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Labs and vasopressors..new icu nurse needs advice



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No. 30
from criticalHP
Old Sep 03, 2009, 03:44 AM

Default Re: Labs and vasopressors..new icu nurse needs advice
Originally Posted by dorimar View Post
Can someone please explain how a pedal aline is ok, but not a brachial?????? In my 24 years of nursing I have never seen a pedal aline, and rightly so.... I think? Someone????

same here--never have seen it. It sounds strange. Assuming its an adult, does this patient have some weird anatomy that makes brachial A line impossible? Trauma?
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No. 31
Old Sep 07, 2009, 04:41 PM

Default Re: Labs and vasopressors..new icu nurse needs advice
I've had a few pedal A-lines. When you need a line, you need a line. We let our residents stick twice and then either an attending or one of the nurses with the A-Line cert do it.

We RARELY have RT do our gases. They do them a lot in ER and on the floors, but in our ICU- we do them. And if the pt is a hard venous stick- we do our AM labs (or any labs) arterial if we have to. We have a large population of control-freak Type-A nurses on the unit- so we do most stuff ourselves. I'm pretty sure we'd put in our own CVCs if we could!
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