Ecg hemodynamic monitoring strip
Functional hemodynamic monitoring is the assessment of the dynamic interactions of hemodynamic variables in response to a defined perturbation. Dynamic tissue O 2 saturation StO 2 responses to complete stop flow conditions vascular occlusion test , which can be created by measuring hand StO 2 and occluding flow with a blood pressure cuff, assesses cardiovascular sufficiency and microcirculatory blood flow distribution. Recent interest in functional hemodynamic monitoring for the bedside assessment of cardiovascular insufficiency has heightened with the documentation of its accuracy in predicting volume responsiveness using a wide variety of monitoring devices both invasive and non-invasive and across multiple patient groups and clinical conditions. Accordingly, fluid responsiveness can be predicted in a quantities fashion by measuring as arterial pulse pressure variation, left ventricular stroke volume variation or their surrogates during positive pressure breathing or the change in cardiac output response to a passive leg raising maneuver. However, volume responsiveness, though important, reflects only part of the overall spectrum of functional physiological variables that can be measured to define physiologic state and monitor response to therapy. Hemodynamic monitoring is the active assessment of cardiopulmonary status by the use of biosensors that assess physiologic outputs.
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Telemetry is an observation tool that allows continuous ECG, RR, SpO 2 monitoring while the patient remains active without the restriction of being attached to a bedside cardiac monitor. Telemetry is not a replacement for patient visualisation and assessment. Telemetry accuracy relies on skin preparation, electrode and lead placement, equipment maintenance, patient monitoring and education. Studies have shown that with appropriate education to the patient and family, patient safety is improved and anxiety associated with monitoring is reduced. Nurses who are able to identify ECG abnormalities are in prime position to prompt immediate action and lessen patient complications. To guide Safe and competent nursing and medical practice associated with the use of cardiac telemetry monitoring.
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