A small compilation of nurse anesthesia care plans
These anesthesia care plans are meant to inspire nurse anesthesia residents when they are making their care plans. Always make sure you fully understand and "own" your care plan. Your plan must be specific for your patient and should always be with the most up-to-date information.
A-line Placement
Indications
Hemodynamic instability
Controlled hypotension
Vasoactive drip titration
Major surgery
ABG/blood draws
Pre-assessment
Allen's test (non-conclusive)/collateral flow
Infection
AV shunt in limb
Supplies
A-line kit
Chlorhexidine prep
1% lidocaine prep if pt awake
20–22-gauge angiographic catheter and needle
Arm board
Sterile dressing
Tape
Transducer set up and NS bag with a pressure bag
Placement
Radial artery: Supinate the arm, dorsiflex the wrist, and secure its position
Brachial artery: Supinate the arm with the elbow extended
Axillary artery: Abduct the arm and externally rotate it
Femoral artery: Position the patient supine with the leg extended at the hip
Dorsalis pedis artery: Position the patient supine with the leg extended
Palpate artery, infiltrate site with Lidocaine 1%
Insert at a 30-40 degree angle; when the blood returns, drop to 0 degrees and advance 1-2mm
Catheter over needle or catheter over wire approach
Remove the needle or wire and connect the catheter to the transducer. Secure line.
Complications
Kinking, blockage, vasospasm
Rare: Pseudo aneurysm, AV fistula