ABSTRACT The use of peripherally inserted central catheter lines for central venous access in patients has increased in recent years despite a lack of evidence regarding safety. A recent survey of invasive catheter practices among patients in the United States found that 37% of terminally ill patients use peripherally inserted central catheters (PICC lines) as part of their treatment protocol. The goal of this paper is to inform the reader about the safety, teaching, and care of peripherally…
CVP represents the pressure of the right atrium (RA), which is measured using a catheter placed in the RA. CVP values can be obtained from any central line catheter placed in the internal jugular vein (IJ), subclavian vein (SC), or femoral vein, or from a peripherally inserted central catheter. During insertion of IJ or SC, the patient is placed in the Trendelenburg position to allow the neck blood vessels to fill with blood. The patient will be asked to take a deep…
should be cut just distal to the great vessels. Next, I find and open the pulmonary arteries examining them for thromboembolism. After examining the pulmonary arteries, I detach the heart from the lungs by cutting the pulmonary arteries and pulmonary veins close to the pulmonary hila. Next I need to cut the inferior vena cava as it comes through the diaphragm. After this the heart can be removed and weighed. Next, the lungs must be freed from the remaining hilar structures by cutting along the…
Management of Central Lines Sarah Dunbar, Lourie Grijalva, Brittany Matthews, Megen Price, & Lauren Sapp Introduction According to the Joint Commission (2012, p. v), Central Venous Catheters (CVCs) are the most frequent cause of healthcare-associated bloodstream infections, and about 3 million are placed in the United States annually. A central line associated bloodstream infection (CLABSI) is an infection in the blood that develops as a result of introducing bacteria into these…
documented in patients with blunt trauma.[] [] Indeed, with the electrocardiogram and CK-MB as screening tests, the detection of myocardial contusion has increased from the detection of myocardial contusion has increased from 7 to 17 percent in patients with blunt chest trauma. However, false-positive elevations of the CK-MB isoenzyme can also be seen if the total CK is greater than 20,000 unites; this can occur after massive body injury.[][] ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Categorization of…
who receive long term IV medications and who require frequent blood draws causing less discomfort for the patient. The port is surgically inserted under the skin. The catheter runs form the portal and is surgically inserted into a vein, either the jugular or subclavian. This allows medications to be spread throughout the body quickly and efficiently (Treas 794). This patient was…
The lymphatic system is a serious of ducts, nodes, nodules and lymph vessels among other structures and components that teams up to fight off bacteria and foreign substances that enter the body. The system is part of the immune system and it relies on various types white blood cells called lymphocytes that fight off bacteria, reduce inflammation, and respond to allergic reactions. The white blood cells are produced in the marrow of the bones beginning as stem cells. The stem cells…
Guillain-Barré Syndrome Guillain-Barré syndrome (GBS) is not something that many people have dealt with or even heard of for that matter. According to the CDC, there is somewhere between 3,000-6,000 cases of GBS per year in the United States. That amounts to 1-2 people out of 100,000 per year (CDC, 2009). For me, Guillain-Barré syndrome is something that I have known about since I was eight years old. Not only was I aware that it existed, I thought it was going to take my dad away from me.…
QUESTIONS 1. Discuss the pathophysiology of coronary artery atherosclerosis. Include discussion of risk factors associated with the development of this disease. (10 points) Coronary artery atherosclerosis is most commonly comprised of atherosclerotic fibrous fatty obstructions of the large epicardial vessels, which provide for blood flow and transport nutrients, oxygen, and elimination of metabolic waste products such as CO2, lactic acid, and hydrogen ions. Coronary artery atherosclerosis…