Exam 2 Review Flashcards
Arterial transducer is higher than bed weight
underestimate BP
Arterial transducer is lower than bed weight
overestimate BP
Arterial transducer is at phlebostatic axis
accurate BP
c wave corresponds with
tricuspid bulging
v wave corresponds with
systolic filling of the atrium
a wave corresponds with
atrial contraction
Which of the following may be a contradiction to placing a pulmonary artery catheter?
Left bundle branch block
With your right internal jugular PA catheter inserted to 30-35cm, the wave form should
indicate you are at which location?
Right ventricle
When placing a PA catheter, complete heart block may occur if the patient has which pre-
existing condition?
LBBB
Which site of arterial cannulation is at highest risk of developing an infection?
Femoral
Indications for the placement of a central venous catheter include all the following EXCEPT:
tricuspid valve vegetation-(correct this is contraindicated)
What 2 drugs can be used to help sedate the patient for the block as well as for positioning on the OR table prior to total hip replacement surgery.
b. propofol/ ketamine
Which of the following is more likely to occur with the use of carbon dioxide for abdominal
insufflation?
Hypercarbia
The AANA standard regarding syringe specifically recommends (select 3 correct answers)
c. multi use syringes are acceptable if they are cleaned between patients
e. one alcohol swab
f. one multi dose vial
a. one needle
b. one patient
d. one syringe
The following are considered as personal protective equipment and are expected to be worn by all anesthesia providers and all
operating room personnel. (select 3 correct answers)
a. lab coat
e. OR sterile gowns
b. OR masks
c. eye protection
d. OR hats
Which of the following practices VIOLATE infection control recommendations? ( select 2
correct answers)
a. The anesthesia machine must be disinfected after every patient use.
c. The anesthesia cables must be disinfected after every patient.
b. The monitoring cables should only be wiped down once a day.
d. The anesthesia machine should only be wiped down once a day.
Contraindications to central line placement include (select 2)
a. tumor in right atrium
d. tricuspid valve vegetation
When an arterial line transducer is accidentally placed one foot above the phleboatatic level, the resulting arterial blood pressure reading will be:
significantly decreased from the zeroed point
Which site of invasive arterial monitoring will result in the largest pulse wave generation as seen on the monitor?
Femoral
With regard to placement of central lines, the “seldinger technique refers to what?
Catheter over guidewire technique
What is the volume of air required to inflate the balloon of a PA catheter?
1.5ml
The most definitive sign of correct placement of a double lumen tube is?
Fiberoptic bronchoscopy
The most commonly used double lumen tube is
LEFT
The tracheal cuff of the DLT can accommodate up to how many mls of air?
20 ml
The bronchial cuff of the DLT can accommodate up to how many mls of air?
3ml
When performing laryngoscopy for the placement of a DLT, the stylet should be removed when?
As soon as the tracheal cuff passes the vocal cords
Proper sizing of a DLT is based upon a patients
Height
indications for the arterial line placement include 3 of the following:
Multiple lab draws
Anticipated wide BP swings
Beat to beat BP control
This is an example of a _______Allen’s test.
positive
With the axillary approach to arterial line placement which side is preferred over the other?
Left
Three of the following are potential complications of arterial lines
a. pneumothorax
d. brachial plexus injury
infection
nerve damage
bleeding
Three of the following are potential complications of arterial lines
infection
nerve damage
bleeding
Three of the following are true statements regarding arterial lines
- Quality of the wave form is dependent upon the catheter tubing transducer
system. - arterial lines are the gold standard for beat to beat monitoring
- false readings may lead to inappropriate interventions.
Image could be indicative of what?
Hypovolemia
Three disadvantages of a femoral art line are
Infection
Pseudoaneurysm
Retroperitoneal Hematoma
Hemorrhage
You want the Allen’s test to be
Positive
