NURS 216 Lecture Notes - Central Venous Catheter, Pulmonary Artery Catheter, Superior Vena Cava
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*need to be thinking 1. does my patient need the central line, should i advocate for a peripheral iv, or 2. Need to know when you should advocate for the insertion of a cl. Switching a patient p-iv to cl: using iv therapies with high osmolarity, hypertonic solutions- establish equilibrium, electrolyte replacement solutions, parenteral nutrition tpn: cause damage to vein- best p to infuse an osmolarity greater than. 600 through a cl+hemodilution eg: >10% dextrose, 5% protein, high electrolyte conc,eg high k. Frequent iv meds, eg bad infection=antibiotics= over longer period time= more patient friendly. Chemotherapy, usually have a central bc it decode peripheral veins. In emergent situation you want to use the largest bore, 16iv. Pressure monitoring: cv pressure measured through a machine that you attach to the central line, or cardiac output measurement by putting in a pulmonary artery catheter and threading it through the cl.
