Advanced hemodynamic monitoring for RN and NP: Swan-Ganz / pulmonary artery catheter, cardiac index, SVR, SVV, PAOP/wedge pressure, mixed venous oxygen saturation (SvO2), vasopressor reasoning, fluid responsiveness, and ICU case simulations. $149 CAD one-time add-on.
Advanced Hemodynamic Monitoring covers: Swan-Ganz pulmonary artery catheter interpretation, cardiac index (CI), systemic vascular resistance (SVR), stroke volume variation (SVV), pulmonary artery occlusion pressure (PAOP/wedge), mixed venous oxygen saturation (SvO2/ScvO2), septic shock and cardiogenic shock hemodynamics, vasopressor selection and titration reasoning, fluid responsiveness assessment, and waveform interpretation with ICU case simulations.
No. Hemodynamic Monitoring Fundamentals (MAP, preload, afterload, CVP, arterial lines, basic shock states) is included with eligible RN and NP subscriptions. Advanced Hemodynamic Monitoring — covering Swan-Ganz catheters, cardiac index, SVR, SVV, PAOP, SvO2, and ICU simulations — is a separate $149 CAD one-time add-on for RN and NP learners.
The Critical Care Bundle ($299 CAD one-time) includes Advanced ECG Interpretation, Advanced Hemodynamic Monitoring, and Advanced Labs Interpretation at a combined discount of $148 CAD versus purchasing separately. It provides complete ICU/CCU clinical readiness: STEMI recognition, telemetry mastery, Swan-Ganz interpretation, vasopressor reasoning, advanced lab interpretation, and ICU case simulations.
The Swan-Ganz catheter (pulmonary artery catheter, PAC) measures: right atrial pressure (RAP/CVP), right ventricular pressure (RVP), pulmonary artery pressure (PAP), pulmonary artery occlusion pressure (PAOP/wedge — estimates left ventricular preload), and mixed venous oxygen saturation (SvO2) via continuous oximetry. Cardiac output is measured by thermodilution. SVR and PVR are calculated from these values.
Normal cardiac index (CI) is 2.5–4.0 L/min/m². CI below 2.2 L/min/m² with signs of hypoperfusion indicates cardiogenic shock. Cardiac index normalizes cardiac output (CO) for body surface area — it is the more clinically meaningful parameter for comparing patients of different sizes.
Fluid responsiveness is assessed using static parameters (CVP, PAOP) but these are unreliable predictors. Dynamic parameters are preferred: stroke volume variation (SVV) >13% with mechanical ventilation suggests fluid responsiveness; pulse pressure variation (PPV) >13% also indicates preload dependence. Passive leg raise (PLR) with real-time CO measurement is a reliable functional test. Point-of-care echo (IVC collapsibility >50%) is increasingly used.
