Hemodynamic monitoring

Hemodynamic monitoring- Hemodynamic monitoring refers to the measurement of pressure, flow and oxygenation within the cardiovascular system. Hemodynamic monitoring is amandatory process in all the critical care units to assess the patients progress. This presentation is aimed to create an insight on Hemodynamic monitoring.

1. BB Mrs. Soumya Subramani, M.Sc. (N) 1

2. HEMODYNAMIC MONITORING PRESENTED BY Mrs. SOUMYA SUBRAMANI, M.Sc.(N) LECTURER, MSN DEPARTMENT CON- SRIPMS, COIMBATORE. Mrs. Soumya Subramani, M.Sc. (N) 2

3. Hemodynamic monitoring refers to the measurement of pressure, flow and oxygenation within the cardiovascular system. DEFINITION Mrs. Soumya Subramani, M.Sc. (N) 3

4. COMPONENTS OF HEMODYNAMIC MONITORING TEMPERATURE MONITORING HEART RATE MONITORING ARTERIAL BLOOD PRESSURE MONITORING - DIRECT & INDIRECT VENOUS PRESSURE MONITORING-JVP& CVP PULMONARY ARTERY PRESSURE MONITORING CARDIC OUTPUT MONITORING TISSUE OXYGENATION Mrs. Soumya Subramani, M.Sc. (N) 4

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6. TEMPERATURE MONITORING NON-INVASIVE METHODS MERCURY THERMOMETER DIGITAL THERMOMETER INVASIVE METHODS- TEMPERATURE PROBE Mrs. Soumya Subramani, M.Sc. (N) 6

7. COR BODY TEMPERATURE MONITORING TEMPERATURE PROBE Mrs. Soumya Subramani, M.Sc. (N) 7

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9. ECG LEADS Mrs. Soumya Subramani, M.Sc. (N) 9

10. ARTERAL BLOOD PRESSURE MONITORING DEFINITION BLOOD PRESSURE IS THE MEASSURE OF THE FORCE EXERTED ON THE ARTERIAL WALLS BY THE BLOOD CONTAINED WITHIN THE ARTERIAL SYSTEM. Mrs. Soumya Subramani, M.Sc. (N) 10

11. INDIRECT BP MEASUREMENT USING SPHIGMOMANOMETER Mrs. Soumya Subramani, M.Sc. (N) 11

12. TYPES OF SPHIGMOMANOMETERS Mrs. Soumya Subramani, M.Sc. (N) 12

13. AUSCULTATORY METHOD Mrs. Soumya Subramani, M.Sc. (N) 13

14. OSCILLOMETRIC METHOD WHEN AN INFLATED CUFF IS PLACED OVER AN ARTERY, THE PULASTILE PRESSURE CHANGES IN THE ARTERY WILL BE TRANSMITTED TO THE INFLATED CUFF PRODUCING SIMILAR CHANGES IN CUFF PRESSURE. Mrs. Soumya Subramani, M.Sc. (N) 14

15. PROPER FIT OF A BLOOD PRESSURE CUFF Width of bladder = 2/3 of upper arm Length of bladder encircles 80% arm Lower edge of cuff approximately 2.5 cm above the antecubital space Mrs. Soumya Subramani, M.Sc. (N) 15

16. Why A Properly Fitting Cuff? Too small causes false-high reading Too LARGE causes false-low reading Mrs. Soumya Subramani, M.Sc. (N) 16

17. BASIC EQUIPMENTS IN THE PRESSURE MONITORING SYSTEM TRANSDUCER AN AMPLIFIER WITH A RECORDING SYSTEM INVASIVE CATHETER, TUBING & FLUSH SYSTEM STOP COCKS Mrs. Soumya Subramani, M.Sc. (N) 17

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19. PRINCIPLES OF INVASIVE PRESSURE MONITORING TO ACCURATELY MEASURE PRESSURE, EQUIPMENTS MUST BE REFERENCED AND ZERO BALANCED TO THE ENVIRONMENT AND DYNAMIC RESPONSE CHARACTERISTICS OPTIMISED. Mrs. Soumya Subramani, M.Sc. (N) 19

20. PHLEBOSTATIC AXIS Mrs. Soumya Subramani, M.Sc. (N) 20

21. DIAGRAM SHOWING PHLEBOSTATIC AXIS DEVIATION Mrs. Soumya Subramani, M.Sc. (N) 21

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23. PRINCIPLES OF INVASIVE PRESSURE MONITORING ZEROING CONFIRMS THAT WHEN PRESSURE WITHIN THE SYSTEM IS ZERO,THE MONITOR READS ZERO. OPTIMISING DYNAMIC RESPONSE CHARACTERISTICS INVOLVES CHECKING THAT THE EQUIPMENT REPRODUCCES, WITHOUT DISTORTION,A SIGNAL THAT CHANGES RAPIDLY . Mrs. Soumya Subramani, M.Sc. (N) 23

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25. INDICATIONS FOR CENTRAL VENOUS CANNULATIONS ADMINISTATION OF FLUID AND ELECTROLYTES DRUG THERAPY VENOUS ACCESS FOR MONITORING CVP PARENTERAL NUTRITION INSERTION OF TRANS VENOUS PACEMAKER ADMINISTRATION OF BLOOD &BLOOD PRODUCTS LACK OF ACCESSIBLE PERIPHERAL LINE Mrs. Soumya Subramani, M.Sc. (N) 25

26. TYPES OF CENTRAL VENOUS CATHETERS SINGLE LUMEN CATHETER MULTI LUMEN CATHETERS Mrs. Soumya Subramani, M.Sc. (N) 26

27. Central venous pressure interpretation NORMAL CVP : 2-6mmHg OR 2-8cmH2O HIGH CVP>7mmHg - NORMOVOLEMIC RIGHT SIDED HEART FAILURE CHRONIC BIVENTRICULAR FAILURE PERICARDIAL DISEASES PNEUMOTHORAX PULMONARY STENOSIS LOW CVP-HYPOVOLEMIC SHOCK Mrs. Soumya Subramani, M.Sc. (N) 27

28. SOURCES OF VARIABILITY BODY POSITION PRESSURE MONITORING UNIT OF MEASUREMENT PRESSURE MEASURE IN cmH2O CAN BE DEVIDED BY 1.36 TO BE EXPRESSED IN mmHg. Mrs. Soumya Subramani, M.Sc. (N) 28

29. SWAN-GANZ PULMONARY ARTERY CATHETER Mrs. Soumya Subramani, M.Sc. (N) 29

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31. CARDIAC OUTPUT MONITORING Mrs. Soumya Subramani, M.Sc. (N) 31

32. CHG TEGADERM 12/11/2016 @6AM Mrs. Soumya Subramani, M.Sc. (N) 32

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37. BIBLIOGRAPHY SOLE KLEIN MOESLEY, INTRODUCTION TO CRITICAL CARE NURSING, SAUNDER’S PUBLICATIONS, FIFTH EDITION, PG NO:141-171. PATRU=ICIA GONE MORTON, DORRIE.K.FONTAINE, CRITICAL CARE NURSING, LIPPINCOT PUBLICATIONS, TENTH EDITION, PG NO:263-290. PAUL. L. MARINO, THE ICU TEXT B OOK, THIRD EDITION, PG NO: 153-183. BRUNNER & SUDDHARTH’S TEXT BOOK OF MEDICAL SURGICAL NURSING, LIPPIN COT PUBLICATION, 12 TH EDITION, PG NO: 831-836 www.manuelsweb.com www.pubmed.com Mrs. Soumya Subramani, M.Sc. (N) 37

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