Cardio

Front 1

Pulmonary Artery Complications

Back 1

dysrythmias
PA/RA/RV rupture
infection
balloon rupture
thrombus
air embolus

Front 2

PAWP (Wedge Pressure)

Back 2

determines left atrial pressure
left ventricle and be measured by putting catheter on left ventricle.

Front 3

PAWP reason for measuring

Back 3

1. diagnoses severity of LVF and to level the degree of mitral valve stenosis
3. PAWP is necessary to measure when evaluating pulmonary HTN
3. volume status

Front 4

PAWP complications

Back 4

infection
thrombus and embolism
catheter wedges permanently
--->call MD immediately.
ventricular irriation

Front 5

central venous pressure

Back 5

blood that enters right atrium

Front 6

reasons for measuring CVP

Back 6

1. hypotension pts not responding to treatment
2. decreased fluid volume
3. determines fluid loss
4. determines R sided pressure

Front 7

nursing responsibilities for CVP catheters
PRIOR TO INSERTION

Back 7

1. assemble equipment
2. confirm explanation to patient from MD
3. make sure signed consent
4. baseline vitals
5. prep the skin
6. POSITION FLAT or TRENDELENBERG

Front 8

nursing responsibilities for CVP catheters
DURING INSERTION

Back 8

1. stay with patient, provide reassurance
2. lidocaine infiltration
3. observe fluid fluctuation with respirations once the manometers is attached
3. monitor for any dysrythmias
4. attach fluids and regulate

Front 9

nursing responsibilities for CVP catheters
POST INSERTION

Back 9

1. cxr
2. cvp reading and recording
3. change ivf q24hr, tubing q72hr
4. change dressing daily and prn

Front 10

CVP complications

Back 10

1. pneumothorax, hemothorax
2. hemorrhage
3. infection of the insertion site
4. dysrythmias
5. embolism (air)

Front 11

when the balloon is inflated, the distal port of the PA catheter measures:

Back 11

PAWP

Front 12

Intraaortic Balloon Pump:
Best time to insert IABP:

Back 12

set to inflate during ventricle diastole so that a portion of blood within the aorta is forced back into the coronary arteries

Front 13

most common vascular complication of IABP therapy:

Back 13

limb ischemia

Front 14

nurse management for IABP:

Back 14

1. assess allergies
2. record baselines
3. attach ECG
4. balloon mgmt, if nodoctor, then they will die
5. PTT within normal level before catheter removal

Front 15

before or after AIBP management

Back 15

-CXR
-ABG
-Monitor N+ & K+
-monitor renal perfusion
-assess for bleeding
H&P's
PPT: 1.5-2 x normal value

Front 16

post procedural responsibilities

Back 16

1. ptt is within normal limits before cather removal
2. direct pressure to control bleeding
3. patient immobility
4. monitors perfusion of affected limb.

Front 17

post procedural responsibilities

Back 17

provide info about the time for using of IABP therapy. until pt hrt can function