Hemodynamic monitoring and medication administration for patient receiving vasopression in ICU

Registration ID: IJNRD_203452

Published ID: IJNRD2308290

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Dr. V. HEMAVATHY , GIJABASKARAN , K. RAJKUMAR

Hemodynamic monitoring, instability, vasopressor, inotropic.

ABSTRACT: Hemodynamic monitoring involves using invasive and non-invasive methods to gather information about a critically ill patient’s cardiovascular functioning for diagnosis and treatment guidance. hemodynamic instability can be the result of hypovolemia or cardiac or vasomotor dysfunction, which can lead to organ dysfunction, multi-organ failure, or death. non-invasive monitoring includes manual bp, electrocardiogram, temperature, respiratory rate, pulse oximetry, and urine output. Arterial catheterization. vasopressor and inotropic drugs act quickly, so invasive bp monitoring, typically by arterial catheterization, may be required to safely titrate vasopressor and inotrope infusions. arterial catheterization also provides access for diagnostic laboratory blood testing. central venous catheterization central venous catheterization (cvc) allows for central venous access using one of three options: the internal jugular vein, common femoral vein, or subclavian vein. cvc is used for multiple infusions, if peripheral access can’t be obtained, and to administer medications that may be caustic to tissues when given via peripherally inserted catheters. Pulmonary artery catheterization Pac (swan-Ganz catheter) has been the gold standard for cardiac output monitoring for nearly 50 years, primarily in cardiac surgery patients. the pac is inserted through a central vein (femoral, jugular, antecubital, or brachial) and advanced through the right side of the heart to the pulmonary artery. it’s used to measure intrathoracic intravascular pressures in the right atrium (central venous pressure), pulmonary artery, and pulmonary veins (pulmonary wedge pressure). a pac is particularly helpful in patients with right ventricular dysfunction or pulmonary arterial hypertension. vasopressor and inotropic infusion titration when the initial vasopressor or inotrope has been selected based on the underlying cause of shock, titrate the dose to achieve sufficient blood pressure or end-organ perfusion indicated by the map, as ordered by the provider. the most common target for vasopressor and inotropic titration is a map value of 60 mmhg to 65 mmhg.conclusion. hemodynamic monitoring and vasopressor and inotrope administration and titration are essential to ensuring sufficient tissue oxygenation and end-organ perfusion. your knowledge of anatomy, physiology, and pharmacology, along with competent assessment skills, can ensure a safe outcome for your patients.

Published Paper   E-Certificate

Dr. V. HEMAVATHY, GIJABASKARAN, & K. RAJKUMAR (August-2023). Hemodynamic monitoring and medication administration for patient receiving vasopression in ICU. INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 8(8), c664-c666. https://ijnrd.org/papers/IJNRD2308290.pdf

Volume 8 Issue 8, August-2023

Pages : c664-c666

Paper Reg. ID: IJNRD_203452

Published Paper Id: IJNRD2308290

Downloads: 000121986

Research Area: Health Science 

Country: CHENNAI, TAMILNADU, India

Published Paper PDF: https://ijnrd.org/papers/IJNRD2308290.pdf

Published Paper URL: https://ijnrd.org/viewpaperforall?paper=IJNRD2308290

Journal Name: INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT(IJNRD)

ISSN: 2456-4184 | IMPACT FACTOR: 8.76 Calculated By Google Scholar | ESTD YEAR: 2016

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