How to troubleshoot problems/discrepancies w/in invasive monitoring system
Give this one a try later!
PTST Calm Me
Patient:
-General appearance (check cuff pressure)
-Other parameters (ECG changes? other pressure changes?
-Insertion site
Tubing >> Roller clamp, stopcocks, bubbles
(Flush) Solution >> Pressure at 300? Enough soln in the bag? Leak?
Transducer >> Level? Air inside? Connections secure?
Cable >> fractures/damaged cable? Secure connect?
Monitor >> Check settings
Nursing responsibilities w/ invasive monitoring
, Give this one a try later!
Assessing integrity of the line, components of the system setup, and
accuracy of the monitored values and waveform.
Ensuring that appropriate alarm limits have been set on the monitor to alert
for any changes.
Integrating data with other objective findings.
When to check correlation between cuff pressure and art line pressure
Give this one a try later!
Usually examined:
- at insertion time
- the beginning of a shift
- any time when questions arise about the accuracy of the monitored value
(e.g., dampened waveform, monitor alarm).
Causes of elevated CVP
Give this one a try later!
CHF
Renal failure
Overaggressive fluid resuscitation
Pneumothorax
Cardiac tamponade
Give this one a try later!
PTST Calm Me
Patient:
-General appearance (check cuff pressure)
-Other parameters (ECG changes? other pressure changes?
-Insertion site
Tubing >> Roller clamp, stopcocks, bubbles
(Flush) Solution >> Pressure at 300? Enough soln in the bag? Leak?
Transducer >> Level? Air inside? Connections secure?
Cable >> fractures/damaged cable? Secure connect?
Monitor >> Check settings
Nursing responsibilities w/ invasive monitoring
, Give this one a try later!
Assessing integrity of the line, components of the system setup, and
accuracy of the monitored values and waveform.
Ensuring that appropriate alarm limits have been set on the monitor to alert
for any changes.
Integrating data with other objective findings.
When to check correlation between cuff pressure and art line pressure
Give this one a try later!
Usually examined:
- at insertion time
- the beginning of a shift
- any time when questions arise about the accuracy of the monitored value
(e.g., dampened waveform, monitor alarm).
Causes of elevated CVP
Give this one a try later!
CHF
Renal failure
Overaggressive fluid resuscitation
Pneumothorax
Cardiac tamponade
