Hemodynamic Monitoring Made Incredibly Visual

180 Pages·2015·22.83 MB·English

by  coll.

Hemodynamic Monitoring
made
Incredibly
Visual
!
Third Edition
Rose Knapp,
DNP, RN, APRN-BC
Assistant Graduate Faculty
APN Program Coordinator
Monmouth University
Marjorie K Unterberg School of Nursing and Health Studies
West Long Branch, NJ
Knapp9781496306999-fm.indd 1 05/08/15 9:39 AM
Executive Editor: Shannon W. Magee
Product Development Editor: Maria M. McAvey
Senior Marketing Manager: Mark Wiragh
Production Project Manager: Marian Bellus
Design Coordinator: Elaine Kasmer
Manufacturing Coordinator: Kathleen Brown
Prepress Vendor: S4Carlisle Publishing Services
Copyright © 2016 Wolters Kluwer.
Copyright © 2010 (2nd edition), 2006 (1st edition)
Lippincott Williams & Wilkins.
All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in
any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any
information storage and retrieval system without written permission from the copyright owner, except for brief
quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals
as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright.
To request permission, please contact Wolters Kluwer Health at Two Commerce Square, 2001 Market Street,
Philadelphia, PA 19103, via email at [email protected], or via our website at lww.com (products and services).
9 8 7 6 5 4 3 2 1
Printed in China
Library of Congress Cataloging-in-Publication Data
Hemodynamic monitoring made incredibly visual / Rose Knapp. — Third edition.
pages cm
Includes bibliographical references and index.
ISBN 978-1-4963-0699-9 (alk. paper)
1. Hemodynamic monitoring—Atlases. 2. Cardiovascular system—Diseases—Diagnosis—Atlases.
3. Patient monitoring—Atlases. 4. Nursing—Atlases. I. Knapp, Rose.
RC670.5.H45H46 2016
616.1’0754—dc23
2015020117
This work is provided “as is,” and the publisher disclaims any and all warranties, express or implied, including any
warranties as to accuracy, comprehensiveness, or currency of the content of this work.
This work is no substitute for individual patient assessment based upon healthcare professionals’ examination of
each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions,
medication history, laboratory data, and other factors unique to the patient. The publisher does not provide medi-
cal advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher,
are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and
treatments.
Given continuous, rapid advances in medical science and health information, independent professional verifica-
tion of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options
should be made and healthcare professionals should consult a variety of sources. When prescribing medication,
healthcare professionals are advised to consult the product information sheet (the manufacturer’s package insert)
accompanying each drug to verify, among other things, conditions of use, warnings, and side effects and identify
any changes in dosage schedule or contraindications, particularly if the medication to be administered is new,
infrequently used, or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no
responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of prod-
ucts liability, negligence law or otherwise, or from any reference to or use by any person of this work.
Knapp9781496306999-fm.indd 2 05/08/15 9:39 AM
Dedication
To all critical care nurses who work tirelessly to care of our hemodynamically
challenged patient population.
To my family John, Kristina, and Stephanie for all of their support over the
years.
iii
Knapp9781496306999-fm.indd 3 05/08/15 9:39 AM
Contributors
Susan Barnason, PhD, RN, APRN-CNS, CEN, Nancy M. Richards, RN, MSN, CCRN, CCNS
CCRN, FAEN, FAHA, FAAN Cardiovascular Surgery Clinical Nurse
Professor of Nursing Specialist and Ventricular Assist Device
University of Nebraska Medical Center (VAD) Coordinator
College of Nursing Saint Luke’s Hospital
Lincoln, NE Kansas City, MO
Maria E. Rodriguez, DNP, ACNS-BC
Natalie Burkhalter, RN, MSM, CS, FNP, ACNP
Nursing Educator
Family Nurse Practitioner
Walden University
Mercy Ministries of Laredo
Department of Nursing
Laredo, TX
Minneapolis, MN
Kathleen M. Hill, MSN, RN, CCNS Michelle D. Staggs, APN, ACNP-BC, CCRN,
Clinical Nurse Specialist, Surgical CEN, TNS
Intensive Care Unit Acute Care Nurse Practitioner
Cleveland Clinic Southwest Pulmonary Associates
Cleveland, OH Little Rock, AR
Loisann Stapleton, RN, MSN, CCRN, APN-C
Julene B. (Julie) Kruithof, MSN, RN, CCRN
Acute Care Nurse Practitioner
Adult Critical Care Educator
Atlantic Cardiology, L.L.C.
Spectrum Health
Neptune, NJ
Grand Rapids, MI
Patricia Walters, RN, MSN, APN, CCRN
Margaret McAtee, RN, ACNP-BC, CCRN Nurse Practitioner—Cardiothoracic
Cardiovascular Nurse Practitioner Surgery
Baylor All Saints Medical Center Hackensack University Medical Center
Fort Worth, TX Hackensack, NJ
iv
Knapp9781496306999-fm.indd 4 06/08/15 11:13 PM
Previous Edition Contributors
Susan Barnason, PhD, RN, APRN-CNS, CEN, Nancy M. Richards, RN, MSN, CCRN, CCNS
CCRN, FAEN, FAHA, FAAN
Maria E. Rodriguez, DNP, ACNS-BC
Natalie Burkhalter, RN, MSM, CS, FNP, ACNP
Michelle D. Staggs, APN, ACNP-BC, CCRN,
Kathleen M. Hill, MSN, RN, CCNS CEN, TNS
Julene B. (Julie) Kruithof, MSN, RN, CCRN Patricia Walters, RN, MSN, APN, CCRN
Margaret McAtee, RN, ACNP-BC, CCRN Susan L. Woods, PhD, RN, FAHA, FAAN
v
Knapp9781496306999-fm.indd 5 07/08/15 10:22 AM
Acknowledgments
To my colleagues who contributed their expertise in cardiovascular nursing to
this text:
Susan Barnason, Natalie Burkhalter, Kathleen M. Hill, Julene B. (Julie)
Kruithof, Margaret McAtee, Nancy M. Richards, Maria E. Rodriguez, Michelle
D. Staggs, Loisann Stapleton, and Patricia Walters
vi
Knapp9781496306999-fm.indd 6 05/08/15 9:39 AM
Contents
1 Cardiopulmonary anatomy and physiology 1
Maria E. Rodriguez
2 Understanding a pressure monitoring system 19
Natalie Burkhalter
3 Vascular access 31
Susan Barnason
4 Arterial pressure monitoring 45
Patricia Walters
5 Central venous pressure monitoring 61
Kathleen M. Hill
6 Pulmonary artery pressure monitoring 75
Margaret McAtee
7 Cardiac output monitoring 97
Julene B. (Julie) Kruithof
8 Tissue oxygenation monitoring 115
Michelle D. Staggs
9 Minimally invasive hemodynamic monitoring 129
Loisann Stapleton
10 Circulatory assist devices 149
Nancy M. Richards
Index 167
vii
Knapp9781496306999-fm.indd 7 05/08/15 9:39 AM
viii
Knapp9781496306999-fm.indd 8 05/08/15 9:39 AM