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
My ICU patients are alive by the grace of your explanations. Thank you!
@ICUAdvantage
Жыл бұрын
Wow, means the world to me that I'm able to help in some way!
@Cheptabgaa
8 ай бұрын
Amen 🙏🏿!!❤
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
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!
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
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
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
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!
🎓‼ 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
This channel is so Awesome! I’m really happy that I found it! ❤️
@ICUAdvantage
4 жыл бұрын
Yay!! So glad you found it Heloísa and that you enjoy the videos! Thanks for stopping by. 😊
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
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
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
3 жыл бұрын
@@aleshabee7386 so happy to hear this!
Best video on KZread that covers invasive monitoring. Thank you so much
Great brief and basic overview of the current invasive hemodynamic monitoring options in ICU
@ICUAdvantage
4 жыл бұрын
Thank you so much for this comment Val!
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 ❤
I just stumbled across this-this is wonderful. Thanks so much
@ICUAdvantage
6 жыл бұрын
Glad you like it!
This video is amazing. Thank you for making this it helped me SO much!!!!!!!!
@ICUAdvantage
4 жыл бұрын
Awesome! Glad you enjoyed it!
this was a great series, thank you so much!
@ICUAdvantage
3 жыл бұрын
Awesome to hear! Glad you liked it! :)
You made me finally understand this concept after reading the AACN book and trying to figure it out myself. Thank you!! Great job.
@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.
Love your videos bro. Helping me ace critical care and adult health. And hopefully one day get into CRNA school.
These videos are great for teaching clinical staff from all clinical backgrounds.
@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. :)
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!
Fantastic lecture!!
@ICUAdvantage
2 жыл бұрын
Glad you liked it!
Great videos thank you so much
This lesson was LIT AF!
@ICUAdvantage
2 жыл бұрын
lol thanks!
Thank you for the videos
@ICUAdvantage
4 жыл бұрын
You are welcome Ogechi! Thank you for taking the time to leave a comment!
❤ this video.ty for being so detailed
@ICUAdvantage
3 жыл бұрын
Awesome. My pleasure. Glad you liked it.
Really Clear and Helpfull
Thank you so much for this!!!! I wasn’t understanding until I found this
@ICUAdvantage
Жыл бұрын
You are very welcome! Glad this video was able to help it click!
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
3 жыл бұрын
Wow, thank you so much! I do actually have IABP planned very soon :)
@angelabawkey3091
3 жыл бұрын
@@ICUAdvantage awesome!!! I cant wait for that lesson!!!
Could you cover PICCO monitoring as well? Great video btw!
@jonen9494
3 жыл бұрын
+1, that would be great
Great video thank you so much!!
@ICUAdvantage
2 жыл бұрын
Youre welcome!
Thank you very much for this
@ICUAdvantage
3 жыл бұрын
You're very welcome! 😊
Thanks!
@ICUAdvantage
2 жыл бұрын
Thank you so much for this Diane!
THANK YOU SO GD MUCH FOR THESE VIDEOS
Thank you so much!! better than my instructor
@ICUAdvantage
Жыл бұрын
Thank you for that Brenda!
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
4 жыл бұрын
Looks like you beat me too it! lol Thank you and glad you enjoyed the lesson!
@hummadsyed1499
Жыл бұрын
Is that because of high intrathoracic pressure leading to decrease venous return to the heart ?
Is central line monitoring the same set-up as an A line? Same tubing, pressure bag at 300, leveled at phlebstatic access?
@ICUAdvantage
4 жыл бұрын
Yup!
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.
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
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
Hey, thanks for the videos!! Please clarify; I thought inspiration increases venous return to the heart@15:08
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
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.
Thanks a million. My book state different values. Are these the latest measurements?
@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
All your videos are great sir. Can you please do videos on Blood disorders sir.
@ICUAdvantage
4 жыл бұрын
Thank you Soma. Anything in particular you'd like to see?
@somasundharam1685
4 жыл бұрын
@@ICUAdvantage on leukemia and it's types sir
Thank u so much I'm picu fellow but it is helping me alot
@ICUAdvantage
2 жыл бұрын
Very cool! Glad you find them helpful!
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
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.
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
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
3 жыл бұрын
@@ICUAdvantage ok great! Thank you!
So what are the normal values of SVR and in what units it is measured?
@ICUAdvantage
2 жыл бұрын
Non-indexed normal SVR is 800-1200 dynes/sec/cm^-5
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
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.
CVP should ONLY be taken off the distal (brown) port of a central line!!!! Closet to the R atria.
@mitchellspratlin3432
Жыл бұрын
Ty!
I'm a better nurse because of you.
@ICUAdvantage
2 жыл бұрын
Truly my goal is to help others to understand things a bit more! Happy to hear this.
I’ll subscribe
@ICUAdvantage
3 жыл бұрын
Really great to read this. Glad you liked this lesson and hope you enjoyed the others as well!
Make a podcast and talk about this.
@ICUAdvantage
3 жыл бұрын
I've thought about this. Perhaps in the future if I have more time available.
PE will cause increased CVP