00:01
Next, let's talk about how
to remove the PA catheter.
00:04
Before we do anything to
remove the PA catheter,
we need to make sure that we
have no air left in that balloon.
00:11
If there's air in the balloon
and we withdraw the PA catheter,
we may cause damage
to the valves.
00:17
In order to remove the air,
just disconnect the syringe
from the catheter and allow
all of the air to come out.
00:24
Next, we're going to place the
client in a supine position
and face their head away
from the catheter site.
00:30
This is to make sure that when we
take off the transparent dressing
we're not introducing
any bacteria to the site.
00:36
Turn the stopcock off to
the client or turn them up
and discard any of the intravenous
solutions and flushes with that.
00:45
Make sure to wear a mask
and face shield or goggles.
00:48
Because when you withdraw
that PA catheter,
you may have some blood
that flicks on to you.
00:54
Remove the old dressing and unlock
the sheath from the introducer.
00:59
Now to minimize the risk
of a venous air embolus,
make sure the client takes
a deep breath and holds it.
01:05
Once they're holding,
just gently pull
that PA catheter out
while you're securing the
introducer with your other hand.
01:12
The introducer
will have stitches,
keeping it in but if
you don't secure it,
it can cause pain and may
get pulled out as well.
01:22
Once it's out, view the catheter tip
to make sure everything is intact.
01:27
Then you're going to make sure to
clean the introducer insertion site
with a chlorhexidine wand.
01:34
Then you're going to have a blue cap
that goes on top of the introducer
and you're going to place a
new chlorhexidine dressing
over the introducer site.