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Indications of CVP
For patients with:
1. Congestive heart failure
2. Decrease in myocardial contractility
3. Renal failure
4. Tension Pneumothorax
5. Pleural effusion
Interpretation of CVP
6. Hypovolemia or Hypervolemia
• An increase above normal or elevated CVP results
7. Decrease in myocardial contractility
indicate weakening or failure of the right side of the
8. Decreased cardiac output
heart or excessive fluid blood volume
• A pressure below normal reflects an intravascular
Normal Value and Catheter Placement
blood volume deficits or drug-induced excessive
• Normal CVP ranges from 4 to 12 mm Hg (ref.
vasodilation
Brunner) or 5 – 10 cm H2O
• CVP measurement must not be interpreted on
their own, but viewed alongside the patient’s full
Veins Sites for Catheter Placement
clinical picture (BP, respiratory patter, color,
1.Cephalic or basilic
temperature)
2.Subclavian
3.External or internal jugular Materials Needed for CVP Measurement
1.Sterile bag of fluid – normal saline solution Nursing Care of CVP
(isotonic) 1. Hand hygiene
2.Administration set 2. Sterile technique when changing the central line
3.IV extension set dressing
4.CVP Manometer 3. Change gauze every 48 hours; transparent
5.Stopcock dressing every 7 days
4. Wearing clean gloves before accessing the line
port
5. Performing a 15 – 30 second “hub scrub” using
friction in a twisting motion
6. Antiseptic-containing port protectors to cover
connectors
7. Assess catheter site
Skill 9: CVP Measurement
1.Informs patient of the procedure.
2.Washes hands
3.Provides for client’s privacy
4.Places the client in supine position (if
contraindicated, adjusts the position).
5.Places the manometer at zero level adjacent to
the 5th ICS midaxillary line.
6.Opens the CVP and IV port and closes patient's
Port