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ICU nurses need to recognize the difference between a right ventricle (RV) waveform and a pulmonary artery (PA) waveform when using a Swan-Ganz catheter. The RV waveform drops near zero in diastole but shows a small end-diastolic rise. The PA waveform stays higher in diastole, usually 8–15 mmHg, and has a clear dicrotic notch from pulmonic valve closure. This knowledge is critical during PA catheter insertion to confirm you’ve advanced from RV to PA, and at the bedside to catch catheter migratio
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