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INTRODUCTION
Titration of hemodynamic infusions is one of the most cognitively challenging responsibilities faced by critical care nurses. Perhaps nowhere else in critical care is a solid, in-depth knowledge of physiology more important to safe practice. The focus of this seminar is to provide a comprehensive review of the determinants of cardiac performance, followed by a brief overview of autonomic physiology. Once this foundation has been created, the content will consist of a detailed discussion of the physiologic basis of administration of an extensive list of inotropic and vasoactive drugs. Case studies will be incorporated to create a clinical perspective, with practical aspects and pearls for practice included throughout.
A
sample of the type of questions to be answered during this one-day program
includes:
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What advantage does milrinone have over dobutamine in managing the patient with heart failure?
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In which of the following situations might Nipride be indicated in a hypotensive patient?
a. SVR 2200
b. PAWP 22
c. MAP 80
d. RVEDVI 90
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| Mr. C is a 70-year old man who had a triple coronary artery bypass 3 days ago. He is now hemodynamically unstable and is receiving dopamine and Nipride. Should calculation of Mr. C's infusion rates be based on his admission weight or current daily weight?
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Phosphodiesterase inhibitors do not affect the autonomic nervous system. How do they work?
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What special considerations are essential to safely titrate inotropic and vasoactive drugs in the geriatric patient?
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TARGET AUDIENCE
This seminar is appropriate for critical care nurses, advanced practice nurses, and critical care educators.
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Updated for 2010!
Presented
by:
Laura
E. Luecke,
R.N.,
M.S.N., CCRN, ACNP
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