Sunday, April 19, 2009

central venous pressure

Central Venous Pressure (CVP) is blood from the systemic veins flows into the right atrium that a catheter is passed via the subclavian vein or jugular vein into the superior vena cava and continue to manometer to determine the venous return and intravascular volume of right atrium. The ways include connect the instrument of CVP set, observe patient and plaster intravenous tubing.


First, connect the instrument that need for monitoring CVP. Connect CVP set to intravenous solution and manometer. After that, connect tubing and 3-ways stopcock with intravenous solution. We need to ensure no air in tubing or stopcock and the connection are closely. It is to maintain the system always close to prevent infection, bleeding and air embolism.


Next, observe the patient during doctor do the procedure. We need to observe the condition, pulse rate and respiration of the patient. It is because the patient will feel so sick during the doctor make a hole at the patient and also any complication will happen on that time.


Lastly, to plaster the intravenous tubing to maintain the tubing at the same place. We also need to close the hole with sterile dressing occlusive to avoid infection go into the atrium. It is for giving the monitoring system will functioning as well. So, we can get the truth reading of pressure in the right atrium of patient.


In my conclusion, we must take good care for the patient that using CVP to prevent any infection and complication happen to the patient.

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