ARTERIAL LINE PLACEMENT AND MONITORING

Silent the alarm first.

as per MD
order.

NURSING CONSIDERATION:

1. Perform non-invasive BP for comparison after insertion, every shift, PRN. PURPOSE: real time blood pressure monitoring, frequent ABG sampling, on continuous
2. Ensure transducer at the level of phlebostatic axis and transducer opening vasopressor used, cardiac arrest to gauge adequacy of CPR ( diastolic > 25mmhg) ,
port from atmosphere. ( low level: falsely high BP) ( high level: falsely low identify ROSC,
BP)
3. Ensure pressure bag manometer ( as per DR order) infant G2 4
 QUALIFIED PHYSICIAN FOLLOWED BY ALLEN’S TEST
4. No any other solution to be given except ( heparin+ normal saline) to ddler G22
5. Ensure armboard to affected extremities to limit movement.  ASEPTIC TECHNIQUE
6. Assess site and skin (blanched skin during normal saline flushed), evaluate  CONSENT AND PROCEDURAL TIME OUT Older adult/ G20-22
hematoma, bleeding, catheter dislodgement, infection. EQUIPMENT: adolescence
7. Neurovascular check of affected extremities every 2 hours.
 ARTERIAL SIZE CANNULA (radial , femoral)
PE RIPHERAL CE NTRAL
8. If applicable, change pressure bag and tubing every 96hrs, dressing every
 Pressure bag and tubing
RADIAL, ULNAR, FEMORAL,
72hrs or PRN.
 Monitor module
DORSALIS PEDIS, AXILLARY
9. Alarm on and accurately set up
 Standard heparin solution ( see Dr’s order)+ normal saline 500ml
POS TERIOR ARTERY
10. If BP result is inaccurate. ( do zeroing, check phlebostatic axis and TIBIAL
transducer alignment , check if vasopressor in other IV line is patent)  Sterile gloves, drapes, 5-10cc pusiflush
BRACHIAL( NOT
11. Document assessment ( Intravascular assessment every 2 hours)  Povidone 10%/ chlorhexidine, 4x4 gauge, tegaderm, tape, armboard
 Rolled towel, ABG syringe
RECOMMENDED)
 Transducer holder, transducer system (single/double)
CLEAN STERILE

TE CHNIQUE
POTENTIAL RISK: Infection, nerve injury, arterial bleeding, hematoma, Ultrasound machine
thrombosis, air embolism, limb ischemia  Sedation ( as per Dr’s order)