hemodynamic monitoring r weinzierl

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Hemodynamic

MonitoringRandi Weinzierl

+Survey results Rate your knowledge of an Art(arterial) Line.

Rate your knowledge of CVP (central venous pressure) monitoring.

Rate your knowledge of a Swan-Ganz catheter.

+Survey results I have had HANDS ON experience with hemodynamic

monitoring such as an Art line, CVP, or Swan-Ganz catheter.

+Survey Results

I can recognize the significance for using hemodynamic monitoring

techniques such as an Art line, CVP monitoring, and Swan-Ganz

catheter.

+Survey Results

I have full understanding of where Art lines, CVP monitoring, and

Swan-Ganz catheters are placed in the human body.

+Survey Results

I would benefit from a visual teaching tool that outlined the

main points, care for, waveforms, and locations of Art lines,

CVP, and Swan-Ganz catheters.

+Objective

Create a visual teaching tool which outlines

the significance, placements, and waveforms

of hemodynamic monitoring techniques

giving students the opportunity for hands on

learning.

+Arterial Line

Continuously monitor systemic blood pressure

Indications:

Hemodynamic instability

Vasopressor requirement

Frequent ABGs

Most common locations:

Radial, femoral, axillary, dorsalis pedis

+Arterial Line Placement

+Arterial Line Waveform

+Central Venous Pressure Monitoring

Direct measurement of the blood pressure in the right atrium and vena cava

Indication:

Assess right ventricular function

Systemic fluid status

Rapid infusions

Infusion of hypertonic solutions and meds that can damage veins

Serial venous blood assessment

Common locations

Internal jugular, subclavian vein, femoral vein

The tip of the catheter rests in the lower third of the superior vena cava


Normal CVP: 2-6 mm Hg

CVP is elevated by:

Overhydration (increase in venous return)

Heart failure or pulmonary artery stenosis (limit outflow and lead to

venous congestion)

CVP decreases with:

Hypovolemic shock (from hemorrhage, fluid shift, dehydration)

+Central Venous Pressure Waveform

+Swan-Ganz Catheter/Pulmonary

Artery Catheter

Provides diagnostic information to rapidly determine hemodynamic

pressures, cardiac output, and blood sampling for mixed venous

oxygen saturation

Measures

CVP, PAP, cardiac OP

Indications: Diagnosis vs. Therapy

Post MI

Cardiac Surgery/Major surgery

Resuscitation

Shock

Pulmonary Edema

Oxygen transport: ventilation and perfusion

+ Swan-Ganz Catheter/Pulmonary

Artery Catheter

+Swan-Ganz/PAC Placement &

Waveform

+Exit Survey

https://www.surveymonkey.com/s/G3

C6ZNT

+References

Goldberg, J. (n.d.) Fundamentals of critical care:

Hemodynamics, monitoring, shock. Retrieved from:

http://www.ucdenver.edu/academics/colleges/medicalschool/de

partments/surgery/education/GrandRounds/Documents/GRpdf

s/2010%20-%202011/Aug%209%20Shock-Hemodynamics-

Monitoring%20Goldberg.pdf

Kuhn, C., & Werdan, K. (2001). Surgical Treatment: Evidence-

based and problem-oriented. Retrieved from:

http://www.ncbi.nlm.nih.gov/books/NBK6895/

Posey, A. (2009). Hemodynamics: Basics. Retrieved from:

http://www.rnceus.com/course_frame.asp?exam_id=46&directo

ry=hemo

hemodynamic monitoring r weinzierl

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