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Hemodynamic Monitoring

Hemodynamic Monitoring notes
Course

Primary Concepts Of Adult Nursing (NUR 3180)

390 Documents
Students shared 390 documents in this course
Academic year: 2021/2022
Listed bookBrunner and Suddarth's Textbook of Medical-Surgical Nursing
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Nova Southeastern University

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 Hemodynamic Monitoring  Critically ill patient require continuous assessment of the cardiovascular system to diagnose and manage medical conditions  Achieved via direct pressure monitoring systems  Central venous pressure (CVP), Pulmonary artery pressure (PAP), Intra-arterial blood pressure (Arterial line)  Nursing care  Ensure system is set up and maintained properly  Ensure stopcock is at level of atrium before measurements obtained  Establish zero reference point  Complications  Uncommon  Pneumothorax, Infection, Air embolism  Hemodynamic monitoring: what does it measure?  Hemodynamic monitoring measures:  Heart chamber pressures, Cardiac output, Preload, Afterload, Contractility  Cardiac Output= Stroke Volume x hr  Total amount of blood ejected by the ventricle in liters per minute  Resting adult: 4-6L/min  Varies based on metabolic need  Stroke Volume  Total amount of blood ejected by the ventricle per heartbeat  Resting adult: 60-130 mL

 Effect of heart rate on cardiac output (c0)  CO responds to changes in metabolic demands of tissues associated with stress, physical exercise, illness  To compensate: CO enhanced by increases in SV and HR  HR affected by CNS and baroreceptor activity  Baroreceptors: aortic arch, right and left carotid arteries  Chronotropy, Inotropy, Dromotropy  Baroreceptor activity during Hypertension  Baroreceptor activity during hypotension  Stroke volume  Determined by   Preload and afterload  Degree of stretch of ventricular cardiac fibers at end of diastole  Volume of blood at end of diastole= preload  Afterload  Resistance to ejection of blood from the ventricle  Resistance to left ventricular ejection: Systemic vascular resistance (SVR)  Resistance to right ventricular ejection: pulmonary vascular resistance (PVR)  Preload, Afterload  Contractility: the force generated by the contracting myocardium  Types of monitoring devices  Central Venous Pressure (CVP) monitoring

 Radial artery is most common site of placement  Allen’s test Nursing Interventions  Monitor for  local obstruction/distal ischemia, Hemorrhage, Ecchymosis, Dissection, Air embolism, Pain, Arteriospasm, Infection

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Hemodynamic Monitoring

Course: Primary Concepts Of Adult Nursing (NUR 3180)

390 Documents
Students shared 390 documents in this course

University: Nova Southeastern University

Was this document helpful?
Hemodynamic Monitoring
Critically ill patient require continuous assessment of the cardiovascular system to diagnose
and manage medical conditions
Achieved via direct pressure monitoring systems
Central venous pressure (CVP), Pulmonary artery pressure (PAP), Intra-arterial
blood pressure (Arterial line)
Nursing care
Ensure system is set up and maintained properly
Ensure stopcock is at level of atrium before measurements obtained
Establish zero reference point
Complications
Uncommon
Pneumothorax, Infection, Air embolism
Hemodynamic monitoring: what does it measure?
Hemodynamic monitoring measures:
Heart chamber pressures, Cardiac output, Preload, Afterload, Contractility
Cardiac Output= Stroke Volume x hr
Total amount of blood ejected by the ventricle in liters per minute
Resting adult: 4-6L/min
Varies based on metabolic need
Stroke Volume
Total amount of blood ejected by the ventricle per heartbeat
Resting adult: 60-130 mL

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