Central venous pressure

quick facts for critical care nurses or nurse residents! easy download and handy to have when you need a quick review!

Waveforms of the jugular venous pressure (including a brief explanation for each wave). The "c" wave represents right ventricular contraction "pushing" the tricuspid valve back into the right atrium. Reproduced with permission from Oxford University Press (Longmore JM et al. The Oxford Handbook of Clinical Medicine, 5th Edn, p. 79).

notes central venous catheters purpose to deliver hyperosmolar solutions, to measure central venous pressure, infuse tpn, or to administer multiple iv solutions

Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can oftentimes provide useful insight into a patient’s right ventricle

Monitoring Devices in the PICU Arterial blood pressure monitoring Invasive way to monitor blood pressure more accurately. Ensure waveform is appropriate before interpreting pressures. BP can be artifactually low or high. Pay attention to pulse pressure. Wide pulse pressure: Chronic anemia, PDA, vasodilatation. Narrow pulse pressure: Status asthmaticus, Cardiac tamponade, dehydration Use heparinized normal saline to prevent clotting @ 1-2 cc/hr. Add papaverine 30-60 mg to heparinized fluids…

Indications Central venous pressure monitoring Volume resuscitation Cardiac arrest Lack of peripheral access Infusion of hyperalimentation Infusion of concentrated solutions Placement of transvenous pacemaker Cardiac catheterization, pulmonary angiography Hemodialysis