The document, presented by Mrs. Soumya Subramani, M.Sc. (N), discusses hemodynamic monitoring, which involves measuring pressures and flows within the cardiovascular system. It covers various monitoring methods, types of equipment like sphygmomanometers, central venous catheters, and interpretations of measurements such as blood and central venous pressure. Additionally, it highlights the importance of proper techniques and equipment calibration for accurate monitoring in critical care nursing.
Introduction of Mrs. Soumya Subramani as the lecturer for the Presentation.
Introduction to hemodynamic monitoring, covering different types such as temperature, heart rate, blood pressure, and tissue oxygenation.
Comparison of non-invasive methods with invasive methods for temperature monitoring, emphasizing the use of a temperature probe.
Overview of blood pressure, measurement techniques using sphygmomanometers, and different methods (auscultatory and oscillometric) of measuring blood pressure.
Guidelines for proper blood pressure cuff fitting and the significance of correct sizing to avoid inaccurate readings.
Basic prerequisites and principles for invasive pressure monitoring, including types of equipment and proper calibration for accuracy.
Indications and types of central venous catheters, interpretation of central venous pressure (CVP) and factors affecting measurements.
References used for compiling the presentation material highlighting key texts in critical care nursing and related resources.
DEFINITION
BLOOD PRESSURE ISTHE MEASSURE
OF THE FORCE EXERTED ON THE ARTERIAL
WALLS BY THE BLOOD CONTAINED WITHIN THE
ARTERIAL SYSTEM.
Mrs. Soumya Subramani, M.Sc. (N) 10
OSCILLOMETRIC METHOD
WHEN ANINFLATED 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 OFA 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 ProperlyFitting Cuff?
Too small causes false-high reading
Too LARGE causes false-low reading
Mrs. Soumya Subramani, M.Sc. (N) 16
17.
BASIC EQUIPMENTS INTHE PRESSURE MONITORING SYSTEM
TRANSDUCER
AN AMPLIFIER WITH A RECORDING SYSTEM
INVASIVE CATHETER, TUBING & FLUSH SYSTEM
STOP COCKS
Mrs. Soumya Subramani, M.Sc. (N) 17
PRINCIPLES OF INVASIVE
PRESSUREMONITORING
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
PRINCIPLES OF INVASIVEPRESSURE 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
INDICATIONS FOR CENTRAL
VENOUSCANNULATIONS
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 CENTRALVENOUS
CATHETERS
SINGLE LUMEN CATHETER
MULTI LUMEN CATHETERS
Mrs. Soumya Subramani, M.Sc. (N) 26
27.
Central venous pressureinterpretation
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