Advanced Variables to Optimize Hemodynamic Monitoring

Author(s): Angela D. Craig, MS, APN, CCNS, CCRN-K, Susan E. Piras, PhD, RN, CNE

Contact Hours 1.00

CERP A 1.00

Expires Jan 01, 2026

Topics: Hemodynamics, Quality Improvement

Member: Free
NonMember: $10.00

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Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Measuring hemodynamic parameters has become safer and more precise than in the past. Accurately monitoring and evaluating the effectiveness of fluid, inotrope, and vasoactive medication administration can improve patient outcomes. Arbitrary fluid administration without stroke volume measurement can be detrimental to patient outcomes. Early detection and prompt treatment of shock states is essential to combat deleterious effects on critically ill patients. In addition to measuring traditional hemodynamic variables, the use of advanced variables such as hypotension prediction index, dynamic arterial elastance, and systolic slope can improve the precision of treatment for critically ill patients. Using predictive analytics can help the bedside critical care nurse provide patient care that is proactive rather than reactive.


  • Compare and contrast the traditional hemodynamic variables with Hypotension Prediction Index, arterial elastance, and systolic slope
  • Describe the step-wise process needed to tailor patient-centered critical care hemodynamic interventions for a patient in a shock state.
  • Utilize a hemodynamic algorithmic patient-centered approach to assist with optimal preload, afterload, and contractility endpoints.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity, read Implicit Bias impacts patient outcomes, and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


The American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for 1.00 contact hours.

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