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Advanced Concepts Of Adult Nursing (NUR 4120) Hemodynamic Monitoring

John Marsh
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Hemodynamic Monitoring

Nova Southeastern University

Advanced Concepts Of Adult Nursing (NUR 4120)

Hemodynamic Monitoring Presentation
Hemodynamic Monitoring
 Used in critically ill patients that require continuous assessment of their cardiovascular status
 Type of assessment using a direct pressure monitoring system
 Includes central venous pressure (CVP), pulmonary artery pressure, and intra-arterial BP
 Hemodynamic monitoring measures:
o Heart chamber pressure
o Cardiac output (4-6L/min)
o Preload & afterload
o Contractility
Nursing Care
 Nurses must be trained to use this technology
 Give safe and effective care by:
o Ensure the system is set up and maintained, kept patent, and free of air bubbles
o Checking the stopcock is positioned at the level of the atrium before taking
 The phlebostatic axis is the reference point for the atrium when the patient is
positioned supine.
o Measurements of CVP, BP, and pulmonary artery pressures can be made with the
head of the bed elevated up to 60 degrees, but the system must be repositioned to the
phlebostatic axis to ensure an accurate reading
 Complications are uncommon but can include:
o Pneumothorax
 Can occur during insertion during CVP or pulmonary artery catheter insertion
o Infection
 The longer the catheters are left in place (after 72 to 96 hours) the greater the
 Catheter related bloodstream infection is the most common
 Replace equipment every 96 hours



Advanced Concepts Of Adult Nursing (NUR 4120) Hemodynamic Monitoring

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