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35 Cards in this Set
- Front
- Back
What is optimal damping coefficient?
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.6-.7
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If frequency response is too low, system will be ______damped, _______estimating systolic
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system will be overdamped, underestimating systolic
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Underdamping leads to ______shoot and falsely ____SBP
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overshoot; high
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what does small amounts of dampening do to arterial wave form
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overshoot, ringing, systolic falsely high
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wha does large amount dampening do to arterial waveform?
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compresses it, systolic falsely high, mean the same
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what can cause dampin?
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air, longer line, misaligned stopcock
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As you move away from the aorta, the wave form systolic___ more than diastolic ______
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systolic increases more than diastlic decreases
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As you move further down the peripheral tree, what happens to the diacrotic notch?
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shifts to the right
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diacratic notch represents
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closing of the aortic semilunar valve
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too small of BP cuff causes falsely
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high reading
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when using ultrasonic dopplar system, probe is placed on the
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radial artery
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doppler system senses
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red blood cell flow as cuff gets below systolic pressure
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Doppler is used for____ and ____
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return to flow and to find systolic
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which parameters monior both the pt and anesthesia delivery sys?
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Paw,Qaw, Vt, Resp Gas analysis,
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Definition of precision
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degree of consistency between repeated measurements of the same quantity
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precision=
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(measured-mean)/mean
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Left ventricle is profused mostly during
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diastole
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right ventricle is profused mostly during
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systole
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Phases of the korotkoff sounds
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1: snapping 2:murmurs 3:thumping 4:muffling 5:silence
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If bp at heart is 115 mmHg, what is it 20 cm above heart?
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20cm (.76mmHg/cmH20)=14.7; 115-15=100mmhg
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If you increase the diameter of tubing, what happens to resonance/frequency
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increase of resonance/frequency
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resonance is
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the tendency of a system to oscillate at maximum amplitude at certain frequencies
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suggested rate for deflating a BP cuff
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3mmHg per heart rate
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What are the most sensitive leads for the detection of ventricular ischemia?
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V4, V5
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In NIBP MAP is measured by
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maximum amplitude
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how are systoic and diastolic measred in NIBP?
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calculated from MAP
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characteristics of an overdamped arterial BP system
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squished, rounded, not sharp; looks like sine wave; will look like damped one
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which pressure do we look for to indicate tissue perfusion?
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MAP
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A MAP of ______is necessary for cerebral perfusion and ___ for kidney
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60; 70
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vascular wall tension is represented by
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systolic
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which is the reference lead?
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right leg
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the reference lead (right leg) picks up____Hz which is the
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60 hz (common mode rejection and feeds back from pt into cables, cancels out interference
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Pressure inside cuff oscillates with ____
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Heart rate
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Physiological variations that cause errors in NIBP readings
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Shock, large variations in pressure,(step or cyclic); atrial fib.
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describe types of pressure changes required for errors in NIBP errors
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10-15mmHg in 4-15sec; beat to beat variation 10-50mmHg in several beats; variation in pulse rate; >15% beat to beat
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