From the case describing Ms S's management, a femoral access catheter was placed for CRRT. This is usually because central line access is in place via the jugular or subclavian site. Review the placement of access for CRRT in your ICU. Is there a preference for this? Correlate the site used (femoral, jugular vein or subclavian) with the filter or circuit ‘life' for the different access sites
used. Is there any relationship reflecting an association between access site and filter life? Your finding may be compared to the literature; also see key references in the further reading section.
What will be an ideal response?
Suggested response: The femoral access site was used in the case of Ms S; however, on review of the literature, there is variability in findings for access site and filter life. There is no study focused to this question with suitable scientific method and size to provide this answer. However, local protocols for CRRT determine preference is for either the jugular or femoral site.
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Regardless of the origin, discharge is described by noting:
a. a grading scale of 0 to 4. b. color and consistency. c. demographic data and risk factors. d. associated symptoms in alphabetic order.
While assessing a victim of a motor vehicle crash, the nurse notes that the patient's trachea is shifted towards the left. What does this finding indicate to the nurse?
a. Cardiac tamponade b. Right lung hemothorax c. Left lung pneumothorax d. Right lung tension pneumothorax