Professional Documents
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Venous
Pressure
Monitoring
By: Kris Lyn L. Tejerero
Intermittent measurement of
the CVP can then be obtained
with the use of water
manometer.
Other book/source: 2 - 12 mm Hg or 4
e
s
o
p
r
u
P
measured by transducing
the waveform of a central
venous line
MEASUREMENT
electronic transducer
INDICATIONS
Vascular access
Total parenteral nutrition
Infusion of irritant drugs
Measurement of central
venous pressure
Cardiac catheterization
Pulmonary artery
catheterization
Trans venous cardiac
pacing.
Hemo dialysis
Hemodynamic monitoring
CO
IN NT
D I RA
CA TI
O
N
COMMON
COMPLICATIONS
Infection
Air Embolism
IMPORTANCE
OF CVP
MONITORING
A rise in CVP indicates an:
NURSING
INTERVENTIONS
Catheter placement is
confirmed by a chest x-ray and
the site is inspected daily for
signs of infection. Rationale:
Chest x-ray can detect
malpositions of the catheter. To
prevent wound infection.
S
G
N
N IO To measure CVP, the transducer
I
must be placed must be placed at
S
T
R
a standard reference point called
N
U
E
the phlebostatic axis. And CVP
N RV
can be measured correctly with
E
the patient supine and backrest
T
position up to 45 degrees.
N
T
DominantCVP
a wave
pulmonary
Normal
Monitoring
hypertension,
H
Cannon a wave complete heart block, (VT)
A
ventricular tachycardia with AV dissociation
Dominant v wave (TR) Tricuspid
N
Regurgitation
Absent x descent (Af) Atrial Fibrilation
K
The
End
Y
O
U