Specializes in PICU, ICU, Transplant, Trauma, Surgical.
Use the PAL reading if there's a good waveform, if not zero the line out (we use transducers with the kids kit attached for all art lines). Generally do a NIBP Qshift (obv. on a diff extremity) and then NIBP if needed (if the art line is reading really high or low on the means).
We generally use the PAL BP for titrating pressors if the waveform is good, but occasionally the doc will ask us to check/consider the NIBP before making further changes to the dopamine.
texas2007, BSN, RN
281 Posts
I am wondering what your unit policy is regarding PAL's and BP Monitoring? Do you go by the PAL BP on the monitor or go by the BP cuff?