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hemodynamic 04/02
hemodynamic monitoring
| Question | Answer |
|---|---|
| zero, level and wave test. what do we use to do this? what part? know this on exam! | the stopcock |
| ____% ______ in pressure bag, pressure is maintained at _____mmhg | 0.9 NaCl at 300 |
| transducer is the pt.'s pressure converts into measurement and thats the number we see on the monitor which is the pressure into the ____ | waveform |
| the landmark for leveling the air fluid stopcock at? _____ what are the landmarks? -correlates internally with? what happenes if too high or low? | 1. phlebostatic axis 2. 4ICS, MAL 4th intercostal space mid axillarly line 3. right atrium 4. false Decrease BP or increase BP |
| overdampned? what can be the issue? | false low BP air bubble, kink in tubing |
| underdampled? what can be the issue? | false high BP -tubing too small |
| what does the dicrotic notch represent? on exam!!! | closing of the aortic valve and start of distal |
| NO MEDS VIA ART LINE | |
| CVP is the right or left atrium, filling of the ... | right |
| PCWP is the filling of the _____ side of the heart | left |
| VAMP? use? vampiro drinks | VENOUS arterial blood management protection- baxter edwards -attached to pressure tubing for blood draws and allows retuenof 5ml "Waste: to the patient... less blood loss with multiple sampling "we attach VAMP for arterial blood draws" |
| anything you give via arterial line you administer through ______ port | distal |
| 2 ways to check cardiac output SATA (something about coil) if you flush less than 10mL going to have a wrong reading | |
| when MD is inserting pulmonary catheter (anytime going into the heart) , the patient is at risk for? what do I need to have at bedside? ON EXAM! | dysrhythmias -have amiodarone/ lidocaine at bedside |
| 1st thing I am going to do is? 2nd thing to do before calling MD | access, make sure tubing is tighten -then do zero, leveling before calling MD |
| If SVR high and PCWP is high what meds do I give? nitroprusside or dopamine? | nitroprisside b/c it works on the left side PCWP |
| CO/CI? | pump function co: 4-8 CI: 2.5--4.2 |
| CVP/PCWP | CVP: right heart 2-6 PCWP: left heart 8-12 filling pressire (how much fluid in the ventricles |
| PVR/SVR | afterload resistance it has to overcome |
| if CVP and PCWP is high? | high fluid, increase afterload |
| if CVP and PCWP is low? | low fluid AKA dehydration and decrease venous return |
| PAS/PAD is high? | pulmonary edema |
| CO/CI is high? | if high low after load |
| CO/CI is low? opposite to afterload | IF low CO/CI after load is increased ex: MI and HF |
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