reptile

Hi, I'm the op. Sorry I took so long to reply but I had some trouble remembering my login. My problem was that the art line can only sense the pressure at point of insertion so measurements from zeroing at the phleb. axis are inaccurate. Vasoactive drips are titrated to these numbers. I heard in a class given by the author of the book on central lines(sorry , forgot name) that zeroing should be at insertion point. Do you giys zero @ the phleb axis when the art line is the only line? To protect myself , stram 87 brings up a good point. I just wanted to be as accurate as possible to give the patient appropriate treatment.

:nurse:Recently I had a patient with a radial art line and a PA line. I zeroed the PA to the phlebostatic axis and the art line at the point of insertion. I was reprimanded as it seems that hospital's policy is to zero ALL lines to the phleb. axis. I believe that's wrong because the art line in that position can't "see" all the way up the arm to the axis. There was quite a discussion. What do you guys :idea:think?