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Advanced Hemodynamics - Orlando Health

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Purpose<br />

<strong>Advanced</strong> Hemodynamic Monitoring<br />

This packet was designed for nursing personnel who care for patients with pulmonary artery<br />

catheters in the critical care units. Prerequisites for this packet are a working knowledge of basic<br />

cardiovascular anatomy and physiology, cardiovascular pharmacology, and basic ECG<br />

interpretation skills. This packet meets the Florida State requirement for continuing education<br />

credit for nursing licensure. <strong>Orlando</strong> <strong>Health</strong> is an Approved Provider of continuing nursing<br />

education by Florida Board of Nursing (Provider No. FBN 2459) and the North Carolina Nurses<br />

Association, an accredited approver by the American Nurses Credentialing Center’s Commission on<br />

Accreditation (AP 085).<br />

Objectives<br />

After completing this packet, the learner should be able to:<br />

1. Define cardiac output, stroke volume, preload, afterload and contractility<br />

2. Describe the technical set-up of pulmonary artery catheter monitoring equipment<br />

3. Discuss the clinical significance of pulmonary artery catheter monitoring<br />

4. Describe accurate pulmonary artery pressure measurement<br />

5. Discuss clinical indications and contraindications for hemodynamic monitoring using<br />

pulmonary artery catheters<br />

6. Identify normal values and waveforms for the hemodynamic values that are obtained from<br />

pulmonary artery catheters<br />

7. Interpret all values obtained from the pulmonary artery catheter and relate them to various<br />

normal and abnormal physiologic states<br />

8. Calculate and evaluate the accuracy of invasive hemodynamic monitoring data using the<br />

square wave test and waveform analysis.<br />

9. Identify potential troubleshooting techniques when an inaccurate system is identified.<br />

10. Identify potential complications of pulmonary artery catheter monitoring.<br />

11. Identify conditions which may alter hemodynamic readings obtained from the pulmonary<br />

artery catheter<br />

12. Describe and troubleshoot abnormal assessment findings encountered with pulmonary artery<br />

catheter monitoring<br />

13. Describe correct removal of a pulmonary artery catheter<br />

Instructions<br />

In order to receive contact hours, you must:<br />

<br />

<br />

<br />

complete the posttest at the end of this packet<br />

submit the posttest to Education & Development with your payment, or to the Online Testing<br />

Center located on SWIFT via E-learning<br />

achieve an 84% on the posttest<br />

Be sure to complete all the information at the top of the answer sheet. You will be notified if you<br />

do not pass, and you will be asked to retake the posttest.<br />

Copyright 2010 <strong>Orlando</strong> <strong>Health</strong>, Education & Development 2

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