Invasive Monitoring | Hemodynamics (Part 5)

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This is the fifth lesson in a 6 part series of lessons on hemodynamic principals as they relate to nursing knowledge, monitoring, and management. We strive for hemodynamics made easy!
In this lesson we cover the most common ways in which we can use technology and equipment invasively to monitor our patients hemodynamic status. We cover the various readings that we will get and tie them in to the hemodynamic principals that they are monitoring as well as we talk about some of the normal values and expectations of waveforms.
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Check out these other great lessons and series of lessons below!
Hemodynamics Principals: • Hemodynamic Principals
Shock: • Shock
Arterial Blood Gases: • Arterial Blood Gases (...
ECG/EKG Rhythm Interpretation: • ECG/EKG Interpretation
Heart Failure: • Heart Failure
Endocrine System: • Endocrine System
ICU Drips: • ICU Drips
Blood Tubes - Order of Draw: • Order of Draw and Addi...
Glasgow Coma Scale: • Glasgow Coma Scale (GC...
Reversible Causes of Cardiac Arrest: • YOUR PATIENT is STILL ...
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#Hemodynamics #ICUAdvantage #Invasive

Пікірлер: 94

  • @kellyfrances9435
    @kellyfrances9435 Жыл бұрын

    My ICU patients are alive by the grace of your explanations. Thank you!

  • @ICUAdvantage

    @ICUAdvantage

    Жыл бұрын

    Wow, means the world to me that I'm able to help in some way!

  • @Cheptabgaa

    @Cheptabgaa

    8 ай бұрын

    Amen 🙏🏿!!❤

  • @alwaysontherise1
    @alwaysontherise13 жыл бұрын

    Eddie!!!! This video is fantastic and I love how you organized it. I'm a PGY-1 on my ICU rotation and this is helping shed so much light on what we've been doing for our ICU patients. THANK YOU!!! Please keep making these videos. I've subscribed

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Thank you so much for the kind words! Welcome to the world of medicine. Such a cool and interesting line of work, especially critical care. I've absolutely loved it. So glad to hear these videos have been helpful for you. I do have a lot of good, wide variety of topics so far and many more on the todo list. Welcome aboard!

  • @tulsi2211
    @tulsi22117 ай бұрын

    Current stepdown nurse wanting to try ICU for the longest time but was so scared to even apply. Your content makes me excited to finally start and learn in high acuity settings!!! THANK YOU!!!

  • @LiamFadness

    @LiamFadness

    2 ай бұрын

    Go for it! The majority of stepdown nurses are all badasses and need to give themselves more credit, and I’m sure that if you’re watching content like this, then you will be a great asset for ICU

  • @tipsygerblin
    @tipsygerblin4 ай бұрын

    I just passed my CCRN exam and I wanted to say THANK YOU 🎉 You are absolutely amazing and have helped me so much! If I get into CRNA school it will be because of you!

  • @ICUAdvantage

    @ICUAdvantage

    4 ай бұрын

    ❤️❤️❤️ This is so awesome to hear! Congrats on the CCRN. You should be incredibly proud! And also best of luck on CRNA. Happy to know I have helped in some way!

  • @ICUAdvantage
    @ICUAdvantage Жыл бұрын

    🎓‼ Earn CE Credits! Pre-order ICU Advantage Academy: 👉🏼 adv.icu/academy 💲 10% off Critical Care Academy (CCRN Review): 👉🏼adv.icu/cca (USE CODE "icuadv10") 💲 10% off EACH Month @ Nurisng Mastery membership: 👉🏼 adv.icu/mastery 📝 NOTES available to members! ► KZread: adv.icu/ym | ► Patreon: adv.icu/pm

  • @iankaheloisa
    @iankaheloisa4 жыл бұрын

    This channel is so Awesome! I’m really happy that I found it! ❤️

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Yay!! So glad you found it Heloísa and that you enjoy the videos! Thanks for stopping by. 😊

  • @kristinahernandez309
    @kristinahernandez3093 жыл бұрын

    I just want to say THANK YOU so much for making this channel. I am currently doing the ECCO program and I have felt so confused and lost. Since finding your channel, I am finally starting to understand whatever ECCO is terribly trying to tell me. You have a really great way of condensing big concepts into easy to understand, digestible information. YOU ARE THE BEST!

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Thank you so much for the kind words Kristina! While I haven't completed the full ECCO course, I have looked through parts of it over the years, and I agree that it is not very easy or enjoyable to sit through. I'm so glad to hear that my videos have been helpful in explaining the information to you and I really appreciate you taking the time to leave such an awesome comment! 😍

  • @aleshabee7386

    @aleshabee7386

    3 жыл бұрын

    Yes I have to agree this has been helping me with the ECCO modules. I am new to the ICU and looking forward to learning so much more.

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    @@aleshabee7386 so happy to hear this!

  • @NotWithinNormalLimits
    @NotWithinNormalLimits Жыл бұрын

    Best video on KZread that covers invasive monitoring. Thank you so much

  • @ValBessmertnyy
    @ValBessmertnyy4 жыл бұрын

    Great brief and basic overview of the current invasive hemodynamic monitoring options in ICU

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Thank you so much for this comment Val!

  • @sophiaschuler5037
    @sophiaschuler5037 Жыл бұрын

    I love your channel and watched so many of your videos to help me study for the CCRN. The hemodynamics series in particular was so helpful to me, and tonight I passed the exam! Thank you so much ❤

  • @yankeesuperstar
    @yankeesuperstar6 жыл бұрын

    I just stumbled across this-this is wonderful. Thanks so much

  • @ICUAdvantage

    @ICUAdvantage

    6 жыл бұрын

    Glad you like it!

  • @ellietarence3996
    @ellietarence39964 жыл бұрын

    This video is amazing. Thank you for making this it helped me SO much!!!!!!!!

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Awesome! Glad you enjoyed it!

  • @rockgirlyoga3668
    @rockgirlyoga36683 жыл бұрын

    this was a great series, thank you so much!

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Awesome to hear! Glad you liked it! :)

  • @katchiaow7330
    @katchiaow73306 жыл бұрын

    You made me finally understand this concept after reading the AACN book and trying to figure it out myself. Thank you!! Great job.

  • @ICUAdvantage

    @ICUAdvantage

    6 жыл бұрын

    That's awesome! So glad you were able to get it to click! Its a fun topic once you get your head wrapped around it.

  • @dontgetsalt2045
    @dontgetsalt2045 Жыл бұрын

    Love your videos bro. Helping me ace critical care and adult health. And hopefully one day get into CRNA school.

  • @kimberlyrentfrow3675
    @kimberlyrentfrow36752 жыл бұрын

    These videos are great for teaching clinical staff from all clinical backgrounds.

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Thank you so much Kimberly! Really happy to hear that feedback. I truly do my best to make them understandable for anyone at any point. :)

  • @barbaracherrington375
    @barbaracherrington3758 ай бұрын

    I will be following you as I am presently in icu and do feel very lost at times! God bless you for sharing your knowledge. I want to join!

  • @aden1337
    @aden13372 жыл бұрын

    Fantastic lecture!!

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Glad you liked it!

  • @deloin8519
    @deloin85194 жыл бұрын

    Great videos thank you so much

  • @cuttingedgevintage
    @cuttingedgevintage2 жыл бұрын

    This lesson was LIT AF!

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    lol thanks!

  • @youthsonamisson2937
    @youthsonamisson29374 жыл бұрын

    Thank you for the videos

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    You are welcome Ogechi! Thank you for taking the time to leave a comment!

  • @nelfi11
    @nelfi113 жыл бұрын

    ❤ this video.ty for being so detailed

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Awesome. My pleasure. Glad you liked it.

  • @user-xn5to4zg4c
    @user-xn5to4zg4c Жыл бұрын

    Really Clear and Helpfull

  • @Mommyoftt2010
    @Mommyoftt2010 Жыл бұрын

    Thank you so much for this!!!! I wasn’t understanding until I found this

  • @ICUAdvantage

    @ICUAdvantage

    Жыл бұрын

    You are very welcome! Glad this video was able to help it click!

  • @angelabawkey3091
    @angelabawkey30913 жыл бұрын

    Your channel is amazing!!! Thank you so much!!! I am a Flight Paramedic and I was wondering if you could do an IAPB lesson.

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Wow, thank you so much! I do actually have IABP planned very soon :)

  • @angelabawkey3091

    @angelabawkey3091

    3 жыл бұрын

    @@ICUAdvantage awesome!!! I cant wait for that lesson!!!

  • @sandeepshetty1909
    @sandeepshetty19093 жыл бұрын

    Could you cover PICCO monitoring as well? Great video btw!

  • @jonen9494

    @jonen9494

    3 жыл бұрын

    +1, that would be great

  • @Yilzzz
    @Yilzzz2 жыл бұрын

    Great video thank you so much!!

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Youre welcome!

  • @chaikristinjournals
    @chaikristinjournals3 жыл бұрын

    Thank you very much for this

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    You're very welcome! 😊

  • @ThatsWhatsUpDee
    @ThatsWhatsUpDee2 жыл бұрын

    Thanks!

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Thank you so much for this Diane!

  • @porcelaindolli3
    @porcelaindolli311 ай бұрын

    THANK YOU SO GD MUCH FOR THESE VIDEOS

  • @brendavera3920
    @brendavera3920 Жыл бұрын

    Thank you so much!! better than my instructor

  • @ICUAdvantage

    @ICUAdvantage

    Жыл бұрын

    Thank you for that Brenda!

  • @pedzip
    @pedzip4 жыл бұрын

    For the CVP decrease in ICU - high PEEP as well, right? Edit: Okay that is talked through a bit later, nvmnd. :) Great lessons btw!

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Looks like you beat me too it! lol Thank you and glad you enjoyed the lesson!

  • @hummadsyed1499

    @hummadsyed1499

    Жыл бұрын

    Is that because of high intrathoracic pressure leading to decrease venous return to the heart ?

  • @Bingbangboompowwham
    @Bingbangboompowwham4 жыл бұрын

    Is central line monitoring the same set-up as an A line? Same tubing, pressure bag at 300, leveled at phlebstatic access?

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Yup!

  • @adr5617
    @adr5617 Жыл бұрын

    So the intrathoracic pressure during normal inhalation is negative while if it is with the vent(with positive pressure), the intrathoracic pressure is positive? im confused, pls enlighten me. thank you.

  • @drewsimpson8582
    @drewsimpson8582 Жыл бұрын

    How can I access to the notes for your videos? Also, this is an amazing channel and very much enjoying the content! Keep up the outstanding work.

  • @ICUAdvantage

    @ICUAdvantage

    Жыл бұрын

    Hey Drew! Thanks so much for your support with the membership! To access the notes, go to the main ICU Advantage KZread channel and then go to the "Community" tab. Look for the most recent link to the Dropbox which will have the current password, which changes each month for the whole Dropbox. In there are the notes for every lesson. Thanks again and feel free to shoot me an email if you have any issues. -Eddie

  • @mariongladysamong8847
    @mariongladysamong88476 ай бұрын

    Hey, thanks for the videos!! Please clarify; I thought inspiration increases venous return to the heart@15:08

  • @kaiko2600
    @kaiko26002 жыл бұрын

    So you would need individual pressure cables for your CVP, PCWP, PA pressure, and BP? So if a patient has all 4, you would 4 pressure bags theoretically?

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Good question. PA and PCWP come from the same port. So 3 pressure cables, yes. You could do 3 individual pressure bags, but there is the swan transducer kit which takes one pressure bag and Y's out to 3 separate pressure lines to each of the ports (CVP, PA, Art) but yes, you'd need 3 cables for each one going to the monitor.

  • @sinclair657
    @sinclair657 Жыл бұрын

    Thanks a million. My book state different values. Are these the latest measurements?

  • @ICUAdvantage

    @ICUAdvantage

    Жыл бұрын

    Everywhere you look will have slightly different numbers. They are generally within just a few and thus in reality can be used interchangeably

  • @somasundharam1685
    @somasundharam16854 жыл бұрын

    All your videos are great sir. Can you please do videos on Blood disorders sir.

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Thank you Soma. Anything in particular you'd like to see?

  • @somasundharam1685

    @somasundharam1685

    4 жыл бұрын

    @@ICUAdvantage on leukemia and it's types sir

  • @najmiusman7028
    @najmiusman70282 жыл бұрын

    Thank u so much I'm picu fellow but it is helping me alot

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Very cool! Glad you find them helpful!

  • @shaylamcginness436
    @shaylamcginness436 Жыл бұрын

    I don't understand the high is dry. We were taught in CVICU high means fluid overload/retention or cardiac dysfunction. Low CVP means they don't have enough fluid. Is the stroke volume variance inverse to CVP?

  • @ICUAdvantage

    @ICUAdvantage

    Жыл бұрын

    Correct. SVV is the opposite of CVP. The more variance, the higher the value, means potentially fluid responsive. Less variance, lower number, means potentially adequate intravascular volume.

  • @lilmamasofly9111
    @lilmamasofly91113 жыл бұрын

    Hi im not sure if you mentioned it in another video, but when can you say someone is hemodynamically unstable? what are the numbers

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    So there are many factors that can play in to this such as the patients HR, their cardiac output, the SVR impacting blood pressure, but at the end of the day the end goal is about perfusion and thus if we have a MAP less than 60/65 that would be the biggest indicator. Then its a matter of figuring out why the BP is low and finding the cause and hopefully fixing it. Hope that makes sense.

  • @lilmamasofly9111

    @lilmamasofly9111

    3 жыл бұрын

    @@ICUAdvantage ok great! Thank you!

  • @alexbarmo
    @alexbarmo2 жыл бұрын

    So what are the normal values of SVR and in what units it is measured?

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Non-indexed normal SVR is 800-1200 dynes/sec/cm^-5

  • @tenzinzompa3956
    @tenzinzompa39562 жыл бұрын

    I just got a question, can you please answer it What if the patient stays in Fowler's 90 with CVP on??? Is it allowed

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    It won't be truly accurate, but you can use the value to trend which can be helpful. Flat for your true reading.

  • @lindseyklynstra5496
    @lindseyklynstra54965 жыл бұрын

    CVP should ONLY be taken off the distal (brown) port of a central line!!!! Closet to the R atria.

  • @mitchellspratlin3432

    @mitchellspratlin3432

    Жыл бұрын

    Ty!

  • @ThatsWhatsUpDee
    @ThatsWhatsUpDee2 жыл бұрын

    I'm a better nurse because of you.

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Truly my goal is to help others to understand things a bit more! Happy to hear this.

  • @cdr408
    @cdr4083 жыл бұрын

    I’ll subscribe

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Really great to read this. Glad you liked this lesson and hope you enjoyed the others as well!

  • @cdr408
    @cdr4083 жыл бұрын

    Make a podcast and talk about this.

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    I've thought about this. Perhaps in the future if I have more time available.

  • @johntadros50
    @johntadros502 ай бұрын

    PE will cause increased CVP