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20 Cards in this Set
- Front
- Back
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what are the complications of a hemodynamic catheter?
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pulmonary embolism, thrombolism, infarction; lethal dysrhythmias; infection, arterial rupture, radial nerve damage
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how can you tell the difference between a pneumo and a PE?
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a pneumo has NO breath sounds, a PE has decreased sounds
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what does CVP or central venous pressure measure?
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monitors preload
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what is the normal range for hydration status?
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5-10 cm H20
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If the CVP pressure is dropping or low what should you do?
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give volume
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If CVP pressure is high what does that mean?
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usually right sided heart failure
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where is the phelbostatic axis supposed to be at?
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4th intercostal mid axillary
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If the transducer is below the axis what will the pressure be?
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high
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If the transducer is above the axis what will the pressure be?
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low
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what patient would you never lay flat to zero out a transducer?
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ICP
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how much pressure is normally used in IVF and what rate is usually used to keep patent>
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300 mmHg and 1-3 ml/hr
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how do you check to see if the pressure is correct?
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non invasive bp cuff
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what test will be done before an art line will be started?
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an Allen's test
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when do you get a zero transducer reading?
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beginning of shift and when the patient is moved
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what conditions would merit an art line?
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septic, cardio, and neurogenic shock
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what is the optimal postion for an art line?
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supine with HOB flat
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what does a PA catheter or a swan gantz measure?
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complete heart function
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how much air do you use to do a wedge pressure?
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1.5 ml only at the end of expiration
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how do you pull a PA?
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remove sutures, trendlenburg's positon, deep breath and hold, keep pulling it's 3 ft long!
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what is the ekg going to show when you pull a PA?
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all kinds of things because you are touching all parts of the heart
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