Maricopa Community Colleges  NCE204   20004-99999 
Official Course Description:   MCCCD Approval:  05/23/00  
NCE204      20004-99999 LEC 1 Credit(s) 1 Period(s)
Hemodynamics
Events of the cardiac cycle related to normal hemodynamic waveforms and pressures. Purpose, procedure and potential complications related to hemodynamic invasive lines. Trouble shooting and preventative procedures for hemodynamic invasive lines. Normal and abnormal pressure forms related to various forms of pathophysiology. Treatments and interventions for specific cardiac diseases. Impact of paced rhythms, and intraaortic balloon pumps on normal hemodynamic waveforms. Safe removal procedure for hemodynamic devices. Prerequisites: Registered nurse (RN), respiratory therapist, or cardiovascular technician with knowledge of dysrhythmia recognition.
 
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MCCCD Official Course Competencies:
 
NCE204   20004-99999 Hemodynamics
1. Describe the events of a cardiac cycle and relate them to normal hemodynamic waveforms and pressures. (I)
2. Describe the purpose, insertion procedure, clinical information obtained and potential complications for specific hemodynamic invasive lines. (II)
3. List trouble shooting interventions, rationale, and preventative measures for specific hemodynamic monitoring problems. (III)
4. Differentiate normal vs. abnormal hemodynamic pressure waveforms and relate them to changes due to pathophysiology. (IV)
5. Describe the hemodynamic impact, anticipated treatments, outcome of interventions for specific cardiac disease states. (V)
6. Describe the impact of paced rhythms, and intraaortic balloon pumps on normal hemodynamic waveforms and alterations and care related to these changes. (V, VI)
7. Describe the technique for safe removal of hemodynamic devices. (VII)
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MCCCD Official Course Outline:
 
NCE204   20004-99999 Hemodynamics
    I. Hemodynamic Parameters
        A. Cardiac cycle
        B. Waveforms
        C. Pressures
      II. Hemodynamic Invasive lines
          A. Central venous catheters
          B. Pulmonary artery catheters
          C. Left atrial lines
          D. Arterial lines
        III. Trouble Shooting of Hemodynamic Equipment
            A. Interventions, rationale, preventative measures for specific hemodynamic monitoring problems
              1. shock states
              2. disease states
          IV. Hemodynamic Pressure Waveforms
              A. Normal
              B. Abnormal
            V. Hemodynamic Changes due to Cardiovascular Diseases
                A. Acute myocardial infarction
                B. Acute mitral regurgitation
                C. Cardiac tamponade
                D. Cardiogenic shock
                E. Hypovolemic shock
                F. Cardiogenic pulmonary edema
                G. Acute respiratory failure
              VI. Intraaortic Balloon Pumps
                  A. Indications for pump use
                  B. Impact on hemdynamic waveforms
                VII. Removal of Hemodynamic Invasive Lines
                    A. Central venous catheters
                    B. Pulmonary artery catheters
                    C. Arterial catheters
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