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    PCV Vetlearn

    Uploaded by

    Jorge Pablo Villaseñor
    monitoreo pvc

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    © All Rights Reserved
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    PCV Vetlearn

    Uploaded by

    Jorge Pablo Villaseñor
    23 views1 page
    monitoreo pvc

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    PCV vetlearn

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    monitoreo pvc

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    23 views1 page

    PCV Vetlearn

    Uploaded by

    Jorge Pablo Villaseñor
    monitoreo pvc

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    1CE CE Article #1

    CREDIT

    WEB EXCLUSIVE

    Fluid Therapy: Monitoring Central


    Venous Pressure
    T
    he key to maintaining the hydration The tip of the catheter should be cranial to the atrium (not in
    Jessica Kerr, status of a patient is rigorous moni- it); taking a radiograph to confirm the location is recom-
    BA, CVT, VTS (ECC)
    toring. In most instances, checking mended.1,2
    the intravenous fluid rate, recording the patient’s mentation and Technicians need to be particularly attentive during CVP
    respiratory rate, auscultating the lung fields, and calculating monitoring because placement of the patient and the manom-
    urine output are sufficient monitoring parameters. However, for eter has to be consistent (see box). Because CVP values vary, the
    some patients, central venous pressure (CVP) monitoring may veterinarian may establish a baseline for each patient. Changes
    be elected, particularly if the patient is prone to hypertension or in trends for individual patients are then monitored closely, and
    has a history of renal, lung, or heart disease.1,2 any increase or decrease of 5 cm of water should be brought to
    CVP measures the success of the interaction among cardiac the veterinarian’s attention.1 VT
    pumping, circulating blood flow, vascular tone, and intratho-
    racic pressures. This measurement determines how much fluid References
    1. Battaglia A. Small Animal Emergency and Critical Care. Philadelphia: WB
    can be administered to a patient without causing fluid overload.1
    Saunders; 2001:36-55.
    To obtain CVP measurements, a central line catheter is 2. Cahill M (ed). Fluids and Electrolytes Made Incredibly Easy. Springhouse, Pa.:
    placed into the anterior vena cava through the jugular vein. Springhouse Corp.; 1997.

    CVP Monitoring
    Supplies needed
    • Extension set • Tape
    • Three-way stopcock • CVP manometer
    • 250-ml bag of isotonic fluids • Heparinized saline flush
    • 20-ml/drop intravenous line • Level, with rolled gauze tied to each end

    Procedure:
    • Attach the intravenous line to the bag of fluids, and run the zero mark on the manometer and pull the other end
    the fluids through the line, leaving no air bubbles. parallel to the thoracic inlet of the patient.
    • Attach the stopcock to the end of the fluid line. • When the level is showing accuracy, tape the manome-
    • Attach the extension line to the opposite end of the ter to the side of the cage.
    stopcock. • Open up the extension line.
    • Attach the manometer to the upright part of the stop- • The fluid level in the manometer will equilibrate with the
    cock. pressure in the vena cava.
    • Fill the manometer and the extension set with the intra- • The level will fluctuate during respirations or heartbeats;
    venous fluids. if there is no fluctuation, the catheter may not be in far
    • Turn off the intravenous fluids. enough.
    • Use heparinized saline to flush the jugular catheter. • After the level has settled, record the measurement in
    centimeters (cm).
    • Make sure the extension set is clamped, and then attach
    it to the jugular catheter. • A minimum of three readings should be recorded.
    • Place the patient in lateral recumbency, and make sure • It is important to note the position of the patient in
    the zero mark of the manometer is level with the right the cage when readings are made; a change in posi-
    atrium. Using a level, pull one end of the gauze strip to tion could create inaccurate readings.
    VETERINARY TECHNICIAN; May 2009

    ©2009 Veterinary Learning Systems (VLS).


    Reprinting or posting on an external website without written permission from VLS is a violation of copyright law.

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