This is one of the most difficult assignment for a Nurse, handling a very ill patient and it takes all of the time of a nurse... for my fellow nurse hope this book will help you..
THE INTENSIVE CARE MANUALCare of critically ill patients requires vascular access for either therapeutic delivery of fluids and pharmaceutical agents or for diagnostic hemodynamic monitoring.
By definition, critically ill patients are physiologically unstable and, therefore, may need medical interventions aimed at supporting one or more functionally compromised organ systems and gauging the response to therapy.
Vascular access is the therapeutic cornerstone that facilitates these measures. All patients who meet admission criteria to critical care units (CCUs) should have asecure vascular access site, even if they are not currently receiving intravenoustherapy, because of the potential need for unanticipated emergent interventions.
The need for and choice of vascular access lines must be continuously weighed
against the costs and risks of complications.
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