Cont
: steps of procedure
complete
To measure CVP :
. Place the patient in supine position -1
Position the zero point of the manometer should -2
.be on level with the patient right atrium
Turn the stopcock so the IV solution -3
flow into manometer ,to about 20 25 cm
level . And the turn stopocock so the solution
.in manometer flow to the patient
Record the level the at which the solution -4
stabilizes. This CVP reading
CVP catheter connect to transducer and electrical -5
. monitor with CVP wave readout
CVP may range from 5 to 12 cmH2O of -6
.or 2 to 6 mm Hg
. Assess patient condition -7
Turn the stopcock again to allow IV -8
solution to follow to patient veins and should
. monitor infusion hourly
phase : Follow-up
. Prevent and observe for complication -1
. a. From catheter insertion : pneumothorax
hemothorax , air embolism . hematoma
.and cardic temponade
, b. From indwelling catherer : infection
.air embolism, central venous thrombosis
Make sure cap is secure -2
If air embolism is suspected , immediately place -3
patient in left lateral trendelenburg position and
administer O2.
4- Carry out ongoing nursing intervention of the
:insertion site and maintain aseptic technique
a. Inspect site twice daily for signs of local
inflammation and phlebitis , Remove the catheter
. immediately if there are signs of infection
b. Make sure sutures are intact
.c. Change dressing as prescribed
.d. label to show date and time of change
. e. Send the catheter tip for bacteriological culture
incomplete
______________________________ : Supervised by
_________________________________ : Comments
.steps done by physician *