Chapter 15 Flashcards

1
Q

3 sites of insertion

A
  1. Right internal jugular vein
  2. Left subclavian vein
  3. Femoral vein
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2
Q

Pulmonary artery catheter

A

Directly measures: C.O., CVP, PAO, RAP, PAP, PAW, PCWP
Indirectly measures: SV, SVI, CI, PVR, SVR, RVSWI, LVSWI

Continuously monitors the pulmonary artery pressure

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3
Q

CVP

A

0-8 mmHG

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4
Q

RAP

A

0-8 mmHg L/min/m2

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5
Q

PAP (right atrial pressure)

A

9-18 mmHg dynes x sec x cm5

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6
Q

PCWP

A

4-12 mmHg dynes x sec x cm5

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7
Q

CO/QT

A

4-8 mmHg L/min

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8
Q

SV

A

60-130 ml

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9
Q

CI

A

2.5-4.2 L/min

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10
Q

PVR

A

20-120 dynes/sec/cm

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11
Q

SVR

A

800-1500 dynes/sec/cm

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12
Q

EF

A

50-75%

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13
Q

Stroke Volume (SV)

A

SV = CO / HR

  • vol of blood ejected by ventricles with each contraction
  • major determinants: Preload (vol), Contractility (force), Afterload (resistance)
  • change to ml
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14
Q

Calculate: CI

A

CI = CO / BSA

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15
Q

Calculate: PVR

A

PVR = PAP - PCWP / CO x 80

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16
Q

Calculate: SVR

A

SVR = MAP - CVP / CO x 80

17
Q

Calculate: SVR

A

SVR = MAP - CVP / CO x 80

18
Q

What will increase and decrease PVR

A

Increase:

  1. decrease PO2
  2. increase PCO2
  3. decrease pH
  4. Drugs (Epinephrine)
  5. Certain diseases or conditions

Decrease: oxygen, increase pulmonary pressure, lung vol change

19
Q

What factors increase C.O.

A

Positive inotropic drugs (increased contractility), decreased vascular resistance, abnormal conditions