hemodynamic
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| show | direct pressure monitoring systems that invasively measure pressure, flow, and oxygenation in the cardiovascular system
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| show | any critical care unit, surgery, and possibly the emergency room
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| invasive lines are placed by a | show 🗑
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| show | from the patient or family prior to insertion
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| clinical indications for hemodynamic monitoring | show 🗑
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| clinical indication for hemodynamic monitoring | show 🗑
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| frequent blood sampling for ABG analysis or severe fluid and electrolyte imbalance | show 🗑
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| hemodynamic monitoring catheters provide a way of obtaining blood samples | show 🗑
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| show | titration of vasoactive drugs
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| show | these patients may require the use of critical admixture drugs such as dopamine, levophed, or nipride
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| hemodynamic monitoring provides nurses with the data | show 🗑
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| show | diagnosis of heart failure, cardiogenic shock, cardiac tapenade, and sepsis
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| hemodynamic monitoring helps in differentiating the diagnosis of heart problems by | show 🗑
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| show | assessment of ventricular function in chronic heart failure
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| clinical indication for hemodynamic monitoring | show 🗑
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| show | that are high risk management of patients undergoing high risk procedures
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| patient with fluid instability the clinician can determine | show 🗑
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| show | trauma, burns, sepsis, a RDS, G.I. bleeding that required fluid management and infusion of vasoactive drugs
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| fundamental components of cardiac performance | show 🗑
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| show | about preload after load and cardiac output in other words cardiac performance and fluid balance
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| preload | show 🗑
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| preload equals the amount of blood in the ventricles before contraction | show 🗑
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| show | another term for preload is
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| show | any resistance against which the ventricles must pump in order to eject its value
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| after load | show 🗑
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| show | resistance to flow or how clamped the blood vessels are
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| show | in order to get the blood ejected from the ventricles
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| on the right side of the heart, the ventral pushes against | show 🗑
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| show | the aortic valve and peripheral vascular system
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| what can cause increased after load | show 🗑
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| cardiac output CO is | show 🗑
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| how is cardiac output measured | show 🗑
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| what is a normal cardiac output | show 🗑
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| there are two components that make up cardiac output | show 🗑
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| show | altering either the heart rate or the stroke volume
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| show |
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| show | the preload the after load and contractility
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| show | there are three types of catheters used
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| what are the three types of catheters | show 🗑
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| show | continuous blood pressure
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| the central venous pressure or CVP | show 🗑
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| show | this catheter measures pressures on both the left and right side of the heart CVP as well as the cardiac output and provides a port for fluid drug administration and blood draws
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| show | state the purpose of using a transducer, demonstrate leveling and zeroing a transducer using level static access, and identify the level static access
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| show | this system converts mechanical energy into electrical energy
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| show | a pressure transducer is required
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| the pressure transducer system converts mechanical energy into | show 🗑
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| transducers can be connected to three things | show 🗑
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| show | picture shows a system attached to a normal saline bags around by a pressure bag and connected to a monitor and it maintains pressure to get digital readings
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| show | pressure needs to meet maintain at 300 mmHg
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| for trans to inducer system, how does the to being flushed | show 🗑
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| leveling a transducer, in order to ensure accurate readings the transducer must be level | show 🗑
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| show | approximately the level of the right atrium
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| to determine the level static axis | show 🗑
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| show | and then zero calibrate the transducer
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| show | state indications for using an arterial line,
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| show | on an arterial waveform and described how correlates with valve closure
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| show | explain and perform a classmate
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| show | how to do it from an arterial line
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| arterial line | show 🗑
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| show |
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| identify complications and trouble soothing Dobsons | show 🗑
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| show | a continuous invasive form of monitoring a patient's blood pressure
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| indications for for using an a line | show 🗑
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| show | where strict monitoring is required
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| indications are to use and a line when vasoactive medications are needed | show 🗑
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| indications for use in a line with regular blood sampling | show 🗑
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| show | the closure of the aortic valve
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| nursing measures for a lines | show 🗑
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| nursing measures for a lines ensure pressure bag is that | show 🗑
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| nursing measure for a line | show 🗑
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| leave can nursing measures for a line we've cannulated extremity uncovered for easy observation | show 🗑
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| nursing measure for a line | show 🗑
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| nursing measure for a line | show 🗑
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| a line possible complications for | show 🗑
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| show | state indications for monitoring central venous pressure, state normal range for a central venous catheter
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| show | state the purpose of each lumen of a central venous catheter
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| discussed nursing measures to maintain a central venous catheter | show 🗑
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| show | for maintaining a central venous catheter
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| central venous pressure, central catheters are placed by | show 🗑
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| show | into the jugular or subclavian vein
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| where does the tip of the catheter set | show 🗑
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| what must be done before a central venous catheter can be placed | show 🗑
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| show | be right atrial pressure or RAP
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| central venous pressure is a measurement of the | show 🗑
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| show | fluid administration helps assessed fluid volume status
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| central venous pressure can be measured using a | show 🗑
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| show | also called right atrial pressure RAP
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| when obtaining a central venous pressure with a transducer it is measured in | show 🗑
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| show | today 8 mmHg
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| show | it is measured in centimeters of H2O rarely used
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| central venous pressure other ports can be used for | show 🗑
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| Possible complications of central venous pressure | show 🗑
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| show | pressure bag at 300 mmHg, assess site change dressing per hospital policy
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| learning objectives for using a pulmonary artery catheter | show 🗑
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| identify waveforms observed while using a PAC | show 🗑
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| show | discuss how a pulmonary artery catheter is inserted
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| state the per further purpose of each lumen for a pulmonary artery catheter | show 🗑
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| state nursing measures to maintain a pulmonary artery catheter | show 🗑
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| discuss critical thinking options for unexpected outcomes | show 🗑
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| show | multi-lumen catheter inserted in the jugular or subclavian vein that is floated through the heart and rest in the pulmonary artery
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| show | monitor right-sided heart pressure is the CVP, indirectly monitor left-sided heart pressures the wedge pressure and cardiac output
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| show | hemodynamically unstable or can be
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| show | once inserted in the subclavian vein or juggler vain the empty inflate the balloon at the tip in order for the catheter to float through the heart into the pulmonary artery
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| pulmonary artery catheter wave forms | show 🗑
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| show | which part of the heart the catheter is in or waveforms reflect the location of the catheter within the heart
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| the pulmonary artery catheter has 4 to 5 lm | show 🗑
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| show | exits in the right atrium, used to obtain CVP readings and connect cardiac output CO inject a
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| thermistor port exits | show 🗑
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| show | each lumen exits in a different location continued
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| pulmonary artery catheter the balloon port | show 🗑
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| show | in pulmonary artery to obtain pulmonary artery readings
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| show | extra port on some models use for IV fluid exits in superior vena cava
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| pulmonary artery readings | show 🗑
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| show | left-sided preload
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| pulmonary artery readings, a normal range for wedge pressure is | show 🗑
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| show | whole Monica valve closure
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| of teeny a pulmonary capillary wedge pressure or P CWP or wedge | show 🗑
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| show | never leave balloon inflated in wedge position because it can cause balloon rupture or a pulmonary infarct
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| show | left syringe and balloon passively deflate and watch waveform returned to the normal pulmonary artery waveform
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| show | obtain consent, level of zero transducers, pressure bag a trigger millimeters Mercury, hemodynamic parameters, and monitoring
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| nursing measures for pulmonary artery catheter detail | show 🗑
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| for pulmonary artery catheters level and zero transducers transducers | show 🗑
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| show | and obtain hemodynamic parameters per empty order
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| potential complications for pulmonary artery catheter | show 🗑
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| show | is no waveforms on the monitor make sure monitor is turned.
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| troubleshooting for pulmonary artery catheter if you are unable to draw blood from the a line stop | show 🗑
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| show | apply pressure
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| troubleshooting if there is diminished or absent peripheral perfusion within a line | show 🗑
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| show | check your patient and reposition the extremity
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| pulmonary artery catheter if you have a significant change in hemodynamic reading | show 🗑
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| show | perform balanced has identify equipment for transducer set up demonstrate leveling answering transducer blood draw from an arterial line discussed discontinuation of arterial line, observe various waveforms on monitor and identify ports a pulmonary artery
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Created by:
walterina4327