Ward Slang Intermediate Procedures & Orders

A-line

Formal Definition

Arterial line: an indwelling catheter placed in a peripheral artery (most commonly radial) for continuous real-time blood pressure monitoring and frequent arterial blood gas sampling.

How It's Used on the Ward

"Art line" or "a-line" — standard in ICU and OR. "Get an a-line in before intubation" means continuous BP monitoring is required.

Example

""Patient in septic shock on three pressors — a-line in the right radial gives us beat-to-beat pressure and makes ABG draws easy without repeated sticks.""

Clinical Context

An a-line reads true arterial pressure — more accurate than cuff BP, especially with dysrhythmias or hypotension. The waveform itself gives you data: respiratory variation in pulse pressure >13% suggests fluid responsiveness. Check Allen's test before placement.

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