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Cardio Assess Unit 5

SPC Cardiopulmonary Assessment Unit 5 Exam 3 (Hemodynamic Factors)

QuestionAnswer
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
Created by: Langhout1418