CVP catheters
POST INSERTION |
1. cxr
2. cvp reading and recording 3. change ivf q24hr, tubing q72hr 4. change dressing daily and prn |
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CVP complications
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1. pneumothorax, hemothorax
2. hemorrhage 3. infection of the insertion site 4. dysrythmias 5. embolism (air) |
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when the balloon is inflated, the distal port of the PA catheter measures:
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PAWP
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Intraaortic Balloon Pump:
Best time to insert IABP: |
set to inflate during ventricle diastole so that a portion of blood within the aorta is forced back into the coronary arteries
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most common vascular complication of IABP therapy:
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limb ischemia
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nurse management for IABP:
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1. assess allergies
2. record baselines 3. attach ECG 4. balloon mgmt, if nodoctor, then they will die 5. PTT within normal level before catheter removal |
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before or after AIBP management
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-CXR
-ABG -Monitor N+ & K+ -monitor renal perfusion -assess for bleeding H&P's PPT: 1.5-2 x normal value |
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post procedural responsibilities
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1. ptt is within normal limits before cather removal
2. direct pressure to control bleeding 3. patient immobility 4. monitors perfusion of affected limb. |
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post procedural responsibilities
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provide info about the time for using of IABP therapy. until pt hrt can function
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