Hemodynamic Monitoring Made Incredibly Visual 3rd edition by Lippincott Williams, Wilkins – Ebook PDF Instant Download/Delivery: 1496330895, 9781496330895
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Product details:
ISBN 10: 1496330895
ISBN 13: 9781496330895
Author: Lippincott Williams, Wilkins
HEMODYNAMIC MONITORING Made Incredibly VISUAL, Third Edition combines images and clearly written, concise text to make the complex concepts of hemodynamic monitoring easy to understand. Great for reference or review, it uses hundreds of detailed photographs, diagram, charts, and other visual aids to clarify essential cardiopulmonary anatomy and physiology – and demonstrate how to confirm that lungs are getting enough oxygen and how well the heart is pumping. Chapters cover vascular access and the monitoring of arterial pressure, central venous pressure, pulmonary artery pressure, cardiac output, and tissue oxygenation, as well as minimally invasive hemodynamic monitoring and circulatory assist devices.
Hemodynamic Monitoring Made Incredibly Visual 3rd Table of contents:
Chapter 1: Cardiopulmonary anatomy and physiology
Understanding the pulmonary system
A closer look at alveoli
Structure of intrapulmonary airways
Structures of the pulmonary system
Respiration
Ventilation
The mechanics of breathing
Pulmonary perfusion
Tracking pulmonary perfusion
Understanding PVR
Diffusion
Diffusion across the alveolar–capillary membrane
Ventilation and perfusion ratio
Understanding ventilation and perfusion
Understanding the cardiac system
A closer look at the heart
On the level: Normal intracardiac pressures
Viewing coronary vessels
Cardiac conduction
Cardiac conduction system
Events of the cardiac cycle
Cardiovascular circuit
Blood circulation
Systemic vascular resistance
On the level: Measurements of SVR
Cardiac output
Influences on stroke volume and cardiac output
Understanding preload, contractility, and afterload
Effects of preload and afterload on the heart
Q&A
Color my world
Matchmaker
Answers:
Suggested References
Chapter 2: Understanding a pressure monitoring system
Components of a pressure monitoring system
Multiple-pressure transducer systems
A closer look at a pressure monitoring system
Leveling the transducer
Understanding leveling
Effects of position changes on hemodynamic measurements
Zeroing the transducer
Square wave testing
Performing and interpreting the square wave test
Troubleshooting the pressure monitoring system
Q&A
Answers:
Suggested References
Chapter 3: Vascular access
Arterial line insertion
A closer look at arterial insertion sites
Arterial line
Choosing an arterial catheter site
Allen’s test
Steps for Performing the Allen’s test
Caring for arterial catheters
A closer look at an arterial line
CV and PA catheter insertion
CV and PA catheter insertion sites
CV and PA catheterization
Choosing a CV or PA catheter insertion site
Insertion of the catheter
Introducer kit
Patient positioning
Potential Complications during Insertion or after Placement
Positioning for subclavian vein access
A closer look at catheter insertion
Key steps in changing a CV dressing
Indications for CVP or PA cathether
Q&A
Able to label?
True or false
Answers:
Suggested References
Chapter 4: Arterial pressure monitoring
Arterial pressure monitoring basics
A closer look at an arterial pressure monitoring system
Arterial pressure monitoring
Uses of arterial pressure monitoring
On the level: Normal arterial pressure parameters
Ride the wave: Understanding an arterial waveform
Normal arterial waveform
Ride the wave: Recognizing abnormal arterial waveforms
Zeroing the system
How to handle a displaced arterial line
Minimizing complications of arterial pressure monitoring
Q&A
List six complications of arterial pressure monitoring:
Answers:
Matchmaker
Answers:
Suggested References
Chapter 5: Central venous pressure monitoring
CVP monitoring
A closer look at a CV catheter
Central venous pressure monitoring
What it does
Intermittent or continuous?
Obtaining CVP measurements
Correlating CVP with cardiac function
CV catheter pathways
Ride the wave: Understanding the CVP waveform
Comparing electrical activity
Normal waveforms
On the level: Normal CVP Values
Causes of increased pressure
Normal values
Causes of decreased pressure
Ride the wave: Recognizing abnormal CVP waveforms
Measuring CVP with a water manometer
Converting pressure values
Minimizing complications of CVP monitoring
Q&A
Show and tell
Matchmaker
Answers:
Suggested References
Chapter 6: Pulmonary artery pressure monitoring
Understanding PAP and PAWP monitoring
A closer look at a pulmonary artery catheter
A look at the whole picture…
Components of the PAP monitoring system
PA catheter insertion
When is PAP monitoring used?
Cautions
Contraindications
Ride the wave: Normal pulmonary artery waveforms
Understanding the pulmonary artery waveform
Ride the wave: PAP waveform
On the level: Normal PAP parameters
A closer look at pulmonary artery pressures
Understanding pulmonary artery pressures
Pulmonary artery wedge pressure
A closer look at the wedged position
Taking a PAWP reading
Ride the wave: Observing the PAWP waveform
Overwedging
Gently now
Ride the wave: Observing an overwedged waveform
Influence of intrathoracic pressure
Ride the wave: Ventilatory effects on PAP and PAWP values
Spontaneous breathing
Mechanical ventilation
Minimizing complications of PAP monitoring
Complication and causes
Bacteremia
Bleedback
Bleeding at the insertion site
Pulmonary embolism
Pulmonary infarction
Ruptured pulmonary artery
Troubleshooting the PAP monitoring system
Nursing Responsibilities in PAP monitoring
Q&A
Matchmaker
Show and tell
Answers:
Suggested References
Chapter 7: Cardiac output monitoring
Understanding cardiac output monitoring
Measuring cardiac output
Methods of measuring cardiac output
Fick method
On the level: What causes changes in cardiac output?
Thermodilution methods
A closer look at the intermittent bolus thermodilution method
Intermittent bolus thermodilution setup
PA catheter prepared for CO monitoring
A closer look at the continuous cardiac output method
Measuring an intermittent bolus cardiac output
Room-temperature injectate with a closed delivery system
Injectate considerations
Iced injectate with a closed delivery system
Ride the wave: Analyzing thermodilution curves
Normal thermodilution curve
Low CO curve
High CO curve
Curve reflecting poor technique
Curve associated with respiratory variations
Measuring cardiac function
Body surface area nomogram
Calculating the cardiac index (CI)
Nursing Responsibilities
Q&A
Color my world
Matchmaker
Answers:
Suggested References
Chapter 8: Tissue oxygenation monitoring
Understanding oxygen supply and tissue demand
Oxygen and carbon dioxide transport
A closer look at Sao2
Factors affecting Sao2
How the body responds
How pulse oximetry works
How to use pulse oximetry
Troubleshooting the pulse oximetry system
Troubleshooting Tips
A closer look at Sv¯o2
Factors affecting Sv¯o2
Sv¯o2 monitoring
Scv¯o2 monitoring
Sto2 monitoring
Troubleshooting the system
Ride the wave: Normal Sv¯o2 waveform
Ride the wave: Abnormal waveforms
Q&A
Show and tell
Matchmaker
Answers:
Suggested References
Chapter 9: Minimally invasive hemodynamic monitoring
Understanding minimally invasive hemodynamic monitoring
Esophageal Doppler hemodynamic monitoring
Indications and contraindications
Pros and cons of esophageal Doppler hemodynamic monitoring
Transducer probe placement
Ride the wave: Esophageal Doppler hemodynamic monitoring waveform
On the level: Normal values in esophageal Doppler hemodynamic monitoring
A closer look at the monitoring system
Arterial pressure-based cardiac output monitoring
A closer look at APCO
Interfering factors for APCO
Impedance cardiography
Benefits of impedance cardiography
Monitoring equipment for impedance cardiography
Indications for impedance cardiography
Impedance cardiography electrode placement
Preparing the patient for impedance cardiography
Using the impedance cardiography monitor
Understanding hemodynamic indices
Ride the wave: Understanding the impedance cardiography waveform
Ultrasound cardiac output measurement
USCOM monitor
Q&A
Color my world
Picture imperfect
Answers:
Suggested References
Chapter 10: Circulatory assist devices
Understanding circulatory assist devices
IABP counterpulsation
Indications for IABP counterpulsation
Insertion of the intra-aortic balloon
Surgical insertion sites for the intra-aortic balloon
How the intra-aortic balloon pump works
Ride the wave: Interpreting IABP waveforms
Normal inflation–deflation timing
Early inflation
Early deflation
Late inflation
Late deflation
Ride the wave: Heart rate and blood pressure effects on IABP waveforms
Changes in heart rate
Changes in blood pressure
Complications of IABP counterpulsation
Ride the wave: Abnormal IABP waveforms
Troubleshooting an IABP
Ventricular assist devices
Left VAD
Procedure
Implantable VADs
Pump options
Potential complications
A closer look at VADs
Placing the VAD
Clinical assessment
Q&A
Show and tell
True or false
Answers:
Suggested References
Back Matter
Index
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