Hemodynamic

Understanding hemodynamicaly

1. Hemodynamic

2. My love has hemodynamic stability or instability?

3. What is hemodynamic stability? Hemodynamic stability can be simply explained as the stable blood flow. Ex Stable heart pump Good circulation of blood

4. So Hemodynamic instability? Hemodynamic instability is defined as any instability in blood pressure which can lead to inadequate arterial blood flow to organs. Ex Adequate cardiac input Adequate cardiac output Or blood pressure

5. Abnormal Hemodynamic parameter Heart rate Blood pressure Cardiac output Central venous pressure Pulmonary artery pressure

6. Signs and symptoms Hypotension Abnormal of heart rate Shortness of breath Pulmonary congestion Cold extremities

7. Signs and symptoms Peripheral cyanosis Decrease urine output Alternative conscious ness (restlessness loss of consciousness confusion) Chest pain

8. Diagnosis Can be diagnosis by checking vital signs : Respiratory rate Pulse Blood pressure Urine output Organ perfusion Toe temperature gradient Capillary refill time

9. Complications Hemorrhage Thrombosis Thrombophlebitis Pulmonary embolism Arterial spasm may occur at time

10. Pulse is the first sign to indicate hemodynamic instability. But it is neither sensitive no specific for confirming it.

11. Respiratory rate is another sign to find hemodynamic instability. The change in respiratory rat may be used to find response to the treatments offered.

12. Blood pressure and mean arterial pressure are the appropriate indicators for instability. Extreme temperatures can also indicate severe instability.

13. Oliguria clear represents low cardiac output. Hence critically ill patients need to be carefully monitored to avoid complication due to hemodynamic instability.

14. Thank you