Cardiac Catheterization Hemodynamics
This course reviews cardiac hemodynamic measurement procedures, oxygen saturations, waveforms, and the use of Swan-Ganz catheters during cardiac catheterization. It will review definitions of cardiac function, such as cardiac index and output. It will also review valve disease and congenital defects, such as atrial septal defects, ventricular septal defects, tetralogy of Fallot, and patent ductus arteriosus. Hemodynamics is a complex interplay of changing pressures and shifting volumes. Many variables influence hemodynamics, including anatomical structure, fluid status, and aspects of the vasculature. During this course, information will be provided on hemodynamic parameters often measured in the cardiac cath lab as well as some basic physiological processes that influence those parameters.
This course reviews cardiac hemodynamic measurement procedures, oxygen saturations, waveforms, and the use of Swan-Ganz catheters during cardiac catheterization. It will review definitions of cardiac function, such as cardiac index and output. It will also review valve disease and congenital defects, such as atrial septal defects, ventricular septal defects, tetralogy of Fallot, and patent ductus arteriosus. Hemodynamics is a complex interplay of changing pressures and shifting volumes. Many variables influence hemodynamics, including anatomical structure, fluid status, and aspects of the vasculature. During this course, information will be provided on hemodynamic parameters often measured in the cardiac cath lab as well as some basic physiological processes that influence those parameters.
American Nurses Credentialing Center
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Nurses will receive 1.25 Nursing Contact Hours after successfully completing this course.
Arkansas State Board of Nursing
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.25 contact hours for participating in this course.
District of Columbia Board of Nursing
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.2000 contact hours for participating in this course.
Florida Board of Nursing
Florida Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.0000 contact hours for participating in this course.
Georgia Board of Nursing
Georgia Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
Kentucky Board of Nursing
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
Mississippi Board of Nursing
Mississippi Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
New Mexico Board of Nursing
New Mexico Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
North Dakota Board of Nursing
North Dakota Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
South Carolina Board of Nursing
South Carolina Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
West Virginia Board of Registered Nursing
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
Describe right and left heart catheterization waveforms.
Identify normal and abnormal heart pressure values.
Describe common congenital heart abnormalities and valve diseases.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Pressures and Waveforms
Hemodynamic Values and Waveforms
The Wiggers Diagram
Definitions
Normal Parameters: Heart Pressures
Normal Parameters: Heart Saturations
Right Heart Catheterization
Right Heart Catheters
Zeroing the Transducer
Jane’s Story
Access to the Right Heart
Right Heart Waveforms
Right Atrial Waveforms
Atrial Pressure Indications
Right Ventricular Waveform
Pulmonary Artery Waveform
Pulmonary Artery Wedge Pressure
Pulmonary Wedge Waveform
Left Atrial Waveforms
Comparing Waveforms
End Diastolic Left Sided Pressures
Bob’s Story
Summary
Section 3: Valve Disease
Valve Disease
Tricuspid Regurgitation
Mitral Valve Regurgitation
Mitral and Tricuspid Valve Stenosis
Mitral and Tricuspid Valve Stenosis Waveforms
Aortic Valve Stenosis
Aortic Valve Stenosis Waveform
Pullback for Aortic Valve Stenosis
Pulmonic Valve Stenosis
Jacob’s Story
Summary
Section 4: Congenital Defects
Congenital Defects of the Heart
Atrial Septal Defect
Atrial Septal Defect Saturations
Ventricular Septal Defect
Ventricular Septal Defect Saturations
Tetralogy of Fallot
Patent Ductus Arteriosus
Lily’s Story
Summary
Section 5: Review
Review Questions
Section 6: Conclusion
Course Summary
Course Contributor
References
Paul Teelin, MSN, RN-BC is a SME writer with Relias. Paul has a varied, multidisciplinary clinical background. As a respiratory therapist, he focused primarily on adult critical care, neonatal critical care, high-acuity transport, procedural care, outpatient care, and professional development. As a registered nurse, Paul’s clinical practice has been in the areas of medical/surgical care, orthopedics, perianesthesia care, invasive cardiology, care coordination, and nursing leadership. He has served as a course creator and instructor on various occasions over his years of practice. Paul has earned a Master of Science in Nursing in Nursing Informatics and is certified in Informatics Nursing by the ANCC. He is an active member of the Sigma Theta Tau International Honor Society of Nursing.
The target audience for this course is: Nurses; in the following settings: Acute Care Facility.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
