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70 Cards in this Set
- Front
- Back
CPP
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Coronary Perfusion Pressure
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CPP Ratio is CPP at 5:1 or CPP at 15:2 ratio
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CPP at 15:2 ratio
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Full chest recoil allows for what
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Good Cardiac Output
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Adult BLS ratio for Single Rescuer (not trained)
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30-2 Ratio
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Health Care Provider’s (2) BLS ration (trained)
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15:2 Ratio
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Good CPR = output of _______%
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25-30%
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What is a TID
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Threshold Impedance Device which increased Cardiac Output during CPR related to intubation.
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Poor Prognostic Indicators regarding PT survival
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Absent of corneal or papillary response. Absent withdrawal to pain. No motor response.
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When a health care provider does not recognize critical PT changes, and these changes result in death, this is known as ______ to Rescue?
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Failure
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What are some of the critical care changes that should be recognized and action should be taken?
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Neuro Status, HR, Resp, Temp, Na+, U.O.
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What type medication is Nipride (Nitroprusside)?
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Antihypertensive which Vasodilatation
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Measurement of pressure, flow, volume & oxygenation within the cardiac system is known as ______ Monitoring?
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Hemodynamic
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True or False there are two types of Hemodynamic Monitoring, Invasive & Non Invasive?
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True
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List Non-Invasive types of hemodynamic monitoring that can occur?
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BP, Cap Refill, EKG, I/O.
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List Invasive types of hemodynamic monitoring?
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ART line, CVP,
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This number is reflected on the Vitals Monitor in ICU, it reflects the Right ventricular preload pressure. What is the _______?
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CVP
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The volume of blood within the ventricles at the end of diastole or filling pressure is?
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Preload
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Any force or resistance that the ventricles must pump against is known as?
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Afterload
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What types of things can impact Preload?
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Dehydration, Hypovolemia, Dysrrthymia
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Digoxin is a drug that increases force of contraction, it could also be called an ________?
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Inotropic
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Chonotropic drugs impact what cardiac function?
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Rate of Contraction
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Cardiac Output Equation
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CO= HR X SV
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Cardiac Index (CI) adjust CO for what
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Body Surface Area
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When should a Invasive Pressure Monitoring system be zeroed?
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#1st Time line hooked up, Tube Reconciliation at change of shift, When the tubing is changed.
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Positioning of Transducer ……where?
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Atria of heart (Phleobstatic axis) Midchest 4th intercostals or per CTICU pit to tit!
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What is the usual location of an Art Line
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Right Radial
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What is the pressure of a Pressure Bag inflated to?
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300 mm Hg
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A continuous flush such as pressure bag delivers ____mls per hours?
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3mls /hr
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True or False it is okay to give iv medications through an Right ART line?
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False NO MEDS in ART LINE EVER!
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True or False a Swan Cath is used to measure CVP, PA, PCWP &SVR, CO?
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True
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Central Venous Pressure is a reflection of amount of fluid returning to the _____ side of the heart-preload?
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RIGHT
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Normal CVP is ________mmHg?
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0.8mmHg
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True or False Respirations (inhalation and exhalation) will impact the CVP?
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True
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True or False Spontaneous breathing PT has have a lower CVP then Mechanically ventilated PT’s?
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True
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True or False If a PT CVP drops the Dr. should be notified ASAP ?
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False , The nurse should monitor for trends.
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What are some things that can cause alterations in the reading or data of the CVP?
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Infection, perforation, erosion, migration, thrombus.
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The RN is preparing to administer IV medications into the Central Line what standard of care should she provide and what will she document?
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Aseptic (hand washing & gloves), Scrub the Hub, Flush, Admin Flush. Note that medication was given, site was patent, dsg was dry, clean and intact.
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If the PT has a fluid deficit or a hemorrhage the CVP will reflect a Decreased or Increased Level?
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Decreased
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If the PT has hypervolemia or Heart Failure(left sided) the CVP will reflect a Decreased or Increased level?
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Increased
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How often should the RN assess the neurovascular stats distal to the arterial insertion site?
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Hourly
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A majority of circulation to the hand is supplied by the Radial or Ulnar Artery?
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Ulnar
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The ________ Test is the Ulnar Adequacy test?
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Allen Test
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When is the Allen Test performed? Before or After the Insertion of the Art Line?
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Before
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What does the Dicrotic Notch represent related to cardiac function? Closing or Opening of values?
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Closing
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What things might cause incorrect reading of an ART Line?
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Clot in the line, Cath tip against wall of vessel, Air Bubbles in line.
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Arterial Line pressure will be ___- ____ mmHg Higher than a Blood Pressure cuff?
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5-10mmHg
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Pulmonary Artery Catheter Placement: Distal _______, Medial _______, & Proximal ________?
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Pulmonary Artery, Right Ventricle, Superior Vena Cava
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Left Ventricle Function can best be measured by a Pulmonary Capillary ________?
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Wedge
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Is the Pulmonary Artery Pressure Measured at Inhalation or Expiration?
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Expiration
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What is the Inflation range of the balloon, _____ to _____ mls?
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1.0 to 1.5mls
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When the balloon has been inflated what primary source will pull the balloon through the heart?
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Hemodynamic
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A Thermo dilution Catheter can not only measure temperature it can also provide?
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CO Cardiac Output
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To prevent Infection & Sepsis how often should the pressure tubing, transducer & stop cock be changes?
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96 Hours
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When pulling a central line what to complications could occur?
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Emboli & Thrombus
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True or False The insertion and removal of the PA/Swan Cath could cause Dysrrhythmia?
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True
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If a PE should occur related to placement of a PA/Swan Cath what might be S/E?
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Neuro LOC, Dec Resp, Inc BP, Inc Pulse
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Who is allowed to adjust placement of a PA/Swan Cath…..RN, LPN, PCT, or DR?
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DR only!
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All stockcocks should have what attachment?
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Deadenders
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What is key when monitoring a PT for hemodynamic changes?
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Know the base line, (General Appearance, LOC, Skin Color, Vitals, Peripheral Pulses, U.O.)
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List three components of Brain?
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Brain Tissue 78%, Blood 12%, Cerebrospinal Fluid 10%
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CPP =
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Cerebral Perfusion Pressure
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Normal CPP is _____ to ______ mmHg?
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70-100mmHg
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CPP < 50 is associated with ________ & ______ death?
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Ischemia & Neuro
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True or False if Brain tissue is lost due to trauma it will generate?
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False
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This drug is a Vasopressor the renal dose of <3mcg/kg/min is used. This drug is?
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Dopamine
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What is the Primary Function of Mannitol?
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To pull fluid into the vascular spaces and decrease ICP
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When should measurement of ICP occur Inhalation or Expiration?
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Expiration
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When Trouble shooting a incorrect ICP reading what might the RN look at?
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CSF Leak, Obstruction in cath, Kink in line, Drainage Height
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True or False CPP optimal level should be 60 or above?
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True
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The gold standard for ICP measuring is ?
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Ventriculostomy
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