Hemodynamic Monitoring

Front 1

define hemodynamic

Back 1

the movement of blood

Front 2

purpose of arterial line

Back 2

most accurate form of getting a blood pressure

Front 3

arterial line insertion

Back 3

perform allen's test prior
insert in radial site

Front 4

nursing assessments with A-Line

Back 4

hourly: color, pulse, temp, cap refill
cuff bp check q4h
STAT bp if comes out

Front 5

complications with A-line

Back 5

hemmorrhage if comes out
distal infarct
air emboli
infection

Front 6

CVP

Back 6

central venous pressure

keep transducer level with the heart

Front 7

purpose of CVP

Back 7

determines preload

Front 8

normal CVP

Back 8

<8, but look at the patient trends to determine increases or decreases

Front 9

normal CO

Back 9

4-8L/min

Front 10

ways to increase preload

Back 10

feet up, head down

Front 11

RAP

Back 11

R atrial Pressure

Front 12

RVP

Back 12

R Ventricular pressure

Front 13

PAP

Back 13

Pulmonary artery pressure

Front 14

PCWP

Back 14

Pulmonary Capillary Wedge Pressure

Front 15

CO

Back 15

Cardiac Output

Front 16

CI

Back 16

Cardiac Index

Front 17

SVR

Back 17

Systemic Vascular Resistance

Front 18

what to consider when doing a wedge pressure

Back 18

blow up balloon for no longer than 15 seconds
read monitor during exhale
tells you what is happening on L side of heart

Front 19

normal PCWP

Back 19

8-12

Front 20

normal CVP

Back 20

1-8

Front 21

SVO2

Back 21

Systemic Venous Oxygen Saturation

Front 22

normal SVO2

Back 22

60-80%

Front 23

indication of increased CVP

Back 23

R HF
tricuspid valve stenosis/regurge
tamponade
fluid volume overload
atrial/septal defect

Front 24

indication of decreased CVP

Back 24

dehydration

Front 25

indication of increased PAP

Back 25

pulmonary HTN
COPD or other pulmonary disease

Front 26

Indications for decreased PAP

Back 26

dehydration

Front 27

indications for increased PCWP

Back 27

mitral stenosis/regurg
L HF
aortic stenosis
tamponade

Front 28

indications of decreased PCWP

Back 28

hypovolemia
vasodilation

Front 29

indication of increased SVO2 from a venous line

Back 29

anesthesia
overabundance of O2 given

Front 30

indications of decreased SVO2 from a venous line

Back 30

Bodies demand for O2 is higher than supply:
fever
sepsis
high metabolic state

Front 31

SVO2

Back 31

Systemic Venous Oxygen Saturation

Front 32

normal SVO2

Back 32

60-80%

Front 33

indication of increased CVP

Back 33

R HF
tricuspid valve stenosis/regurge
tamponade
fluid volume overload
atrial/septal defect

Front 34

indication of decreased CVP

Back 34

dehydration

Front 35

indication of increased PAP

Back 35

pulmonary HTN
COPD or other pulmonary disease

Front 36

Indications for decreased PAP

Back 36

dehydration

Front 37

indications for increased PCWP

Back 37

mitral stenosis/regurg
L HF
aortic stenosis
tamponade

Front 38

indications of decreased PCWP

Back 38

hypovolemia
vasodilation

Front 39

indication of increased SVO2 from a venous line

Back 39

anesthesia
overabundance of O2 given

Front 40

indications of decreased SVO2 from a venous line

Back 40

Bodies demand for O2 is higher than supply:
fever
sepsis
high metabolic state

Front 41

nursing considerations for insertion

Back 41

equipment is air free
trendelenberg's position-->increases blood in vein
documentation of initial
readings and tolerance
zero transducer prior to insertion

Front 42

trendelenber's position

Back 42

flat on back, head down, feet up

Front 43

complications with insertion of lines

Back 43

*pneumothorax*
ventricular dysrythmias
thrombus
bleeding
pulmonary rupture or infarct
ruptured balloon-->air embolism

Front 44

nursing responsibility post line insertion

Back 44

bedrest
HOB up 30 degrees
Q1-4h pressure readings
change dressing qweek
bag and tubing changes q4days
watch for infection

Front 45

nursing responsibilities during removal of line

Back 45

deflate balloon
may need to culture tip
deep breath and hold-->increases thoracic pressure and decreases air embolism
watch for arrythmias
documentation

Front 46

interventions for low heart rate

Back 46

atropine, pacemaker

Front 47

interventions for high heart rate

Back 47

BB's CCB's

Front 48

interventions for low preload

Back 48

fluids

Front 49

interventions for high preload

Back 49

diuretics, vasodilators

Front 50

interventions for low afterload (SVR)

Back 50

vasopressors

Front 51

interventions for high afterload (SVR)

Back 51

arterial dilators
CCB's
ACEI's

Front 52

interventions for low contractility (CO, CI<50%,)

Back 52

inotropic agents:
digoxin, dopamine, debutamine