Blood pressure, lines, tubes and equipment
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each of the black spaces below before clicking
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| 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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| show | Systolic increases around 40-50 mm Hg with intense exercise, while diastolic stays the same.
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| show | Stiffening of the aorta secondary to atherosclerosis
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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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| show | Peripheral vascular disease. In some cases an ankle brachial index value of greater than 1.0 is still considered to be normal
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| What happens with BP with advancing age? | show 🗑
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| show | A plateau or decrease in cardiac output
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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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| What are 4 precautions for arterial (A lines) | show 🗑
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| show | Alarm sound indicates fluid source is empty, or the system is unbalanced, disruption or disconnection may result in an air embolus, shldr flex. Ans and abd may be restricted, mobility may need to be restricted near the catheter insertion
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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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| show | Is a catheter placed into a large vein in the neck, chest, groin to administer meds, fluids, obtain blood tests and measure central venous pressure
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| Indwelling right atrial catheters | show 🗑
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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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| Hypovolemic tx. | show 🗑
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| What is cardio genie shock | show 🗑
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| show | Overwhelming infection leading to vasodilation. Management includes restoring intravascular volume and ID and controlling the source of infection
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| What is anaphylactic shock | show 🗑
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| What is autonomic dysreflexia | show 🗑
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| What is the clinical presentation of, risk factors, Dx. And tx. Of autonomic dysreflexia | show 🗑
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Created by:
Di2000
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