Take Care The Patient With Installation CVP

I. UNDERSTANDING

Central venous pressure (central venous pressure) is the blood pressure in AKA or vena cava. It provides information about the three parameters of blood volume, the effectiveness of the heart as a pump, and vascular tone. Central venous pressure is distinguished from the peripheral venous pressure, which may reflect only local pressure.

II. MONITORING LOCATIONS

a. Right internal jugular vein or the left (more common on the right)
b. Right or left subclavian vein, but lower in the right thoracic duct
c. Brachial vein, which may be bent and develop into phlebitis
d. Proximal lumen of the pulmonary artery catheter in the right atrium or immediately above the superior vena cava

III. INDICATIONS AND USAGE

a. Measurement of central venous pressure (CVP).
b. Blood sample for laboratory examination.
c. Measurement of central venous oxygenation.
d. Parenteral nutrition and administration of hypertonic fluids or fluids that irritate that need immediate dilution in the circulatory system.
e. Vasoactive drug administration by drip (drip) and inotropic drugs.
f. As venous access if all other IV site has been weak.

IV. COMPLICATIONS

The complications of CVP cannulation installation include:
a. Pain and inflammation at the location of the stabbing.
b. Blood clots because tertekuknya catheter.
c. Bleeding: ekimosis or major bleeding when the needle is disconnected.
d. Tromboplebitis (thrombus embolism, air embolism, sepsis).
e. Microshock.
f. Cardiac dysrhythmia

V. ASSESSMENT

Which should be studied in patients who mounted CVP are signs of complications caused by the installation tool.

a. Complaints of pain, shortness of breath, discomfort.
b. Verbal complaints of fatigue or weakness.
c. Respiratory rate, breath sounds
d. Signs redness / pus on the installation location.
e. The presence of blood clots / air bubbles in cateter
f. Suitability infusion set point position
g. Vital signs, perfusion
h. Pressure CVP
i. Intake and output
j. ECG Monitor

VI. Nursing Diagnosis

Activity disorder associated with central venous catheter placement
Assessment criteria focus:

a. Weakness, fatigue.
b. Changes in vital signs, the presence of dysrhythmias.
c. Dyspnea.
d. Pale
e. Sweaty