Cardiovascular dysfunction

Question 1

Hemodynamic monitoring

Answer 1

enables the nurse to assess for the presence of shock and cardiac and pulmonary abnormalities as well as complication following MI

Question 2

phlebostatic axis

Answer 2

where transducers should be secured.

an external reference point for the anatomical position of the right and left atria and pulmonary artery.

4th intercostal of the midaxillary line.
lower is high
higher is low

Question 3

atrial line

Answer 3

a small catheter inserted into an artery for constant systemic BP

usually inserted into radial. Can also go in axillary, brachial, femoral artery or dorsil pedis

negative Allen indicates not to use radial because ulnar is not perfusing enough

Question 4

central venous monitoring

Answer 4

catheter placed in IJ, SC or femoral vein for monitoring of CVP.

indicates mean right atrial pressure and helps to estimate right ventricular filling pressures or volume returning to the right heart from systemic circulation. (preload)