You are on page 1of 6

T

u
b
e
s

0
5
Prof . Che Garcia
Central Venous Access Devices
(CVAD)
Common risk: Sepsis
Candida albicans is the
most common
infectious organism.
The primary sources of
microorganisms for
catheter-related
infections are the skin
and the catheter hub.
Complications of Parenteral Nutrition
Ryan Happily Feels C-CAPS
R - Rebound Hypoglycemia
H Hyperglycemia
F Fluid Overload
C Catheter displacement
C Clot in catheter line
A Air embolism
P- Pneumothorax
Feedings stopped abruptly
Glucose intolerance
Rapid infusion
Excessive movement
Inadequate heparin flush
Disconnected tubing
Improper catheter
placement
Bronchoscopy: Nursing Considerations
SCOPES
S Suppress cough reflex
C Consent
O Opioid/Sedatives
P Prostheses removal
E Explain the procedure
S Six hours NPO preop
Pulmonary Capillary Wedge Pressure
is a mean pressure and is normally 4.5 to 13
mm Hg.
Critically ill patients usually require higher left
ventricular filling pressures to optimize cardiac
output.
These patients may need to have their wedge
pressure maintained as high as 18 mm Hg.
Arterial Catheterization