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Blood pressure, lines, tubes and equipment

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Question
Answer
What does systolic BP measure   show
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show The blood pressure while the heart is relaxed  
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show At a rate of 8-12 mm Hg per metabolic equivalent in a linear progression. And ceases to increase with sustained activity  
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If systolic BP doesn't increase with increased workload what can this indicate?   show
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show 10 mm Hg  
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show If the systolic pressure exceeds 210 mm Hg or if the diastolic exceeds 110 mm Hg  
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show Its the difference between systolic and diastolic BP. It generally increases in direct proportion to the intensity of exercise  
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What happens with systolic and diastolic BP during exercise   show
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What can excessive pulse Pressure indicate?   show
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Normally how much higher is systolic BP in the legs than in the arms(brachial artery)   show
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BP readings that are lower in the legs as compared to the arms are abnormal and may indicate what?   show
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show The same amount of blood fills the ventricles but the pumping mechanism is less effective and the body compensates by increasing BP to attempt homeostasis  
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During exercise testing, a systolic BP that doesnt increase or decrease with increasing workloads may signal what   show
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As a general guideline, the 3 minute post exercise systolic BP should be what % less than at its peak   show
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show Avoid applying BP cuff above the infusion site, grasp IV line pole so the infusion site is at heart level', avoid activities that require the site to be above the level of the heart for prolonged periods of time, avoid disturbing the site during exercise  
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Total Paranetral Nutrition, Hyperalimentation Devices (intravenous Feeding) info. (4)   show
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show Avoid isometric or valsalva maneuver, avoid neck flexion, hip flexion > 90 degrees, and lying in prone, venous drainage is maximal with HOB elevated to 30 degrees, momentary elevation of intracranial pressure is normal, but sustained are not  
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Gastrostomy tube (G tube) precautions (2)   show
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Chest tube precaution (3)   show
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Mechanical ventilation precautions (3)   show
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show Beware of signs of respiratory distress (dyspnea, cyanosis, cramping), monitor SaO2, PaO2, and hemodynamics prior to, during, and post tx.  
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show Pulmonary artery catheter  
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What is the purpose of the swan-ganz catheter   show
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What is a central venous pressure catheter   show
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show Administers parenteral fluids or meds, measure venous circulation  
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show Presents: difficulty breathing, chest P, rapid pulse, circulatory instability, death. Risk factors: Sx., long periods of inactivity, increased levels of clotting factor in blood, abnormal factors in vessel wall Dx.: pulmonary angiography, chest X-Ray  
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show Life-threatening condition caused by insufficient circulating blood volume caused by hemorrhage or severe burns Presentation: Hypotension, anxiety, altered mental status, clammy skin, rapid pulse, thirst, fatigue Dx.: through clinical presentation  
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show Activate emergency medical system, position pt. in supine with legs elevated 12". Controll any bleeding, provide infusion of balanced salts or blood in severe cases  
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What is cardio genie shock   show
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What is septic shock   show
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show Severe and sometimes fatal reaction to an allergen, antigen or drug which causes vasodilation leading to hypotension. Management includes I'd and removing antigen and administering anti-histamines  
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show A massive sympathetic discharge that can occur in association with spinal cord injury or disease. The condition is triggered by a variety of noxious stimuli including bladder dissension, UTI, skin ulcers, & bowel impact ion  
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show Presentation: sweating above the level of the lesion, flushing of the skin above the level of the lesion, elevated BP and blurred vision Risk: spinal injuries @ or above T6 Tx.: removing stimuli, sitting pt upright, remove tight clothing, vasodilators  
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