NR 331 CASE STUDY HEMODYNAMIC CRITICAL CARE 2. | VERIFIED SOLUTION

1. The charge nurse and CCU nurse receiving the patient from the OR team had just finished getting the patient settled. The CCU nurse performs her admission assessment and documents vital signs. Before she records his arterial, pulmonary artery pressure and right atrial pressure readings, what should she do first? Why? 2. Right after recording the PAOP, what is most important nursing action to prevent complications of an indwelling PA line? 3. The cardiologist asks the CCU nurse to obtain and notify her of the current CVP reading for Mr. J. Which port on the PA line will the nurse need to access in order to obtain these readings? What does the CVP reading measures? 5. The night CCU nurse is now performing her beginning of the shift assessment. She zeroes her arterial and PA line via the transducer to phlebostatic axis. What level does the stopcock needs to be positioned in relation to the patient in order for the pressure readings to be accurate? What pressure reading on the monitor indicates successful zeroing? 4. The RAP is reading 1 mmHg. What does this mean? What may have caused this? Which nursing interventions do you expect Mr. J needs? (be thorough) 6. What is important for the CCU nurse to include in the documentation of Mr. J’s pressure lines? What nursing interventions should be included during routine assessment of patient in regards to pressure lines? What are the complications of PA and arterial lines?