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  • CVP Care (Swapnil (

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    SWAPNIL WANJARI
    74 views18 pages
    This document discusses central venous pressure (CVP) monitoring and central line insertion and maintenance. It provides information on what CVP is and how it is measured using a central venous catheter. It outlines the purpose of CVP monitoring in critically ill patients and determining right heart function. The document lists the necessary equipment for central line insertion and maintenance, including proper hand hygiene, dressing changes, and signs of infection to monitor. Potential complications are also outlined.

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    Cvp Care (Swapnil(

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    This document discusses central venous pressure (CVP) monitoring and central line insertion and maintenance. It provides information on what CVP is and how it is measured using a central venous catheter. It outlines the purpose of CVP monitoring in critically ill patients and determining right heart function. The document lists the necessary equipment for central line insertion and maintenance, including proper hand hygiene, dressing changes, and signs of infection to monitor. Potential complications are also outlined.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    Download as pptx, pdf, or txt
    74 views18 pages

    CVP Care (Swapnil (

    Uploaded by

    SWAPNIL WANJARI
    This document discusses central venous pressure (CVP) monitoring and central line insertion and maintenance. It provides information on what CVP is and how it is measured using a central venous catheter. It outlines the purpose of CVP monitoring in critically ill patients and determining right heart function. The document lists the necessary equipment for central line insertion and maintenance, including proper hand hygiene, dressing changes, and signs of infection to monitor. Potential complications are also outlined.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 18

    PRESENTED BY,

    MR. SWAPNIL WANJARI


    INTRODUCTION
     Health care institutions and their patients are familiar with the effects of
    nosocomial infections.

     The safety of the patients concerning this device depends mostly on the
    nursing care.
     CENRAL VENOUS PRESSURE:
     Central venous pressure (CVP) is the blood pressure in the venaecava,

    near the right atrium of the heart. CVP reflects the amount of blood


    returning to the heart and the ability of the heart to pump the blood back
    into the arterial system. 
     CENTRAL PRESSURE MONITORING:
     In central pressure monitoring, the physician insert a catheter through a

    vein and advances it until its tip lies in or near the right atrium. When
    connected to a monometer or Monitor. the catheter measures central
    venous pressure (CVP), an index of right ventricular function. The
    normal CVP is 8 to 12 mm Hg. And 2 to 6cm H2O.
    PURPOSE
     There special Ivs are used when the patient either does not have adequate
    veins in the arms or needs special medication and/or nutrition that cannot
    be given through the smaller arm veins.
     Serve as a guide of fluid balance in critically ill patient.
     Determine the function of the right side of the heart
    What we need ?
     Syringes 5ml- 5
     Syringes 10 ml -5
     Syringes 20 ml -5
     Certofix ( Trio and Duo)
     Three way stop cock -3
     Sterile Gloves (6, 6.5, 7, 7.5)-1
     Surgical Gown-1
     CVP Tray-1
     Lox 2% (30 ml)-1
     Normal saline 100ml-1
     Suture 2-0 and 3-0
     Tegaderm-1
     Needle 24x1 0.55
     Cap and Mask
    Central Line Associated Blood Stream Infection
     Date of insertion :-
     Hand hygiene compliance
     Maximum sterile barrier used during insertion
     Optimal central line site selection with subclavian / jugular vein as the

    preferred site.
     Chlorhexidine 4% for skin preparation.
     Wait 2 min to dry the site.
     Insert the central line.
    Maintenance
    1. Dressing changed using aseptic Technique every 48 hours
    and whenever necessary
    2. Watch the insertion site for any signs of infection.
    3. Dressing intact, labeled correctly.
    4. Aspiration of blood checked from each lumen of CVC.
    5. Injection site are covered by caps
    6. Central line stabilized/no tension on line
    7. Administration sets (PMO LINE, IV SET’S etc.) labeled and
    replace
    8. Necessity of removal to be assessed in every shift.
    Sign of CLABSI
     Fever > 38
     TLC and WBC count Increased
     Bradycardia
     Tachycardia
     Skin rash around the central line
    COMPLICATIONS
    1. Bleeding and infections associated with IV catheter.
    2. Misplacement
    3. Collapse of the lung is a rare complication of cvp catheter.
    4. Arterial puncture, cardiac puncture.
    5. Pneumothorax, Hemothorax
    6. Air emboli, thrombosis
    7. Cardiac tamponade
    8. Cardiac arrhythmias
    9. Carotid artery punctured
    10. Perforation in SVC and atria and ventricles
    11. Pleural effusion.
    ROUTINE CARE
     The catheter is held in place by an adhesive dressing, suture, or staple
    which is covered by an occlusive dressing. Regular flushing with saline
    or a heparin-containing solution keeps the line open and prevents blood
    clots.

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