Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
16 Cards in this Set
- Front
- Back
|
increased cvp, ci, pcwp, pap
|
hypervolemia, vasocontriction
|
|
|
decreased cvp,ci, pcwp, pap
|
hypovolemia
|
|
|
increase or decrease cvp
increase--pcwp, pap decrease--ci |
lv failure
increased afterload |
|
|
decreased ci
increased cvp, pcwp, pap |
pulmonary edema
|
|
|
increased cvp
decreased ci, pcwp, pap |
rv failure
increased preload |
|
|
phelbostatic axis location
|
4th intercostal space
R midaxillary line |
|
|
when is there a possibility of air entrainment into the systemic system?
|
operative site above the level of the heart
|
|
|
can lead to hypoxia, hypercarbia, brochoconstriction, hypotension, and cv collapse
|
venous air embolus (VAE)
|
|
|
devices used to detect a VAE
|
TEE
transthoracic doppler ETco2 pa catheter (aspiration) esophageal stethoscope |
|
|
most sensitive device to detect VAE
|
TEE
|
|
|
air is visualized in heart "fireflies"
|
TEE
|
|
|
will hear "millwheel" murmur
|
transthoracic doppler and
esophageal stethoscope |
|
|
sudden decrease in ETCO2
|
VAE
|
|
|
used for prompt aspiration of air from venous circulation
|
PA catheter(central venous access)
|
|
|
tx of VAE
|
ask surgeon to flood or pack field
d/c n2o and give 100% o2 aspirate bld/air from cv catheter support hemodynamics left lateral position |
|
|
if you detect a vae and you have no central venous line what can you do?
|
place pt in L lateral position--keeps air in r side of heart preventing entrance into art bld and migration of embolus to brain.
|
