1. Pulmonary artery Balloon (swan Ganz)

2. Outline Introduction Deffinition Indication Purpose Haemodynamic value
Complication
Nursing skills

3. Introduction
Invasive homodynamic monitoring  can actually measure pressures within the heart.
  Invasive homodynamic monitoring can be used for early detection, identification, and treatment of life-threatening conditions such as heart failure and cardiac tampanade.
It is important for the nurse using homodynamic monitoring to be able to effectively and accurately use this modality.

4. Pulmonary artery Balloon (swan Ganz)
Swan-Ganz is A Soft Catheter with an Expandable Balloon Tip That Is Used for Measuring Blood Pressure in the pulmonary artery.
It is a diagnostic procedure in which a small catheter is threaded through a vein in the arm, thigh, chest, or neck until it passes through the right side of the heart

5. Indications Management of complicated myocardial infarction .
Assessment of respiratory distress .
Assessment of type of shock .
Management of postoperative open heart surgical patients .
Assessment of cardiac tamponade .

6. Purpose Assessing the status of the mitral valve.
Measuring of pulmonary artery pressure.
Measuring of right atrium pressure.
Measuring of right ventricle pressure.
Measuring of cardiac out put.
indirect measurement of the pressure in the left atrium of the heart
Assessing the status of the mitral valve.

7. Hemodynamic Parameters
70-90mm Hg
Mean Arterial Pressure (MAP)
2-8mm Hg
Central Venous Pressure (CVP)
8-12mm Hg
Pulmonary Artery Mean Pressure (PCWP, Wedge)
4-8 L/min
Cardiac Output (CO) ml
Stroke Volume (SV) 
2.5-4 L/min
Cardiac Index (CI)

8. Wave form of value readings

9. Procedure
The catheter is introduced through a large vein—often the internal jugular, subclavian, or femoral veins.
From this entry site, through the right atrium to.. the right ventricle, and subsequently into the pulmonary artery.
The standard pulmonary artery catheter (Swan-Ganz) has two lumens and is equipped with an inflatable balloon at the tip, which facilitates its placement into the pulmonary artery through the flow of blood.
The balloon, when inflated, causes the catheter to "wedge" in a small pulmonary blood vessel.

11. The wedge balloon

12. Complications Arrhythmias Rupture of pulmonary artery Thrombosis
Infection
Pneumothorax
Bleeding

13. Nursing skills
Catheter site care is essentially the same as CVP catheter.
secure the transducer
To ensure accurate reading ensure that the system free from air bubbles.
Maintain sterility
Taking reading

14. the nurse must be able to interpret the data obtained as well as being able to alert medical staff of potential or actual complications.
Prevention of infection is paramount.

15. References www.enotes.com/nursing-encyclopedia/swan-ganz-catheteri
findarticles.com/p/articles/mi_gGENH/is_ /ai_269.
ask.com/wiki/Pulmonary_artery_catheter

16. Alexander, M. , et al. (2007). 3rd Ed. Nursing Practice. The Adult
Alexander, M., et al . (2007). 3rd Ed. Nursing Practice. The Adult. Churchill Livingstone.
Hardine, S., Kaplow, R. (2008). Critical Nursing Optimal Outcomes. Jones Bartelett Publisher.

17. Bare, B. & Smeltzer, S. (2004\0: Medical Surgical Nursing. Loppincott.
Nettina, S. (2009): Manual Of Nursing Practice. Lippincott.