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Cardiovascular Evaluation and Monitoring

RT 150

Cardiovascular Evaluation and Monitoring

RT 150

Course Description

Prerequisites: Prerequisites: RT 132, RT 135, RT 146, & RT 149.

Presents the theory and application of skills required to provide adult hemodynamic and ECG monitoring and interpretation. (41-8)

Outcomes and Objectives

Demonstrate, through successful completion of written examination and/or return demonstration, the ability to:

Objectives:

  • Explain the limitations of monitoring or lab values.
  • Describe the "feelings" of the patient facing a life threatening situation.
  • Define:
  • Explain those factors that effect:
  • Calculate:
  • Describe and explain the significance of those factors involved in the physical assessment of the pulmonary system.
  • Define:
  • Describe the anatomy of the heart.
  • Describe the blood flow and intrachamber pressures through the heart.
  • Describe the phases of the cardiac cycle.
  • Explain those factors affecting CO.
  • Describe the coronary circulation.
  • Explain the primary determinants of myocardial O2 consumption.
  • Describe those factors that contribute to PVR.
  • Describe and explain the function of:
  • Calculate mean arterial pressure. (MAP)
  • Compare and contrast the pulmonary and systemic circulations in terms of:

Demonstrate, through successful completion of written examination and/or return demonstration, the ability to:

Objectives:

  • Define and explain the effect on fluid-filled monitoring systems of:
  • Explain the function of the following components of a pressure monitoring system:
  • Explain the clinical application of CVP monitoring:
  • Describe the complications of CVP monitoring.
  • State the normal pressures and identify the pressure waveforms as the PA catheter passes through the heart.
  • Calculate and give the normal values for:

Demonstrate, through successful completion of written examination and/or return demonstration, the ability to:

Objectives:

  • Describe the indications for PAP monitoring.
  • Describe the general design of the PA catheter.
  • Explain the function of each of the following ports of the catheter and where the terminal opening would lie when the catheter is properly placed:
  • Describe the two approaches for gaining vascular access.
  • Identify the common site used for pulmonary artery catheterization.
  • Describe the steps involved in the insertion and floatation of the catheter.
  • Describe techniques to document a true wedge position.
  • Explain the significance of the PADP to PCWP gradient.
  • Explain postinsertion and rewedging protocol.
  • Describe the use of the PA catheter in assessing:
  • Explain the complications associated with PA catheters:
  • Describe methods of determining cardiac output.
  • List the equipment required for the thermaldilution method of determining C.O.
  • Describe those factors that affect C.O.
  • Explain the significance of the cardiac index.
  • Explain the significance of SvO2 monitoring.

Demonstrate, through successful completion of written examination and/or return demonstration, the ability to:

Objectives:

  • Describe the types of myocardial cells.
  • Define:
  • Identify the components of the electrical conduction system of the heart.
  • Describe the phases of the action potential of the myocardial cells.
  • Relate the phases of the action potential to depolarization and repolarization of the cells.
  • Explain the significance of Phase 4 in pacemaker cells.
  • Identify the various segments of the normal ECG.
  • Identify those arrhythmias covered in class.

Demonstrate, through successful completion of written examination and/or return demonstration, the ability to:

Objectives:

  • Identify those individuals involved in the in-hospital resuscitation and the responsibilities of each.
  • Define and give the indications for:
  • Describe the standard electrode placement and energy requirements for defibrillation.
  • Describe the phases of the action potential of the myocardial cells.
  • Relate the phases of the action potential to depolarization and repolarization of the cells.
  • Explain the mechanism of action, indications, and dosages of the following medications:

Demonstrate, through successful completion of written examination and/or return demonstration, the ability to:

Objectives:

  • Define capnometry and capnography.
  • Differentiate between mainstream vs sidestream capnometers.
  • Explain the principles of operation of the infrared capnometer.
  • Identity and explain the phases of the normal capnogram.
  • Relate changes in the ventilation/perfusion ratio to the expected PACO2 value.
  • Identify causes of increased or decreased end tidal CO2 values.
  • Identify and explain possible causes of abnormal capnograms.
  • Explain the use of capnometry: