Nurse Dose Podcast

In this episode, we explore what, I think, is the most undervalued value in terms of hemodynamics. SVO2 is like shoving an O2 saturation probe into the pulmonary artery. This tells us a few things, but mainly oxygen consumption and delivery. Listen to the episode to find out what causes changes in SVO2 and what we can do to combat a low SVO2.

In this episode, I go through a talk that Dr. Weingart gave regarding new research and practices for intra-arrest management. I give my opinions and thoughts as an RN and speak on what may be beneficial to practice in the future. Of the topics spoken on, continuing CPR during shocks (while INSANE!) is my favorite.

This episode is the second in the series reviewing hemodynamic values. SVR has so much potential when it comes to clinical decision making but I feel like it is underappreciated. Remember Systemic Vascular Resistance takes into account your MAP, CVP, and CO. It encompasses a lot of what determines the overall patient picture.

Alexa and Roger have been friends of mine ever since I graduated from nursing school. After working with me at my first hospital they packed up their things and started traveling around the United States. We talk about what you can expect from travel nursing and their experiences so far.

Hey guys and welcome to Nurse Dose! In this introductory episode, I talk about my nursing journey so far. There are a lot of challenges when going straight into the ICU right out of nursing school but I hope my story can help inspire you.

In this episode, my coworker, Carlo, joins me to talk about how starting off in the ICU was for us. We recap our individual stories and give hints and tips for those wanting to get into ICU nursing. To wrap it up, we touch on how the general public might not necessarily know what nurses do and we explain what we actually do on the job.

• This episode marks the start of a new series on hemodynamics. I will be starting with stroke volume as it is one of the determinant factors of cardiac output along with heart rate. CO=SV X HR. There is a lot of information we can take away from stroke volume and the derivatives of the measurement but most importantly it is a much more reliant predictor of fluid responsiveness. This article goes into more detail: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3547212/                                  

• To clarify on the last point made about the swinging of the arterial line and the ability to visualize stroke volume variation. Just know that if there is a drop in systolic peaks with inspiration on a non-intubated patient this could be indicative of cardiac tamponade (pulses paradoxus). Please use your clinical judgment when utilizing this tip.

Thanks for listening!