Critical Care Exam Ii

Front 1

CPP

Back 1

Coronary Perfusion Pressure

Front 2

CPP Ratio is CPP at 5:1 or CPP at 15:2 ratio

Back 2

CPP at 15:2 ratio

Front 3

Full chest recoil allows for what

Back 3

Good Cardiac Output

Front 4

Adult BLS ratio for Single Rescuer (not trained)

Back 4

30-2 Ratio

Front 5

Health Care Provider’s (2) BLS ration (trained)

Back 5

15:2 Ratio

Front 6

Good CPR = output of _______%

Back 6

25-30%

Front 7

What is a TID

Back 7

Threshold Impedance Device which increased Cardiac Output during CPR related to intubation.

Front 8

Poor Prognostic Indicators regarding PT survival

Back 8

Absent of corneal or papillary response. Absent withdrawal to pain. No motor response.

Front 9

When a health care provider does not recognize critical PT changes, and these changes result in death, this is known as ______ to Rescue?

Back 9

Failure

Front 10

What are some of the critical care changes that should be recognized and action should be taken?

Back 10

Neuro Status, HR, Resp, Temp, Na+, U.O.

Front 11

What type medication is Nipride (Nitroprusside)?

Back 11

Antihypertensive which Vasodilatation

Front 12

Measurement of pressure, flow, volume & oxygenation within the cardiac system is known as ______ Monitoring?

Back 12

Hemodynamic

Front 13

True or False there are two types of Hemodynamic Monitoring, Invasive & Non Invasive?

Back 13

True

Front 14

List Non-Invasive types of hemodynamic monitoring that can occur?

Back 14

BP, Cap Refill, EKG, I/O.

Front 15

List Invasive types of hemodynamic monitoring?

Back 15

ART line, CVP,

Front 16

This number is reflected on the Vitals Monitor in ICU, it reflects the Right ventricular preload pressure. What is the _______?

Back 16

CVP

Front 17

The volume of blood within the ventricles at the end of diastole or filling pressure is?

Back 17

Preload

Front 18

Any force or resistance that the ventricles must pump against is known as?

Back 18

Afterload

Front 19

What types of things can impact Preload?

Back 19

Dehydration, Hypovolemia, Dysrrthymia

Front 20

Digoxin is a drug that increases force of contraction, it could also be called an ________?

Back 20

Inotropic

Front 21

Chonotropic drugs impact what cardiac function?

Back 21

Rate of Contraction

Front 22

Cardiac Output Equation

Back 22

CO= HR X SV

Front 23

Cardiac Index (CI) adjust CO for what

Back 23

Body Surface Area

Front 24

When should a Invasive Pressure Monitoring system be zeroed?

Back 24

#1st Time line hooked up, Tube Reconciliation at change of shift, When the tubing is changed.

Front 25

Positioning of Transducer ……where?

Back 25

Atria of heart (Phleobstatic axis) Midchest 4th intercostals or per CTICU pit to tit!

Front 26

What is the usual location of an Art Line

Back 26

Right Radial

Front 27

What is the pressure of a Pressure Bag inflated to?

Back 27

300 mm Hg

Front 28

A continuous flush such as pressure bag delivers ____mls per hours?

Back 28

3mls /hr

Front 29

True or False it is okay to give iv medications through an Right ART line?

Back 29

False NO MEDS in ART LINE EVER!

Front 30

True or False a Swan Cath is used to measure CVP, PA, PCWP &SVR, CO?

Back 30

True

Front 31

Central Venous Pressure is a reflection of amount of fluid returning to the _____ side of the heart-preload?

Back 31

RIGHT

Front 32

Normal CVP is ________mmHg?

Back 32

0.8mmHg

Front 33

True or False Respirations (inhalation and exhalation) will impact the CVP?

Back 33

True

Front 34

True or False Spontaneous breathing PT has have a lower CVP then Mechanically ventilated PT’s?

Back 34

True

Front 35

True or False If a PT CVP drops the Dr. should be notified ASAP ?

Back 35

False , The nurse should monitor for trends.

Front 36

What are some things that can cause alterations in the reading or data of the CVP?

Back 36

Infection, perforation, erosion, migration, thrombus.

Front 37

The RN is preparing to administer IV medications into the Central Line what standard of care should she provide and what will she document?

Back 37

Aseptic (hand washing & gloves), Scrub the Hub, Flush, Admin Flush. Note that medication was given, site was patent, dsg was dry, clean and intact.

Front 38

If the PT has a fluid deficit or a hemorrhage the CVP will reflect a Decreased or Increased Level?

Back 38

Decreased

Front 39

If the PT has hypervolemia or Heart Failure(left sided) the CVP will reflect a Decreased or Increased level?

Back 39

Increased

Front 40

How often should the RN assess the neurovascular stats distal to the arterial insertion site?

Back 40

Hourly

Front 41

A majority of circulation to the hand is supplied by the Radial or Ulnar Artery?

Back 41

Ulnar

Front 42

The ________ Test is the Ulnar Adequacy test?

Back 42

Allen Test

Front 43

When is the Allen Test performed? Before or After the Insertion of the Art Line?

Back 43

Before

Front 44

What does the Dicrotic Notch represent related to cardiac function? Closing or Opening of values?

Back 44

Closing

Front 45

What things might cause incorrect reading of an ART Line?

Back 45

Clot in the line, Cath tip against wall of vessel, Air Bubbles in line.

Front 46

Arterial Line pressure will be ___- ____ mmHg Higher than a Blood Pressure cuff?

Back 46

5-10mmHg

Front 47

Pulmonary Artery Catheter Placement: Distal _______, Medial _______, & Proximal ________?

Back 47

Pulmonary Artery, Right Ventricle, Superior Vena Cava

Front 48

Left Ventricle Function can best be measured by a Pulmonary Capillary ________?

Back 48

Wedge

Front 49

Is the Pulmonary Artery Pressure Measured at Inhalation or Expiration?

Back 49

Expiration

Front 50

What is the Inflation range of the balloon, _____ to _____ mls?

Back 50

1.0 to 1.5mls

Front 51

When the balloon has been inflated what primary source will pull the balloon through the heart?

Back 51

Hemodynamic

Front 52

A Thermo dilution Catheter can not only measure temperature it can also provide?

Back 52

CO Cardiac Output

Front 53

To prevent Infection & Sepsis how often should the pressure tubing, transducer & stop cock be changes?

Back 53

96 Hours

Front 54

When pulling a central line what to complications could occur?

Back 54

Emboli & Thrombus

Front 55

True or False The insertion and removal of the PA/Swan Cath could cause Dysrrhythmia?

Back 55

True

Front 56

If a PE should occur related to placement of a PA/Swan Cath what might be S/E?

Back 56

Neuro LOC, Dec Resp, Inc BP, Inc Pulse

Front 57

Who is allowed to adjust placement of a PA/Swan Cath…..RN, LPN, PCT, or DR?

Back 57

DR only!

Front 58

All stockcocks should have what attachment?

Back 58

Deadenders

Front 59

What is key when monitoring a PT for hemodynamic changes?

Back 59

Know the base line, (General Appearance, LOC, Skin Color, Vitals, Peripheral Pulses, U.O.)

Front 60

List three components of Brain?

Back 60

Brain Tissue 78%, Blood 12%, Cerebrospinal Fluid 10%

Front 61

CPP =

Back 61

Cerebral Perfusion Pressure

Front 62

Normal CPP is _____ to ______ mmHg?

Back 62

70-100mmHg

Front 63

CPP < 50 is associated with ________ & ______ death?

Back 63

Ischemia & Neuro

Front 64

True or False if Brain tissue is lost due to trauma it will generate?

Back 64

False

Front 65

This drug is a Vasopressor the renal dose of <3mcg/kg/min is used. This drug is?

Back 65

Dopamine

Front 66

What is the Primary Function of Mannitol?

Back 66

To pull fluid into the vascular spaces and decrease ICP

Front 67

When should measurement of ICP occur Inhalation or Expiration?

Back 67

Expiration

Front 68

When Trouble shooting a incorrect ICP reading what might the RN look at?

Back 68

CSF Leak, Obstruction in cath, Kink in line, Drainage Height

Front 69

True or False CPP optimal level should be 60 or above?

Back 69

True

Front 70

The gold standard for ICP measuring is ?

Back 70

Ventriculostomy