Hemodynamic Monitoring Made Incredibly Visual PDF
Preview Hemodynamic Monitoring Made Incredibly Visual
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
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