Haemodynamic monitoring

Haemodynamic monitoring

Diagram shows indications for arterial monitoring as hypotension, complex fluid management, et cetera and hazards of arterial monitoring as air emboli, haemorrhage, et cetera. It also shows arterial sites as radial, femoral, brachial, and dorsalis pedis, location for central venous sites, et cetera.

Haemodynamic monitoring

Haemodynamic monitoring is used to assess and evaluate the effectiveness of the circulatory system in conveying blood and oxygen to body organs. Non-invasive monitoring is usually sufficient for patients who are unwell whose NEWS remains ≤6. Deteriorating patients with NEWS ≥7, who do not respond to initial interventions, require more detailed monitoring in level 2 care/HDU.

Non-invasive approach

A non-invasive assessment approach has been discussed (Chapter 25). Measurements such as non-invasive blood pressure are taken intermittently, at a frequency determined by the patient’s clinical condition and NEWS. If deterioration is evident such that continuous non-invasive blood pressure measurement is required, then these can be taken at 5 min intervals whilst intra-arterial blood pressure monitoring is commenced.

Invasive approaches

Invasive monitoring is indicated for use in acutely unwell patients (Boxes 28.1 and 28.5). Arterial and central venous catheter (CVC) insertion sites are chosen for their accessibility and reduced risk of complications (Boxes 28.3 and 28.7). In order to ensure harm-free care, only healthcare professionals who have been assessed as competent should care for patients who require invasive haemodynamic monitoring.

Arterial blood pressure monitoring

Apr 8, 2019 | Posted by in NURSING | Comments Off on Haemodynamic monitoring
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