Senin, 07 November 2011

Arterial Line Care

Arterial line is generally in use in the treatment of critical patients in intensive care units inuse to monitor blood pressure. Arterial line is generally in use in the treatment of critical patients in intensive care units inuse to monitor blood pressure komprehensive. It's in use on patients who were mainlyhypertensive or hypotensive requiring obat2 intravenously to control blood pressure towithin normal limits or in accordance with the desired. Besides arterial line is also used forblood sampling, especially blood gas sampling analysis. And the most important to notethat the line is not for the medication because there is no experience that deliver drugsthrough the arterial line.

Installing the arterial line into a medical duty officers but did not rule out also a clinicalnurse support can do so after following the first course trending. And should the arterial lineinstallation is required at least 2 people in doing so. A medical officer who performinsertion, while a Registered nurse who prepares the ICU bepengalaman hal2 whichinclude tranducer, bag pressure, fluid, arterial board, tape, dressings and otherkeperluan2.
It is important in the treatment of arterial line;

 Arterial dressings should be changed at least 2 days by 2 RN positions or if the dressing is changed so that     the condition affects the results on the monitor readings.
 Must be done at least one shif zeroing every time or if in need
 Check peripherals perfused around the insertion site to the possibility of complications.
 Pressure bag should put pressure 300 mm Hg to keep providing 3 mls / hour flushingthrough artetial line.
 Note the trace of the existence of a sanagt underdamping overdamping or affect the results on screen, especially the SBP (systolic blood pressure), DBP and MAP (MeanArterial Pressure.


Why does a patient need an arterial line? 

Critically ill or injured patients frequently have profound abnormalities in their blood pressure. The arterial line provides a way to constantly measure a patient's blood pressure and may be essential to the stabilization of the patient. Arterial lines may be useful in patients with very high or low blood pressures. The arterial line also provides access for frequent blood sampling. Blood can be withdrawn from the patient through the arterial line tubing without having to use a needle for each blood draw.

How is an arterial line inserted?
Arterial lines may be inserted in the wrist (radial artery), armpit (axillary artery), groin (femoral artery), or foot (pedal artery). The arterial line is inserted into the artery by the same technique used to insert a regular peripheral IV. The arterial line is usually sutured (sewed) to the overlying skin to assure that it remains in the artery. An arterial line insertion causes the similar discomfort to that associated with the insertion of a regular peripheral IV. The arterial line tubing is connected to the bedside monitor, where the patient's blood pressure is constantly displayed.

How long is an arterial line used?
Typically, an arterial line is required for a short period of time. If the information from the arterial line is required for more than five to seven days, a new arterial line may be required. Are there any potential complications associated with use of an arterial line? The major complications associated with the arterial line are bleeding, infection, and rarely, a lack of blood flow to the tissue supplied by the artery.

Some sources of; http://www.icu-us.com/

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