Haemodynamic profiles and the critical care nurse

The last decade has witnessed phenomenal developments available for the critically ill, especially for the patient in shock. These advances have implications for all members of the health care team as new roles and functions are constantly emerging. As the therapies practised today continue to expand, this demands a greater level of expertise for all those involved in critical care. This ever-increasing complexity mandates that we examine the future direction of critical care nursing. This paper examines one area of clinical development--the haemodynamic profile. From a theoretical knowledge base on shock with a review of patient goals of therapy, the discussion is developed with reference to the clinical application of the haemodynamic profile. The parameters, their calculation and meaning for patient treatment is examined using clinical exemplars. The paper concludes by re-affirming the themes drawn on throughout the paper of holistic care, independent and interdependent team relationships and accountable professional practice.