Haemodynamic Monitoring & Manipulation: an easy learning guide
By Fiona Foxall
()
About this ebook
Cardiac output and the circulation can be manipulated by fluid and drug administration to ensure good oxygen delivery to the tissues but in order to do this, ongoing monitoring is required. Many healthcare professionals find it difficult to get to grips with the more complex forms of haemodynamic monitoring and the use of inotropic and vasoactive agents; indeed these things can seem rather daunting.
If you work your way through this book and carry out the exercises, you will soon become more confident and competent about haemodynamic monitoring and manipulation as well as understanding all the information that initially seems so complicated.
Here’s to easy learning!
Related to Haemodynamic Monitoring & Manipulation
Related ebooks
Critical Care Manual of Clinical Procedures and Competencies Rating: 0 out of 5 stars0 ratingsCardiac Arrhythmia Recognition: an easy learning guide Rating: 0 out of 5 stars0 ratingsPreoperative Assessment and Perioperative Management Rating: 0 out of 5 stars0 ratingsIntravenous Therapy Administration: a practical guide Rating: 4 out of 5 stars4/5The Code Stroke Handbook: Approach to the Acute Stroke Patient Rating: 0 out of 5 stars0 ratingsDeveloping Advanced Assessment Skills: Patients with Long Term Conditions Rating: 0 out of 5 stars0 ratingsPediatric Advanced Life Support (PALS) Provider Handbook Rating: 0 out of 5 stars0 ratingsEchocardiography Beyond the First Clinical Scenarios: A Guide for Your First Job Rating: 0 out of 5 stars0 ratingsVenepuncture & Cannulation: A practical guide Rating: 0 out of 5 stars0 ratingsBlood Gas Analysis Made Easy Rating: 5 out of 5 stars5/5Essential Topics and Cases for Anesthesia Oral Boards Rating: 0 out of 5 stars0 ratingsEureka: Cardiovascular Medicine Rating: 0 out of 5 stars0 ratingsMedicine Management Skills for Nurses Rating: 0 out of 5 stars0 ratingsElectrophysiologic Testing Rating: 0 out of 5 stars0 ratingsClinical Skills Explained Rating: 4 out of 5 stars4/5Routine Blood Results Explained 3/e: A guide for Nurses & Allied Health Professionals Rating: 3 out of 5 stars3/5Nursing Mnemonics: The Ultimate Tips and Notes For Nurses Rating: 5 out of 5 stars5/5Vital Signs for Nurses: An Introduction to Clinical Observations Rating: 0 out of 5 stars0 ratingsClinical Skills Review: Scenarios Based on Standardized Patients Rating: 4 out of 5 stars4/5Critical Care Bedside Reference Rating: 5 out of 5 stars5/5Arterial Blood Gas Analysis - making it easy Rating: 5 out of 5 stars5/5Ccrn Certification Examination Practice Questions and Answers with Rationale: First Edition Rating: 5 out of 5 stars5/5Critical care anesthesiology Rating: 0 out of 5 stars0 ratingsCritical Care Placements: A Pocket Guide Rating: 0 out of 5 stars0 ratingsSurviving the ICU: A Toolkit for the Critical Care Nurse Rating: 0 out of 5 stars0 ratingsSchaum's Outline of ECG Interpretation Rating: 0 out of 5 stars0 ratingsBlood Gases and Critical Care Testing: Physiology, Clinical Interpretations, and Laboratory Applications Rating: 0 out of 5 stars0 ratings
Medical For You
The Vagina Bible: The Vulva and the Vagina: Separating the Myth from the Medicine Rating: 5 out of 5 stars5/5Brain on Fire: My Month of Madness Rating: 4 out of 5 stars4/5Mating in Captivity: Unlocking Erotic Intelligence Rating: 4 out of 5 stars4/5What Happened to You?: Conversations on Trauma, Resilience, and Healing Rating: 4 out of 5 stars4/5Adult ADHD: How to Succeed as a Hunter in a Farmer's World Rating: 4 out of 5 stars4/5The Emperor of All Maladies: A Biography of Cancer Rating: 5 out of 5 stars5/5"Cause Unknown": The Epidemic of Sudden Deaths in 2021 & 2022 Rating: 5 out of 5 stars5/5Gut: The Inside Story of Our Body's Most Underrated Organ (Revised Edition) Rating: 4 out of 5 stars4/5Mediterranean Diet Meal Prep Cookbook: Easy And Healthy Recipes You Can Meal Prep For The Week Rating: 5 out of 5 stars5/5The Diabetes Code: Prevent and Reverse Type 2 Diabetes Naturally Rating: 4 out of 5 stars4/5The Song of the Cell: An Exploration of Medicine and the New Human Rating: 4 out of 5 stars4/5The People's Hospital: Hope and Peril in American Medicine Rating: 4 out of 5 stars4/5Living Daily With Adult ADD or ADHD: 365 Tips o the Day Rating: 5 out of 5 stars5/5Women With Attention Deficit Disorder: Embrace Your Differences and Transform Your Life Rating: 5 out of 5 stars5/5Herbal Healing for Women Rating: 4 out of 5 stars4/5Tight Hip Twisted Core: The Key To Unresolved Pain Rating: 4 out of 5 stars4/5WomanCode: Perfect Your Cycle, Amplify Your Fertility, Supercharge Your Sex Drive, and Become a Power Source Rating: 4 out of 5 stars4/5The Big Fat Surprise: Why Butter, Meat and Cheese Belong in a Healthy Diet Rating: 4 out of 5 stars4/5ATOMIC HABITS:: How to Disagree With Your Brain so You Can Break Bad Habits and End Negative Thinking Rating: 5 out of 5 stars5/5Holistic Herbal: A Safe and Practical Guide to Making and Using Herbal Remedies Rating: 4 out of 5 stars4/5As Nature Made Him: The Boy Who Was Raised as a Girl Rating: 4 out of 5 stars4/5Hidden Lives: True Stories from People Who Live with Mental Illness Rating: 4 out of 5 stars4/5The Amazing Liver and Gallbladder Flush Rating: 5 out of 5 stars5/5The Art of Dying Well: A Practical Guide to a Good End of Life Rating: 4 out of 5 stars4/5Working Stiff: Two Years, 262 Bodies, and the Making of a Medical Examiner Rating: 4 out of 5 stars4/5Peptide Protocols: Volume One Rating: 4 out of 5 stars4/5
Reviews for Haemodynamic Monitoring & Manipulation
0 ratings0 reviews
Book preview
Haemodynamic Monitoring & Manipulation - Fiona Foxall
www.mkupdate.co.uk
Haemodynamic Monitoring and Manipulation
An easy learning guide
Fiona Foxall MA, RGN, ENBIOO, DPSN, BSC, PGCE
Head of Division, Continuing Development,
School of Health, University of Wolverhampton,
West Midlands, UK
With original artwork by Helen Blackburn
Haemodynamic Monitoring and Manipulation: An Easy Learning Guide
Fiona Foxall
ISBN: 978-1-905539-46-8
First published 2009
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without either the prior permission of the publishers or a licence permitting restricted copying in the United Kingdom issued by the Copyright Licensing Agency, 90 Tottenham Court Road, London, W1T 4LP. Permissions may be sought directly from M&K Publishing, phone: 01768 773030, fax: 01768 781099 or email: publishing@mkupdate.co.uk
Any person who does any unauthorised act in relation to this publication may be liable to criminal prosecution and civil claims for damages.
British Library Catalogue in Publication Data
A catalogue record for this book is available from the British Library
Notice:
Clinical practice and medical knowledge constantly evolve. Standard safety precautions must be followed, but, as knowledge is broadened by research, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers must check the most current product information provided by the manufacturer of each drug to be administered and verify the dosages and correct administration, as well as contraindications. It is the responsibility of the practitioner, utilising the experience and knowledge of the patient, to determine dosages and the best treatment for each individual patient. Any brands mentioned in this book are as examples only and are not endorsed by the Publisher. Neither the Publisher nor the author assume any liability for any injury and/or damage to persons or property arising from this publication.
The Publisher
To contact M&K Publishing write to:
M&K Update Ltd • The Old Bakery • St. John’s Street
Keswick • Cumbria CA12 5AS
Tel: 01768 773030 • Fax: 01768 781099
publishing@mkupdate.co.uk
www.mkupdate.co.uk
Designed and typeset in Adobe Garamond 10/12 by S. Maria Hampshire. Cover design by Luke Kelsey.
Printed in England by Reeds Printers, Penrith, Cumbria.
DEDICATION
For Peter:
Sleep peacefully my darling.
Contents
Acknowledgements
Introduction
How to use this workbook
Aims of this workbook
Chapter 1: Physiological maintenance of blood pressure
Chapter 2: Monitoring blood pressure using an arterial line
Chapter 3: Central venous pressure monitoring
Chapter 4: Monitoring and maintenance of cardiac output and tissue perfusion
Chapter 5: The effects of shock
Chapter 6: Use and effects of inotropic and vasoactive agents
Chapter 7: Putting it all together
References
Answers and Teaching Notes
Index
Acknowledgements
Thanks, as always, to Chris, Helen and Matthew Blackburn for all their help and support.
Introduction
The adequacy of the cardiorespiratory system can generally be gauged from basic clinical signs such as heart rate, blood pressure, respiratory rate and depth, skin texture and colour, use of accessory muscles of respiration and mental status. These basic signs should never be ignored, but in critical illness, basic clinical assessment alone may be unreliable and misleading. Therefore further monitoring techniques are usually required.
Appropriate haemodynamic monitoring is essential when caring for the critically ill patient, because it provides very valuable information about the circulatory status of the patient. It aids in early detection of shock and precise diagnosis, guides therapy, and monitors the effects of therapy. Cardiac output and the circulation can be manipulated by fluid and drug administration to ensure good oxygen delivery to the tissues but, in order to do this, ongoing monitoring is required (Jevon and Ewens, 2002).
Many healthcare professionals find it difficult to get to grips with the more complex forms of haemodynamic monitoring and the use of inotropic and vasoactive agents; indeed these things can seem rather daunting. If you work your way through this book and carry out the exercises, you will soon become more confident and competent about haemodynamic monitoring and manipulation as well as understanding all the information that initially seems so complicated.
Here’s to easy learning!
How to use this workbook
It might sound obvious, but you should start at the beginning. Even if you feel quite happy about haemodynamic monitoring, it will be good revision. Steadily work through the material, ensuring you understand the information in each chapter before moving on to the next. Once you have read each chapter, complete the Consolidation section; these will make sure you understand the information sufficiently. Chapter 7 is a bit different from the other chapters; answer the questions and fill in the gaps as you work through the case studies. It will be helpful if you can find a mentor to discuss anything you are unsure about.
If you don’t know a particular answer, try to work it out with the information you have already read. If you still can’t, discuss it with your mentor. If it is still unclear, then look up the answer in the Answer section at the back of the book. If you do look up the answer, make sure you understand it – don’t just accept it. You can talk to your mentor if you have any problems. The Answer section should only be used as a last resort and for checking purposes. It goes without saying that you will learn far more by working things out for yourself than merely reading the explanations provided.
If you already have a reasonable knowledge and understanding of haemodynamic monitoring and manipulation, you could – if you prefer – attempt the Consolidation sections before reading the explanatory text. This will give you a good idea of your current level of knowledge and will also identify any gaps, which you can then concentrate