Exam 1 Flashcards
What is MAP
Mean atrerial pressure
It is related to the amt of perfusion a pt has how much is being perfumed to the organs
Stable angina
Worse when physically active relieved by rest
Unstable angina
Occurs with rest
Costochondrits
Is an inflammation of the cartilage that connects a rib to the sternum ( breastbone) this pain might miming a MI or other cardiac condition
What are common electrolyte imbalances in ICU
K+, Na, Ca, Mg deficiencies
What 2 electrolytes affect contractility of the heart?
Ca, Mg
What signs an symptoms may woman present with when they are having a MI
Overwhelming fatigue
Pain in arm
Left side jaw pain
Arm pain arm numbness
What are IV drugs for a fib
Digoxin
Lopressor
Amiodarone
Cardizem
What 2 drugs can be used as a continuous infusion for a fib
Amiodarone
Cardizem
Sustained A fib causes what
Decreased Co be the heart is beating so fast it can’t fully eject all the blood volume
What are causes of increased preload
Hypervolemia
What are causes of increased after load
Increased SVR
VASOCONSTRICTION
VASOPRESSORS DRUGS
What decreases preload
Hypovolemia
Decreased venous return
A fib
GI bleed
What decreases afterload
Beta blockers
What decreases HR
Vagaries stipulations
Heart blocks
What increases HR
Stress
Hypotension
Hypovolemia
Increased temp
How do you calculate MAP
Systolic + diastolic *2 divided by 3
What is normal CO
4-8 L/ min
What is normal CI
CO divided by BSA
What is normal CO
4-8 L/ min
How do you calculate CO
HR* SV
What is normal CI
2.8-4.2 L/Min
How do you calculate CI
CO /BSA
How do you calculate SYSTEMIC VASCULAR RESISTANCE
SVR (MAP-CVP/HR* 8)
What is normal SVR
900-1400
What is normal RAP
2-6 mmHg
What does RAP mean
Right arterial pressure
What is normal PAWP
15-25 systolic
5-15 diastolic
RAS 0
Alert and calm
RAS +1
Anxious apprehensive
RAS +2
Frequent non purposeful movement
RAS + 3
Pulls, removes tubes or catheters, aggressive
RAS +4
Combative, dangerous to staff
RAS -1
Awakens to voice for more than 10 sec
Eye opening
Eye contact
RAS-2
Light sedation
Briefly awakens for less than 10 sec
RAS -3
Moderate sedation
No eye contact
No eye movement
RAS -4
Deep sedation
No response to voice
But movement or eye opening to physical stimulation
RAS -5
Unarousable
No response to voice or physical stimulation