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    CVP

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    bharti Patel
    Central venous pressure (CVP) is the pressure measured in the central veins close to the heart, specifically at the junction of the superior vena cava and right atrium. It indicates mean right atrial pressure and is used to estimate right ventricular preload. CVP reflects the balance between blood volume and capacity of the venous system. Common sites for central line insertion include the internal jugular, subclavian, femoral, and external jugular veins. CVP is measured using a manometer or transducer and indicates fluid status, especially during surgery or hemodialysis.

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    CVP

    Uploaded by

    bharti Patel
    112 views33 pages
    Central venous pressure (CVP) is the pressure measured in the central veins close to the heart, specifically at the junction of the superior vena cava and right atrium. It indicates mean right atrial pressure and is used to estimate right ventricular preload. CVP reflects the balance between blood volume and capacity of the venous system. Common sites for central line insertion include the internal jugular, subclavian, femoral, and external jugular veins. CVP is measured using a manometer or transducer and indicates fluid status, especially during surgery or hemodialysis.

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    Central venous pressure (CVP) is the pressure measured in the central veins close to the heart, specifically at the junction of the superior vena cava and right atrium. It indicates mean right atrial pressure and is used to estimate right ventricular preload. CVP reflects the balance between blood volume and capacity of the venous system. Common sites for central line insertion include the internal jugular, subclavian, femoral, and external jugular veins. CVP is measured using a manometer or transducer and indicates fluid status, especially during surgery or hemodialysis.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    112 views33 pages

    CVP

    Uploaded by

    bharti Patel
    Central venous pressure (CVP) is the pressure measured in the central veins close to the heart, specifically at the junction of the superior vena cava and right atrium. It indicates mean right atrial pressure and is used to estimate right ventricular preload. CVP reflects the balance between blood volume and capacity of the venous system. Common sites for central line insertion include the internal jugular, subclavian, femoral, and external jugular veins. CVP is measured using a manometer or transducer and indicates fluid status, especially during surgery or hemodialysis.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 33

    What is CVP ?

    • The central venous pressure (CVP) is the pressure measured in the


    central veins close to the heart.

    • It is the pressure measured at the junction of the superior vena cava


    and the right atrium. And No valve in between.

    • It indicates mean right atrial pressure and is frequently used as an


    estimate of right ventricular preload.

    • It reflects the driving force for filling of the right atrium & ventricle

    • It indicates the relationship of blood volume to the capacity of the


    venous system.
    Common Insertion Site

    • Internal Jugular
    • Subclavian
    • Femoral
    • External Jugular
    • Basilic
    • Axillary
    Indication
    • Major operative procedures involving large fluid shifts
    or blood loss .
    • Intravascular volume assessment when urine output is
    not reliable or unavailable .

    • Temporary Hemodialysis .

    • Hypotension
    TYPES OF CENTRAL LINE
    • SINGLE LUMEN
    • DOUBLE LUMEN
    • TRIPLE LUMEN
    • QUADRUPLE LUMEN
    • QUINTUPLE LUMEN
    • PERIPHERALLY INSERTED CENTRAL
    CATHETERS (PICCS)
    Single, Double, and Triple Lumen
    Central Lines
    • QUADRUPLE LUMEN

    • QUINTUPLE LUMEN
    PERIPHERALLY INSERTED CENTRAL CATHETERS (PICCS)
    PREPROCEDURAL STEPS :-
    Explain procedure to the patient or family including its need and
    importance.

    Provide supine position to the patient.

    INTRAPROCEDURE STEPS :-
    Wash hands ,it reduce the transmission of infection .
    Measuring central venous pressure
    Using a manometer

    •Line up the manometer


    arm with the
    phlebostatic axis
    ensuring that the
    bubble is between the
    two lines of the spirit
    level
    Phlebostatic Axis

    4th intercostal space, midaxillary


    line
    Level of the atria
    Move the manometer
    scale up and down to
    allow the bubble to be
    aligned with zero on the
    scale. This is referred to
    as 'zeroing the
    manometer
    Turn the three-
    way tap
    off to the
    patient and
    open to the
    manometer
    Open the IV
    fluid bag
    and slowly fill
    the
    manometer to a
    level
    higher than the
    expected CVP
    Turn off the flow
    from
    the fluid bag
    and open
    the three-way
    tap from
    the manometer
    to the
    patient
    The fluid level inside
    the
    manometer should fall
    until gravity equals
    the
    pressure in the central
    veins
    • When the fluid stops
    falling the CVP
    measurement can be
    read. If the fluid moves
    with the patient's
    breathing, read the
    measurement from the
    lower number.
    Turn the
    tap off to
    the
    manometer
    veins
    Measuring central venous pressure
    Using a transducer
    •
    Turn the tap off to the
    patient and open to the
    air by removing the cap
    from the three-way port
    opening the system to
    the atmosphere.
    • Press the zero button
    on the monitor and
    wait while calibration
    occurs.
    • When 'zeroed' is
    displayed on the
    monitor, replace the
    cap on the three-way
    tap and turn the tap
    on
    to the patient.
    • Observe the CVP trace
    on the monitor. The
    waveform undulates as
    the right atrium
    contracts and relaxes,
    emptying and filling
    with blood. (light blue
    in this image)
    POSTPROCEDURAL STEPS

    1. Observe for any complication from the catheter


    insertion site ( pneumothorax , haemothorax , and
    embolism )
    2. Maintain aseptic technique at the central insertion
    site.
    3. Change the central line dressing as prescribed.
    4. Label the dressing to show the date and time of
    change.
    • Document the
    measurement and
    report any changes
    or
    abnormalities

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