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Measurement of RA pressure or the pressure of the great veins within the thorax
Right-sided cardiac function is assessed through evaluation of the CVP
Catheter tip is position in the RA, upper portion of the superior vena cava or inferior vena cava
Normal values 2 8 mm Hg
Low CVP = hypovolemia or venous return
High CVP = over hydration, venous return, or right-sided heart failure
Phlebostatic Axis 4th ICS, mid-axillary line
Procedure
1. Review the facility/unit specific protocol for
setting up a water manometer
2. Review treating clinicians order for a water
manometer
3. Review patients medical history for any
allergies; then use alternative materials if
needed
4. Gather supplies and equipment
Rationale
REVIEW CHART HERE
Non-sterile gloves
IV pole
Manometer tubing with 3 way stopcock
Extension tubing
Pen marker
IV solution (D5W or PNSS)
Tape
5.
P.Chan 2017
Skills Lab
P.Chan 2017