Page 109 - AACN Essentials of Critical-Care Nursing Pocket Handbook, Second Edition
P. 109

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                    Continue to hold pressure to puncture   site until oozing stops.  for 1-2 hours after removal of  catheter.  catheter.  may be needed both distally and  brachial or femoral artery is used. Replace transducer. “Fast flush”   through system. Tight



                Treatment    Apply sandbag to femoral puncture site   Call physician to inject lidocaine locally  at insertion site and 10 mg into arterial Arteriotomy and Fogarty catheterization  proximally from the puncture site result in return of pulse in  90%














                Prevention  Maintain firm pressure on site during  withdrawal of catheter and for  5-15 minutes (as necessary) after  withdrawal. Apply elastic tape (Elastoplast) firmly   over puncture site. For femoral arterial puncture sites,  leave a sandbag on s
             Problems Encountered with Arterial Catheters











                    Bleeding or oozing at   puncture site  Spasm of artery  Thrombosis of artery  Loose connections
                Cause                               Insufficient pressure on IV bag









                Problem  withdrawal of needle

                    Hematoma after     Decreased or absent   pulse distal to   puncture site  Bleedback into tubing   or transducer
             4.7
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