Final - 10 Perfusion C (DIC) Flashcards

1
Q

Higher the lactate, the _____ the O2 need

A

higher

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2
Q

sign of an underlying disorder

A

inflammatory response

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3
Q

Tx of DIC

A
  • treat underlying cause
  • *- replace fluids
  • maintain BP
  • replace coagulation factors
  • heparin
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4
Q

triggers of DIC

A
  • sepsis
  • trauma
  • shock
  • cancer
  • abruptio placenta
  • toxins
  • allergic reactions
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5
Q

systemic activation of blood coagulation

A

DIC

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6
Q

what to watch for

A

oozing (around lines, bleeding around nose, ears, etc.)

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7
Q

chronic DIC

A

cancer pt’s

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8
Q

nursing diagnosis for DIC

A

risk for fluid volume deficit

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9
Q

potential complications with DIC

A
  • gangrene
  • ARDS
  • stroke
  • pulmonary embolism or hemorrhage
  • renal filure
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10
Q

Central venous pressure can be measuring in a normal central line and swan gans

A

normal central line and swan gans

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11
Q

measures most accurate continuous BP

A

Art line

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12
Q

can you give meds through an art line

A

NO!!

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13
Q

can you give fluids through an art line

A

NO!!! (other than flushes or pressure bags)

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14
Q

can you give meds & fluids through a swan gans (pulmonary artery catheter)

A

Yes, through the white port

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15
Q

aortic valve closing (little tiny bump on the downhill line)

A

dichrotic notch

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16
Q

Dichrotic notch (softens, hardens) if art line is in for a while

A

soften

17
Q

Dicrotic Notch for Art lines (closure of the _____ valve)

A

aortic

18
Q

Dicrotic Notch for Pulmonary Artery lines (closure of the _____ valve)

A

pulmonic

19
Q

correct body placement to zero the catheter

A

supine and the transducer at phlebostatic level or axis is best (level of R atrium)

20
Q

how long can balloon port be inflated

A

no longer than 15 seconds

21
Q

normal PAWP

A

4-12 mmHg

22
Q

high hemodynamic readings =

A

HF

23
Q

low hemodynamic reading =

A

hypovolemia

24
Q

how is Ci different than CO

A

it takes you body into account as well