Chapter 9 - Hemodynamic Monitoring

Question 1

Arteries

Answer 1

Away from ♡

Question 2

Capillaries

Answer 2

Exchange vessels

Question 3

Veins

Answer 3

To the ♡

Question 4

Cardiac Output

Answer 4

CO =HR x SV

Question 5

SV

Answer 5

Preload - before contraction
Afterload - resistance ventricles must over come
Contractibility

Question 6

HR

Answer 6

ANS , Catecholamine release, electrolytes, temperature, electrolytes,

Question 7

Hemodynamic Monitoring Modalities

Answer 7

Noninvasive - Noninvasive BP, Jugular Venous Pressure, Lactate

Invasive - Catheter, High pressure noncompliant tubing, transducer w stop clock, pressureized flush, bed side monitoring

Question 8

Noninvasive BP

Answer 8

Routine, manually, automatic

Question 9

Jugular Venous Pressure

Answer 9

Jugukar vein distention occurs when CVP is elevated

Question 10

CVP elevation can be caused by

Answer 10

fluid overload, r ventricular dysfunction, superior vena cava obstruction, and r ♡ failure

Question 11

Lactate

Answer 11

Normal arterial - .3-.8
venous - .6-2.2

Question 12

Hemodynamic monitoring keep HOB

Answer 12

flat or 30 degrees

Question 13

Leveling Air Fluid Interface

Answer 13

Position the zeroing stopclock of the trasducer system at level of atria for accurate reading

Question 14

Zero referencing

Answer 14

The effects of atmospheric pressure on the fluid filled hemodynamic monitoring system must be negated for accurate measurements

Question 15

Dynamic Response Testing

Answer 15

Fluid filled monitoring systems rely on the abiloty of transducer to translate vascular system pressure into waveforms/ numerical data

Question 16

Preventing Infection

Answer 16

Sterile
Chlorahexadine
Optimal site

Question 17

Complications

Answer 17

Infection Embolism Thrombosis

Question 18

Arterial Pressure Monitoring

Answer 18

Used for patients at risk for compromised tissue perfusion

Question 19

R Atrial Pressure/ central Venous Pressure

Answer 19

Critically ill patients, used to estimate central venous blood volume and R ♡ function

Question 20

Pulmonary Artery Pressure Monitoring

Answer 20

Used oto diagnose and manage a variety of conditions in critically ill patients

Question 21

Cardiac Output Monitoring

Answer 21

Amount of blood ejected by the ♡

Question 22

Controversy surrounding the pulmonary artery catheter

Answer 22

Use of PAC suggests increased mortality

Question 23

Balancing Oxygen Delivery abd Oxygen Demand

Answer 23

The primary goal in caring for critically ill is to determine whether oxygen delivery is meeting the ocygen and metabolic demands of pt

Question 24

Stroke Volume Optimization

Answer 24

SV assessment is most accurate

Question 25

Doppler Technology Methods of Hemodynamic Assessment

Answer 25

Echocardiography that uses doppler is expensive and requires technixal expertise.

Question 26

ghghj

Question 27

Pulse Contour Method of Hemodynamic Assessment

Answer 27

Several devices are available that use pulse contour analysis to determine various hemodynamic parameters including CO and SV

Question 28

Passive Leg raising to assess Preload

Answer 28

Assessing a patient’s response to passive leg raising can be used to determine whether the patient is preload responsive indicated by an increase in SV