Hemodynamic monitoring

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Author:
FireJosh
ID:
219097
Filename:
Hemodynamic monitoring
Updated:
2013-05-12 00:44:32
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CCEMTP course
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From lecture handout
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  1. 4 factors affecting SvO2
    • CO
    • Arterial oxygenation
    • Hgb level
    • O2 consumption
  2. Pulmonary Vascular Resistance:
    what is normal value?
    indicates what?
    • <250 dynes
    • indicates R ventricular afterload
  3. Systemic vascular resistance: 
    normal value?
    800-1200 dynes
  4. What is the formula to calculate SVR?
    [(map - cvp)/co] x 80
  5. What PAP value indicates onset of pulmonary congestion?
    18-20mmHg
  6. What PAP value indicates acute pulmonary edema?
    >30 mmHg
  7. what are normal PAP values?
    15-30/5-15mmHg
  8. What are RVP values?
    15-30/0-8 mmHg
  9. Normal CVP values
    2-6mmHg
  10. CVP
    A wave
    atrial contraction
  11. CVP 
    v wave
    ventricular contraction
  12. CVP X & Y wave
    atrial diastole
  13. CVP C wave
    tricuspid closure
  14. Cardiac Index Value
    2.5-4
  15. PAWP value
    4-12mmHg
  16. PAWP max time limit to balloon inflation
    15- 30seconds
  17. For every 1cm deviation from the true phlebostatic access, pressure changes almost ______ mmHg in CVP's
    2
  18. Wave changes when placing a PA catheter include sharp systolic upstroke and diastolic dip in the ______ and smoother systolic upstroke with a dicrotic notch in the ______
    • RV
    • PA
  19. Volume overload, pulmonary HTN, cardiac tamponade, R or L sided heart failure, pulmonary edema, Mechanical ventilation, cardiac tamponade can all cause an _____ in CVP
    increase
  20. VSD (with L to R shunt), cardiac tamponade, L ventricular failure, PPV, and hypervolemia can all lead to a ______ in PAP
    Increase
  21. The PCWP gives an indirect measurement of L atrial pressure but also provides information about hydrostatic pressure within the _____ capillary bed
    Pulmonary
  22. as pulmonary capillary pressure rises blood begins to seep into the alveoli, __________ oxygen exchange
    impairing
  23. Normal CO range is
    4-8L/min
  24. SvO2 measurement shows the relationship between oxygen_______ and oxygen ______
    • supply 
    • demand
  25. Each degree of temperature elevation increases O2 demands by ____%
    10
  26. Treatment of pt with PA rupture includes positioning with affected side __________ (x ray after placement will determine which side PA is on)
    down
  27. Hemoptysis,severe respiratory distress, and shock are all signs of _________ rupture
    PA
  28. _______SvO2 value caused by increase in O2 delivery, decrease demand, inability of
    tissues to use, cyanide or carbon monoxide poisoning
    increased
  29. normal SvO2 value is _________
    60-80%
  30. Severe infection, skeletal injuries,
    work of breathing, burns, shivering,dressing change, bath, position changes,
    ekg, chest xray, agitation, and physical exam all cause an increase in_________ _________ demands
    tissue oxygen

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