16. Swan Ganz Catheter Flashcards
PAC requires
a central line w/introducer port
options for PAC introducers1
8.5F PSI (cordis)
9F MAC catheter
RA insertion depth
20-25 cm
RA pressur
5-12 mmHg
RV insertion depth
30-35cm
RV pressure
15-30/0-8 mmHg
PA insertion depth
40-55cm
PA pressure
15-30/5-15 mmHg
PA wedge depth
50-60cm
PA wedge pressure
5-15mmHg
pressure beofre catheter is wedge
PA pressure
pressure after catheter is wedged
backflow from LA
PCWP is an estimate of
LAP
what happens when cathter wedges
incr PaCO2
decr EtCO2
PAC: red port
balloon port
connect syringe to inflate
how much should you max inflate the PAC balloon
1.5mL
PAC: yellow port
distal tip of catheter
PAP
PCWP
PAC: blue port
30cm
CVP monitoring
proximal injectatae (thermistore)
PAC: white port
proxima infusion
30 cm
PAC: yellow thermistor
blood temp
CO
PAC abilities
PAP
CVP
PCWP
calculate CO
calculate SVR
calculate PVR
deliver drug infusions
pacing wire insertion
aspirate air emboli
PAC Indications
low EF
pulm HTN
PAC CI
LBBB
WPW
tricuspid regurge
PAC complications
air emboli
arterial puncture
pulm artery rupture
sustained ventricular ectopy
cardiac structure damage
knotting
PAC tips for easier insertion
ask pt to inhale (decr itP incr BF)
Reverse Tburg w/right lateral tilt
incr catheter stiffness
give inotropes (incr CO)
