HEMODYNAMICS

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thom.mccusker@gmail.com
ID:
305506
Filename:
HEMODYNAMICS
Updated:
2015-07-21 21:47:29
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CCEMTP HEMODYNAMICS
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CCEMTP
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HEMODYNAMICS
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  1. Which of the following is the most important information obtained from hemodynamic monitoring?
    A) Oxygenation and perfusion
    B) Cardiac compliance
    C) Ejection fraction
    D) Stroke volume
    D) Stroke volume
    (this multiple choice question has been scrambled)
  2. The proximal (blue) lumen measures pulmonary artery pressure.
    a) True
    b) False
    FASLE
  3. Which of the following measures central venous pressure (CVP)?
    A) Distal lumen (yellow)
    B) Infusion port (white)
    C) Proximal lumen (blue)
    D) Balloon inflation port (red)
    C) Proximal lumen (blue)
    (this multiple choice question has been scrambled)
  4. Which of the following syringes should be used to inflate the pulmonary artery balloon?
    A) 10cc
    B) 5 cc
    C) 1 cc
    D) 1.5 cc
    D) 1.5 cc
    (this multiple choice question has been scrambled)
  5. The pulmonary artery catheter must always maintain which of the following constant flows in order to maintain patency of the line?
    A) 1–3cc/hr
    B) 3–5cc/hr
    C) 5–7cc/hr
    D) 7–10cc/hr
    B) 3–5cc/hr
    (this multiple choice question has been scrambled)
  6. Which of the following statements is TRUE regarding placement of the transducer?
    A) It must be level with the right atrium
    B) It needs to be level with the 5th or 6th intercostal space
    C) Placing the transducer too high will result in falsely elevated pressures
    D) It must be level with the left atrium
    A) It must be level with the right atrium
    (this multiple choice question has been scrambled)
  7. Which of the following is NOT a typical indication for leveling of the transducer?
    A) During inflation of the balloon
    B) Just prior to taking a reading
    C) Upon insertion
    D) Upon change in the patient’s position
    A) During inflation of the balloon
    (this multiple choice question has been scrambled)
  8. Which of the following values represents normal CVP and RAP?
    A) 15–30mmHg
    B) 2–6mmHg
    C) 6–12mmHg
    D) 30–40mmHg
    B) 2–6mmHg
    (this multiple choice question has been scrambled)
  9. Which of the following would cause an elevated CVP and RAP?
    A) Aggressive use of vasodilators
    B) Pulmonary hypertension
    C) Dehydration
    D) Hypovolemia
    B) Pulmonary hypertension
    (this multiple choice question has been scrambled)
  10. Right ventricular pressure can only be measured during insertion.
    a) True
    b) False
    TRUE
  11. The pulmonary artery pressure is the pressure within the pulmonary artery when the balloon in inflated.
    a) True
    b) False
    FALSE
  12. Inflation of the pulmonary artery balloon should be no longer than ____ seconds.
    A) 10
    B) 5
    C) 20
    D) 15
    D) 15
    (this multiple choice question has been scrambled)
  13. After wedging, the balloon is allowed to passively deflate and return to the right ventricle.
    a) True
    b) False
    FALSE
  14. Which of the following values represents a normal range for wedge pressures?
    A) 2–6mmHg
    B) 15–30mmHg
    C) 6–12mmHg
    D) 30–40mmHg
    C) 6–12mmHg
    (this multiple choice question has been scrambled)
  15. Which of the following patients would typically have a low cardiac output?
    A) A patient with a heart rate of 168
    B) A patient who was just given vasopressin
    C) A patient with hyperthyroidism
    D) A patient with anemia
    A) A patient with a heart rate of 168
    (this multiple choice question has been scrambled)
  16. Right ventricular preload is the same as central venous pressure (2 – 6 mmHg).
    a) True
    b) False
    TRUE
  17. The left ventricular preload (LVP) can be indirectly measured by the wedge pressure, and is the same as the left ventricular end diastolic pressure (LVEDP).
    a) True
    b) False
    TRUE
  18. Your patient has a pulmonary artery catheter inserted. You are now seeing runs of ventricular tachycardia. Which of the following should you suspect first?
    A) The patient is having a reaction to one of the medications they are on
    B) Your patient has just thrown a huge pulmonary embolus
    C) The right ventricular endocardium is being irritated by the catheter tip
    D) Your patient has a pneumothorax as a result of inadvertent puncture during catheter insertion
    B) Your patient has just thrown a huge pulmonary embolus
    (this multiple choice question has been scrambled)
  19. You note spontaneous wedging. Which of the following is NOT an acceptable action?
    A) Try turning the patient on their side
    B) Aspirate for blood return
    C) Inflate the balloon and then immediately deflate the balloon in an attempt to dislodge it
    d) Have the patient raise their arm nearest the catheter above their head and cough
    C) Inflate the balloon and then immediately deflate the balloon in an attempt to dislodge it
    (this multiple choice question has been scrambled)
  20. Which of the following is correct regarding a dampened waveform?
    A) This can be fixed by attempting to pull the catheter back into the right atrium
    B) A problem with the monitor should be suspected first
    C) A dampened waveform heralds impending cardiac arrest
    D) This can be fixed by attempting to pull the catheter back into the right ventricle
    A) This can be fixed by attempting to pull the catheter back into the right atrium
    (this multiple choice question has been scrambled)

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