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2 Minute EBP Challenge

Monday, January 30, 2012
Scrub the Hub
The Centers for Disease Control (CDC) recommends that central venous catheter (CVC) hubs be scrubbed for how long?

Monday, January 23, 2012
Severe Sepsis and AF Risk
Up to 20% of patients with severe sepsis develop a new onset atrial fibrillation.  Which factor was not associated with increased risk?

Monday, January 16, 2012
Unreported Hospital Errors
In a recent study the Department of Health and Human Service reports that what percentage of hospital errors go unreported?



  • Get tips, timesavers, and more from
    David W. Woodruff, MSN, RN-BC, CNS, CMSRN, CEN

    Understand Hemodynamics Today!

    If you think that hemodynamics is just for the ICU, think again! In order for you to fully assess a patient's response to treatments or medications, you must have an understanding of hemodynamics. "Understand Hemodynamics Today!" will give you the confidence to effectively manage the components of hemodynamics.

    Do any of these situations sound familiar?

    • Your patient is taking beta-blockers.
    • Dr. Smith says "we are going to try some afterload reduction on Mrs. Jones".
    • Your patient has a history of atherosclerosis
    • Your patient has decreased urine output
    • Mrs. Jones' B/P has dropped to 92/70

    All of these patients have alterations in their hemodynamics and need expert assessment and management.

    Many patients are given IV fluids and vasoactive agents to normalize their vital signs. However, to adequately manage patients with altered hemodynamics, the nurse has to look beyond the vital signs and urine output. Maximizing oxygen delivery to the tissues should be the goal. The nurse can do this by increasing pulmonary oxygen exchange, hemoglobin level, cardiac output, and by decreasing tissue oxygen demand.

    Often managing all of these variables on a busy nursing floor is overwhelming, and a simple mental image can help. Using the analogy of the Ventilation: Perfusion Train™ makes assessment and treatment of patients with hemodynamic alterations easier.

    Hemodynamics is best maintained if the nurse considers all of the following:

    • Maximizing all of the components of "The Ventilation:Perfusion Train"
    • How hemodynamic medications work
    • Recognizing the problems associated with using vasopressors and IV fluids to manage hemodynamics
    • Understanding that shock is progressive
    • Identifying the early warning signs of shock for prompt intervention
    By understanding all of the components involved in hemodynamics you can implement a balanced approach to treatment. You will reduce complications, while improving patient outcomes. This approach will help you be more efficient and effective at the same time.

    Understand Hemodynamics Today! uses unique analogies to teach the complexities of managing hemodynamic alterations. This course is taught by David W. Woodruff, MSN, RN, CNS, a nationally-known nursing expert and teacher.

    Understand Hemodynamics Today! includes:

  • The Ventilation: Perfusion Train
  • Assessment and management without invasive monitoring
  • 60-minute audio CD
  • Comprehensive handbook
  • Case Studies
  • “The IV pump analogy is simply ingenious!

    This is the best hemodynamics presentation I've ever heard!”

    Start understanding hemodynamics today with our audio CD program.

    Audio CD $17 

    Download the audio program and workbook now $12 

    Total download size is about 11 MB (mp3 audio & pdf file)

    You'll "get it", I guarantee it! - 
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