quiz #3 – evaluation of cardiopulmonary patient

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BPT
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108034
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quiz #3 – evaluation of cardiopulmonary patient
Updated:
2011-10-11 11:19:57
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cardiopulmonary conditions
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quiz #3
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  1. arterial line
    placed at the wrist

    No range of motion or weight-bearing activities
  2. Swan Ganz (PA) catheter
    a catheter that is placed over the chest

    Must be very cautious when getting them out of bed
  3. IABP
    intra-aortic balloon pump

    hip should not be flexed greater than 90°
  4. PICC
    peripherally inserted central catheter

    Usually located at the elbow – don't take blood pressure over it
  5. Foley catheter
    catheter that is placed into the urethra and bladder
  6. Hickman line
    • is not used very often
    • surgically implanted
    • used to administer chemotherapy
  7. mean blood pressure
    • 70 – 10 mmHg is normal
    • MBP=DBP+1/3(pulse pressure)
    • If MAP drops below 60 don't get out of bed
  8. thoracic deformities – COPD
    ground, barrel chest, anterior chest lifted
  9. Chest deformities – pectus excavatum
    sternum posteriorly – potential compression on heart and lungs
  10. Chest deformities – pectus incarinatum
    sternum anterior, pigeon breast
  11. what increases work of breathing
    respiratory rate, accessory muscle use, decreased compliance, increase airway resistance, abnormal breathing patterns
  12. eupnea
    normal breeding
  13. hypernea
    breathing deeper and faster
  14. orthopnea
    trouble breathing laying down
  15. apnea
    cessation a breathing
  16. Cheyne stokes
    increased depth, apnea = icp, chf
  17. Kussmauls:
    irregular rate and depth, ketoacidosis, renal failure
  18. sputum
    Clear
    colorful
    hemoptysis
    • clear = normal
    • colorful = infection
    • hemoptysis = pulmonary embolism, cancer
  19. sputum – Frothy/white
    pulmonary edema
  20. sputum – tenacious
    cystic fibrosis
  21. juvenile venous distention
    • backing up of fluid in the venous system – usually right heart failure
    • quotation into semi recumbent position of 45°, turned her head away
    • normally 3-5 cm above sternum, more than that is abnormal
  22. Patechiae
    small purplish spots = average, thrombocytopenia
  23. pitting edema scale
    • 1+ = trace, barely a depression
    • 2+ = mild, skin rebounds in <15 seconds
    • 3+ = moderate, skin rebounds and 15 – 30 seconds
    • 4+ = severe, skin rebounds in >30 seconds

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