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Cardio Assess Unit 5
SPC Cardiopulmonary Assessment Unit 5 Exam 3 (Hemodynamic Factors)
| Question | Answer |
|---|---|
| Decrease CVP | 1. Hypovolemia 2. Shock 3. Traumatic Blood Loss 4. Sever Dehydration |
| Increase CVP | 1. Hypervolemia 2. Fluid Overload 3. Increase PVR 4. CHF |
| Decrease MPAP | Hypovolemia |
| Increase MPAP | 1. Increase PVR 2. COPD 3. PE 4. ARDS 5 High PEEP 6. PADP-PCWP > 5 mmHg 7. CHF 8. Hypervolemia 9 PADP-PCWP <5 mmHg |
| Decrease PCWP | Hypovolemia |
| How do you calculate Cardiac Index? | 1. C.O. (Cardiac Output) / BSA (Body Surface Index) = CI 2.Calculated using Dubois Body Surface Chart |
| Decrease CI | 1. Decreased Preload/Venous Return 2. Increased Afterload/SVR 3. Decreased Contractility 4. Positive Ionotropics 5. Digitalis 6. Dobutamine 7. Dopamine |
| Treatment for Decreased Preload/ Venous Return w/ CI | Volume Expanders & I.V. Fluids |
| Treatment for Increased Afterload/SVR w/ CI | Vasodilators, Nitroprusside, Hydralazine, Diazoxide |
| Increase DO2 | 1. Increased C.O. 2 Increased CaO2 3. Exercise |
| Decrease DO2 | 1. Decrease C.O. 2. Decrease Preload 3. Increased Afterload 4. Decreased Contractility 5. Decreased Hb 6. Decreased CaO2 7. Trauma, Anemia 8. Decreased Pa/Sa O2 9. Pulmonary Shunt |
| Increase O2 Consumption | Exercise, Seizures, Shivering, Hyperthermia (Fever) |
| Decrease Consumption Factors | Peripheral Shunting, Cyanide Poisoning, Hypothermia |
| Increase O2ER | 1. Decrease C.O. 2. Increased O2 Consumption 3. Exercise 4. Seizures 5. Shivering 6. Hyperthermia |
| Decrease O2ER | 1. Increased C.O. 2. Peripheral Shunting 3. Cyanide Poisoning 4. Hypothermia |
| Increase P/SvO2 | 1. Increase C.O. 2. Peripheral Shunting 3. Cyanide Poisoning 4. Hypothermia |
| Decrease P/SvO2 | 1. Decrease C.O. 2. Increase O2 Consumption 3. Exercise 4. Seizures 5. Shivering 6. Hyperthermia |
| PvO2 <30 mmHg Indicative of what? | Severe Tissue Hypoxia |
| SvO2 <55% Indicative of what? | Severe Tissue Hypoxia |
| Increase Ca-vO2 | 1. Decrease C.O. OR Increase O2 Consumption 2. exercise 3. Seizures 4. Shivering 5. Hyperthermia |
| Most common problem associated with an INCREASED Ca-vO2 is? | Left Ventricular Failure |
| Decrease Ca-vO2 | 1. Increase C.O. 2. Peripheral Shunting 3. Cyanide Poisoning 4. Hypothermia |
| Right Atrium pressure with a PA catheter? | 2-6 mmHg |
| Right Ventricle pressure with a PA catheter | Systolic: 20-30 Diastolic: 0-5 |
| Pulmonary Artery pressure with a PA catheter | Systolic: 20-30 Diastolic: 6-15 |
| Pulmonary Capillary Wedge pressure with a PA catheter? | 4-12 mmHg |