CV Assessment

Question 1

Whats the formula for blood pressure?

Answer 1

SV X SVR

Question 2

How do you calculate the MAP?

Answer 2

SBP + 2(DBP) / 3

Question 3

Whats normal MAP

Answer 3

70-100 mmHg

Question 4

Whats normal CVP (also called RAP)?

Answer 4

2-5 mmHg

3-8 cmH2O

Question 5

Normal Cardiac Output

Answer 5

4-6 L/min resting

Question 6

How do you calculate cardiac output?

Answer 6

HR x SV = CO

Question 7

What is the cardiac index?

Answer 7

CO adjusted for body size

Question 8

Calculate the Cardiac Index

Answer 8

CO/BSA = CI

Question 9

What is normal CI?

Answer 9

2.2-4.0 L/min/m2

Question 10

What is stroke volume?

Answer 10

Amount of blood ejected by the VENTRICLE with EACH heart beat

Question 11

Calculate SV

Answer 11

(CO/HR) x 1000 = SV

Question 12

The resistance against which the left ventricle must pump to eject its volume

Answer 12

Systemic Vascular Resistance (SVR)

Question 13

Calculate SVR

Answer 13

(Map - CVP) / CO x 80

Question 14

Whats normal SVR?

Answer 14

800-1400

Question 15

Where is the phlebostatic axis

Answer 15

4th intercostal space and mid-way of the AP diameter of the chest

Question 16

Bed position for hemodynamic monitoring

Answer 16

0-60 degrees

Question 17

What test do you do prior to hemodynamic monitoring placement?

Answer 17

Allen’s test

Question 18

If the systolic BP declines > 10 mmHg during inspiration, (during normal spontaneous respiration)

Answer 18

pulsus paradoxus

Question 19

Arterial pulse waveform showing alternating strong and weak beats.

Answer 19

pulsus alterans

Question 20

Locations for a central line

Answer 20

Internal jugular
Subclavian
Femoral
Peripheral

Question 21

What to do for air embolus:

Answer 21

1. trendelenburg position
2. left side
3. 100% O2
4. Notify Dr

Question 22

PAS normal:

Answer 22

20-30 mmHg

Question 23

PAD normal:

Answer 23

5-10 mmHg

Question 24

PAWP normal:

Answer 24

4-12 mmHg

Question 25

What does PAWP/PAOP reflect?

Answer 25

reflects the filling pressures in the pulmonary vasculature LEFT sided pressures

Question 26

What reflects the filling pressures on the right side of the heart?

Answer 26

CVP

Question 27

What is normal preload on the right side of the heart?

Answer 27

2-5 mmHg

Question 28

What reflects filling pressures on the left side of the heart?

Answer 28

PAWP

Question 29

What is normal preload on the left side of the heart?

Answer 29

5-12 mmHg

Question 30

Calculate afterload

Answer 30

SVR = (Map - CVP) x 80 / CO

Question 31

Drugs to increase SVR:

Answer 31

Dopamine, Norepinephrine

Question 32

Drugs to decrease SVR:

Answer 32

Nitroprusside
NTG
Hydralazine

Question 33

Calculate PVR:

Answer 33

1/6 of SVR

Question 34

What is normal PVR

Answer 34

100-250 dynes/sec/cm5

Question 35

a naturally occurring phenomenon in which the arterial pulse pressure falls during inspiration and rises during expiration due to changes in intra-thoracic pressure secondary to negative pressure ventilation (spontaneously breathing).

Answer 35

SVV

Question 36

Normal SVV

Answer 36

10-15%

Question 37

Oxygen Sat of venous blood is called

Answer 37

SVO2

Question 38

Normal SVo2

Answer 38

60-80%

Question 39

The nurse caring for a patient with an arterial line notes the reading of 182/130. The priority action at this time will be:

1. Notify the MD
2. Increase the nitroprusside IV gtt
3. Verify the transducer level
4. Verify the flush solution

Answer 39

3 is my guess

Question 40

The patient with a FloTrac monitor is noted to have a SVV of 19%. The nurse can anticipate which treatment ordered?

1. Fluid bolus
2. Dopamine IV gtt
3. Nitroglycerine IV gtt
4. Lasix per IV

Answer 40

1

Question 41

The nurse notes a SVR of 550 dynes/sec/cm-5. This is an indicator of:

1. Vasoconstriction
2. Increased right heart preload
3. Increased left heart preload
4. Vasodilation

Answer 41

4