02.07 Reading “A, C, V Waves” & PAWP Waveforms

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Wiggers Diagram (Image)

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Outline

Nursing Points

General

  1. Swan Ganz Catheter
    1. Pulmonary artery wedge pressure-> Air in balloon
      1. Visualize the QRS in regular strip (non-wedged)
      2. A wave after QRS
      3. V wave after T wave
        1. Giant V Waves
        2. Swan detects mitral insufficiency
          1. Left ventricle pushes blood back through mitral valve in to left atrium
          2. Is detectable on PAWP
      4. Measure A wave (before drop -> if there is one)
      5. C wave (“mushed together” with A wave- second bump of the “M”)
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CCRN Review (Critical Care Certification Review)

This course is a review for the CCRN exam. Experienced critical care nurses that meet the testing criteria can use this course to review key concepts for their CCRN exam, which is a certification for critical care nurses. Criteria to test includes having 1,750 hours in direct bedside care of acutely and/or critically ill patients during the last 2 years (prior to the exam). 875 hours need to be worked in the year prior to your application.

1- CCRN Test Overview & Introduction

    2- Cardiovascular

                                        3- Endocrine

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                                                4- Hematology

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                                                                                            8- Psychological

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                                                                                                          10- Pulmonary