h. Wait 1 minute between injections to allow baseline stabilization
i. Perform additional Cardiac Output measurements as needed
j. Select measurement to include/exclude in the Cardiac Output average
(A in the box indicates cardiac output measurement is selected.
An in the box indicates the cardiac output measurement is rejected)
k. Select Print Runs to print C.O. Run(s) to thermal printer modular recorder
l. Select Hemo Calculations to access the Hemodynamic Calculations
dialog
Or
l. Select Done to return to the main screen
Initiate Pulmonary Artery Wedge Pressure (PAWP)
Pulmonary Artery Wedge Pressure (PAWP) is a pressure measurement derived
from a PA catheter when the PA distal balloon is inflated and the catheter
advances and occludes a distal pulmonary artery. PAWP pressure is a reflection
of the pressure in the left ventricle at end-diastole.
To initiate a PAWP measurement on the V12 or V21 bedside monitor:
a. Select PA waveform or numeric tile and select PAWP
Or
a. Select Procedures tab from the Navigation Area and select PAWP
b. Select Setup to adjust PA sweep speed, PA scale, or display Art line
c. Select Accept to return to PAWP dialog
d. Inflate balloon and watch PA waveform for wedge waveform
e. Select Measure to freeze the waveform once a satisfactory wedge
waveform is detected
f. Adjust PAWP reference line to the desired position using Ç or
È
g. Select Accept PAWP to enter the PAWP measurement and Done to return
to the main screen
Or
g. Resume to repeat measurement
Note: Follow manufacturer’s suggested procedures and hospital policy for
PAWP balloon inflation.
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