2014 group presentation questions

Question 1

noninvasive BP measurements are based on what?

Answer 1

oscillation

Question 2

T/Fone reason for allowing pts to take their own Beta blocker is for cardiac protection

Answer 2

True

Question 3

for a pt with HTN, how close do you want to keep their baseline BP within

Answer 3

20 percent

Question 4

when deciding to use invasive vs noninvasive BP monitoring, what should you consider?

Answer 4

the type of case

Question 5

which artery for A-line insertion has highest risk of infection?

Answer 5

femoral

Question 6

which leads are considered standard limb leads?

which are considered augmented leads?

Answer 6

limb leads- I,II, III

augmented leads- AVR, AVF, AVL

Question 7

ST elevation for lateral wall MI is in what leads?

Answer 7

I, AVL (V5, V6)

Question 8

what is normal axis

Answer 8

-30 to 90 degrees

Question 9

what EKG changes are you expecting to see with hypokalemia?

Answer 9

T wave flattening to T wave inversion, U wave, ST depression, increased amplitude P waves

Question 10

a pt is going for an elective surgery and you see new EKG changes such as 6 ectopic beats, what should you do?

Answer 10

cancel the surgery b/c it is elective and consult cardiology

Question 11

lower than normal SVO2 may indicate what two things?

Answer 11

increase in 02 demand or consumption & decrease in 02 delivery

Question 12

the two main compensatory mechanisms of the body that help maintain balance between oxygen supply and demand are?

Answer 12

increase CO2 and increased 02

Question 13

what statement about SVR is incorrect?

Answer 13

catecholamine release causes a decrease in SVR

Question 14

what two body mechanisms assist in reduction of PVR?

Answer 14

recruitment and distention

Question 15

the single most important factor regulating stroke volume of a normal heart beat is?

Answer 15

volume of blood in the ventricle prior to contraction

Question 16

to maintain a steady state core temperature, the body must balance energy ____ and energy____?

Answer 16

gain and loss

Question 17

general and regional anesthesia inhibits thermoregulation and cause significant _______ such that temperature monitoring is warranted?

Answer 17

vasodilation

Question 18

_______ is the form of heat transfer which accounts for the majority of heat loss in the pt undergoing surgery?

Answer 18

radiation

Question 19

which temperature monitoring sites is known as inaccurate during open chest procedures?

Answer 19

pulmonary artery monitoring

Question 20

the most sensitive and earliest indication of malignant hyperthermia is?

Answer 20

increased ETC02

Question 21

T/F- the “a-wave” on the cvp correlates with the “p-wave” of the ECG and represents atrial contraction?

Answer 21

true

Question 22

what cardiac abnormality is associated with giant/cannon a-waves on cvp?

Answer 22

junctional rhythm

Question 23

T/F you must always float the swan through the pulmonary artery with the balloon down?

Answer 23

false

Question 24

the wedge pressure indicates what the pressure is in what side of the heart?

Answer 24

left

Question 25

T/F practitioners should always use the most invasive means to obtain clinical data?

Answer 25

false