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18 Cards in this Set

  • Front
  • Back
Stroke Volume

The amount of blood ejected from the ventricle with each beat.
Normal Stroke-Vol is... ml/beat/minute
60-100 ml/beat/min
Preload

The stretch on the myocardial muscle fibers at the end of diastole and is determined by the volume of blood filling the ventricle ant the end of diastole.
Excessive Preload


Results in congestion, increased resistance to coronary blood flow, and increased myocardial oxygen consumption.



Ventricular Preload calculates which 2 things?


Pressure


&


Volume

Right Ventricular Preload


pressure is measured in which area?




FYI: (there are 2 names/acronyms)

RAP (Right Atrial Pressures)


or


CVP (Central Venous Pressures)

Right Ventricular Preload is normally?

2 - 6 mm/Hg (this is the pressure)

Right Ventricular Preload




RVEDP

RVEDP (Right Ventricular End Diastolic Pressure)




This measurement is acquired by a special


Volumetric Catheter that measures the right ventricular EDV

Right Ventricular Preload




RVEDP Normal Volume is?

100 - 160 ml

Left Ventricular Preload



How is it measured?



(PAOP) Mean Pulmonary Artery Occlusive Pressure



AKA: Wedge pressure

Left Ventricular Preload



How is this pressure obtained?



How do we measure it?


Obtains Left Atrial Pressure.



Occludes blood flow distal to catheter tip and creates a static column of blood that reflects pressure back from the left atrium


(Swan-Ganz)

Left Ventricular Preload




Normal Pressure is?

PAOP/WEDGE



5 - 12 mm/Hg

Left Ventricular Preload




PAOP is a good indicator of LV pressures


UNLESS.......

There is disease in the mitral valve or decreased LV compliance.




(remember... aka "wedge")

Left Ventricular Preload




Other ways to measure the Left Ventricular Filling Pressure?




2 total

PaD - Pulmonary Artery Diastolic Pressure


-if no pulmonary hypertension Present




Mean Left Atrial Pressure


- if there is a catheter in the left atrium.

Noninvasive Assessment of Preload:


-increased


-decreased

Increased preload indicates roughly...


-volume and distention


-SOB, Decreased O2


-Weight Fluctuations


Decreased Preload indicates roughly...




Cardiac index

Indicates cardiac output considering patient body surface area

Cardiac output

The volume of blood ejected by the ventricles each minute. Stroke volume per beat per min.



Normally 4 -8 liters per minute



3 determinants of stroke volume

Preload


Afterload


Contractility