Equipment/Lines/Tubes

Question 1

Why is core temp monitoring mandatory during blood transfusions?

Answer 1

To watch for transfusion reactions

Question 2

What are the two probes available for ccp ultrasound?

Answer 2

Linear and phased array

Question 3

What uses does the linear US probe have?

Answer 3

The view of radial art location, lung slide, optic nerve sheath diameter for ICP monitoring.

Question 4

What use does the Phased Array probe have?

Answer 4

Lets us view deep structures such as Heart, bladder, abdomen, large vessels.

Question 5

What are the four Grades of Intrabdominal HTN?

Answer 5

G1: 12-15mmhg
G2: 16-20MMHG
G3: 21-25MMHG
G4: >25MMHG

Question 6

What is an EVD?

Answer 6

External ventricular drain

Question 7

What does an EVD monitor aside from ventricle?

Answer 7

Lumbar

Question 8

List some uses of a Cordis Catheter

Answer 8

-Used by CCP for Tvp
-Accomodates large volume resus
-Reliable CVC
-transduce it for CVP

Question 9

What is the catheter choice in trauma ?

Answer 9

The Cordis

Question 10

What is the size (fr) of a cordis?

Answer 10

6.5-8fr

Question 11

What are the three sites of insertion for a cordis, which is most popular?

Answer 11

Right IJ (most common), subclavian Femoral vein

Question 12

What are four large consequences of Tvp wire insertion?

Answer 12

-bleeding
-Pneumothorax
-Infection
-Air embolism

Question 13

How is Tvp wire placement confirmed?

Answer 13

-Ultrasound ia sub-xiphoid view
-Cardiac monitoring

Question 14

Where is the TVp wire inserted?

Answer 14

The right IJ is perffered, L subclavian is an option but this is the permanent pacer site.

Question 15

Once placed in the RIJ, Where does the TVP wire rest?

Answer 15

The right ventricle

Question 16

Is the TVP dual or single chamber pacing?

Answer 16

Most likely to be single (ventricular)

Question 17

How is a pulmonary Artery catheter inserted?

Answer 17

Through the RIJ via Cordis catheter into the RA.

Question 18

Can a PA catheter be used for temperature monitoring? And is it accurate?

Answer 18

Yes, and it is the most accurate.

Question 19

What is the second most accurate means of temperature monitoring?

Answer 19

Esophageal temp is second best.

Question 20

Where can a CV dialysis catheter be placed?

Answer 20

Through the R IJ, Subclavian, Femoral vein

Question 21

Are dialysis, triple lumen, quad lumen catheters considered a CVC? True or false

Answer 21

TRUE

Question 22

What are two things that will kill your patient in CCP without you knowing?

Answer 22

An insulin infusion and Mechanical ventilation

Question 23

How many months can a PIC line be insitu for ?

Answer 23

3 months

Question 24

Where is the blakemore tip inserted?

Answer 24

Through the esophagus, GE junction. Aim is to tamponade portal vein/varicies.

Question 25

How much traction does the blakemore need to have in weight?

Answer 25

1kG of traction, 1L N/S should do

Question 26

What is a hemovac?

Answer 26

Hemovac is a surgical drain inserted by a surgeon that geerates negative pressure. Can be inserted superficially, in an organ, or a duct.

Question 27

What is a chest tube?

Answer 27

Tube instered into the pleural space to neutralize intrapleural pressure after PIP increase from tension pneumothorax, Hemothorax etc.

Question 28

What are the three letter categories in pacemaker coding?

Answer 28

1. Chamber paced 2. Chamber sensed 3. Response to sensed event.

Question 29

What does an arterial line reflect clinically?

Answer 29

-Real time cardiac output -Vasc. Resistence -Volume status -pahtological state detection

Question 30

What does the systolic upstroke represent?

Answer 30

Ventricular ejection

Question 31

What does the dicrotic notch represent?

Answer 31

The aortic valve closing

Question 32

What does the diastolic downstroke represent?

Answer 32

Peripheral vascular resistance

Question 33

Where should the art line transducer be kept?

Answer 33

-the phlebostatic axis -4th intercostal space -mid axillary

Question 34

What is pulse pressure?

Answer 34

The difference between systolic to diastolic. -Greater or less than 40mmhg

Question 35

Define an overdampened arterial waveform?

Answer 35

Blunted appearance, absent dicrotic notch.

Question 36

What could an overdampened waveform suggest?

Answer 36

-decreased cardiac output -Kinked tubing -Loss of pressure

Question 37

Describe an underdampened Waveform

Answer 37

Exaggerated peaks, oscilations,

Question 38

List the causes of an underdampened waveform

Answer 38

Stiff tubing, -excessive tubing length -Excessive pressure from bag.

Question 39

List the 3 waves and 2 descents seen on a CVP waveform

Answer 39

-A wave -C-wave -X-descent -V-wave -Y-descent

Question 40

What does the A-wave represent?

Answer 40

Atrial contraction

Question 41

What does the C-wave repesnt

Answer 41

The tricuspid valve bulging into the right atrium during early ventricular systole

Question 42

What does the X descent represent

Answer 42

Atrial relaxation during ventricular systole

Question 43

What does the V-wave represent?

Answer 43

Atrial filling during ventricular systole

Question 44

What does the Y-descent represent?

Answer 44

Rapid atrial emptying as the tricuspid valve opens

Question 45

When should a CVP monitor value be taken?

Answer 45

At end of inspiration.

Question 46

What are two major uses for CVP monitoring?

Answer 46

-fluid status -Right heart function

Question 47

Right atrial contraction is represented by ____ on CVP

Answer 47

A-wave

Question 48

Tri-cuspid valve closure is represented by ______onn CVP monitoring

Answer 48

C wave

Question 49

Right atrial relaxation and filling is represented by ____on CVP waveform

Answer 49

X descent

Question 50

What indicates a full Right atrium on the CVP waveform

Answer 50

V wave

Question 51

Right atrial emptying is reflected by ____on cvp WAVEFOM

Answer 51

Y Descent.

Question 52

What is the 5 step approach to EEG analysis?

Answer 52

1. Patient assessment 2. Analyze raw EEG data 3. Assess confounders 4. Assess DSA 5. Assess PSI

Question 53

What is the conversion factor for changing MmHg to Cmh20

Answer 53

1.36