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27 November, 12:51

A patient has returned from having an intra-arterial infusion catheter inserted into a femoral artery. what adjunct therapy should the nurse recommend for this patient?

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  1. 27 November, 14:30
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    This particular patient has a risk of arterial thrombosis and occlusion. Rarely, thrombosis may detach and clog other areas as an emboli. The most important adjunct in this case is a thrombolytic therapy (streptokinase, etc.) which prevents the formation of thrombi in the area. Other adjuncts of care for arterial line is prevention of disconnection or dislodgement and this can be prevented by having the cannula secured and clearly visible at all times. Air embolism is another complication and can be prevented by priming the line before connecting it. A hematoma can develop with poor technique of insertion and this can be prevented by having a trained professional do it as well as ensuring that the cannula is secured and immobile. Arterial spasm can also occur if a cold solution is used to flush the line. Infection is always of concern so the ractice of handwashing and the use of personal protective equipment while handling an arterial line should be done.
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