ava 28-31.PNG

# M. ARTERIAL CATHETER **Indications/Contraindications** * Indications: * Monitoring arterial pressure * Arterial blood gas analysis * General blood sampling * Organ specific infusions * Contraindications: * Lack of adequate collateral circulation (for the radial...

# M. ARTERIAL CATHETER **Indications/Contraindications** * Indications: * Monitoring arterial pressure * Arterial blood gas analysis * General blood sampling * Organ specific infusions * Contraindications: * Lack of adequate collateral circulation (for the radial artery, this may be determined via a modified Allen's test with ultrasound prior to catheter insertion) **Insertion Procedure** * Instruct the patient to make a fist while the clinician manually occludes both the radial and ulnar arteries. * Instruct the patient to open their hand (skin will have blanched). * The clinician releases pressure from the ulnar artery observing for palmar color change. * The Allen's Test is negative if blushing occurs (indicating appropriate collateral circulation). * The Allen's Test is positive if palmar color does not return to normal after 5-15 seconds (signifying the radial artery should not be punctured). * Consider performing a Doppler ultrasound exam for flow adequacy. **Site Selection** * Radial, brachial, axillary, dorsalis pedis, or femoral artery. # N. PULMONARY ARTERY CATHETER **Indications/Contraindications** * Indications: * Evaluating cardiovascular and/or pulmonary function, assessing shock and fluid requirements and subsequent effectiveness of fluid resuscitation * Monitoring cardiac function before, during, and after cardiac surgery * Monitoring of hemodynamics * Contraindications: * Mitral stenosis # O. AQUAPHERESIS CATHETER (Peripherally Inserted) **Indications/Contraindications** * Indications: * An Aquapheresis catheter is typically a 15-20cm, dual lumen, 6 Fr venous access device that is inserted for the purpose of ultrafiltration therapy to remove excess fluid/sodium and salt from the bloodstream. * Contraindications: * Lack of accessible Basilic vein in upper arm * Inappropriate catheter to vein ratio # P. PEDIATRIC UMBILICAL CATHETER **Anatomy** * 2 umbilical arteries * 1 umbilical vein **Indications/Contraindications** * Indications: * Fluid and medication administration * Parenteral nutrition administration * Blood and blood component administration * Blood sampling * Contraindications: * Poor stump condition * Acute abdomen * Omphalitis, omphalocele, necrotizing enterocolitis, peritonitis **Note**: The document provides general information and instructions. It is crucial to consult with relevant medical professionals for accurate and personalized guidance.