final CV Flashcards

1
Q

Normal value for pulmonary artery pressure

A

25/10 mmHg

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2
Q

Low cardiac output states can result from this

A

L vent failure

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3
Q

Cardiac Output/BSA

A

Cardiac Index

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4
Q

Pulmonary Embolism could do what to the PVR?

A

increase

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5
Q

At what point in the respiratory cycle should the PA and PCWP pressure be read during mechanical ventilation?

A

End of exhalation

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6
Q

The following data is obtained from a patient
o CaO2 16 vol%
o CvO2 11 vol%
o CcO2 17.2 vol%
shunt is Appox?

A

20%

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7
Q

Calculate the QT, given HR 100 bpm, BP 136/90, Stroke Volume 60 ml

A

6.0 L/min

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8
Q

Which value cannot be used in the calculation of a shunt?
o FiO2
o PaO2
o CaO2
o DO2

A

D02

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9
Q

What is the PVR given the following
o MPAP 22 mmHg
o PCWP 12 mmHg
o CO 5L

A

2.0

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10
Q

What is the PVR given the following
o MPAP 22 mmHg
o PCWP 12 mmHg
o CO 5L

A

2.0

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11
Q

A 16 year old fresh water near drowning has a pulmonary artery catheter in place with the following data: PAP 24/12 mmHg, PCWP 12 mmHg, CaO2 17 vol%, CvO2 12 vol%, QT 3.6L/min and MAP 96 mmHg. What is the oxygen consumption

A

180 ml/min

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12
Q

ST depression indicates

A

Myocardial Ischemia

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13
Q

A sawtooth pattern with a regular ventricular rhythm is

A

Atrial Flutter

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14
Q

An ECG that shows no relationship between the P wave and QRS complex is

A

3rd degree heart block

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15
Q

An AV block where none of the sinus impulses reach the ventricles is

A

3rd degree heart block

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16
Q

A heart block that closely resembles a normal sinus rhythm is

A

1st Degree

17
Q

A patient is receiving mechanical ventilation with +10 PEEP, a PCWP of 26 mmHg indicate

A

Increased LV pressure

18
Q

You noticed a dampened waveform on an arterial line, what would you do first?

A

Check for air bubbles

19
Q

A chronic hypercapneic patient is admitted to ED, he passed out at home, PA catheter is placed with the following: PAP 26/11, PCWP 5 mmHg, CVP 1 mmHg, BP 72/42, SVR 1240 dynes, CI 1.2L/min/m2
* He is most likely?

A

Hypovolemic

20
Q

You see an 82 y.o. women in the ED with h/o CAD, she is conscious and alert. She is c/o chest pain radiating to the left arm, she is diaphoretic, SOB. BP is 120/64, pulse is 54 and irregular, RR is 32, you place her on the monitor and it shows Vfib. Your immediate action is to

A

Check the Monitor leads

21
Q

Which of the following might be used in the assessment of a patient c/o chest pain
* Have you taken any nitro?
* Does the pain exist when you take a deep breath?
* What do you think is wrong?
* Were you sleeping, exercising or emotionally upset?

A

ALL the above

22
Q

The SA node is located

A

Right Atrium

23
Q

What is the normal conduction pattern of the heart?

A

SA node-AV node-Bundle of His-Bundle Branches-Purkinje fibers

24
Q

Coronary arteries branch off what blood vessel?

A

The Aorta

25
Q
  • A Swan-Ganz catheter may be inserted via 3 vessels: Internal/External jugular vein & Subclavian vein A catheter that is placed through the jugular vein and into the superior vena cava until it reaches the right atrium:
A

Central venous catheter (CVP)

26
Q
  • A Swan-Ganz catheter may be inserted via 3 vessels: Internal/External jugular vein & Subclavian vein A catheter that is placed through the jugular vein and into the superior vena cava until it reaches the right atrium:
A

Central venous catheter (CVP)

27
Q

The normal value for anatomic shunt is

A

< 5%

28
Q

A blood pressure of 100/70 mmHg is obtained, what is the patient’s mean arterial pressure?

A

80mmHG

29
Q

You would recommend immediate defibrillation for what cardiac dysrhythmia

A

Ventricular Fibrillation

30
Q

If the sinus node fails as a pacemaker, what USUALLY happens?

A

The AV node becomes the pacemaker

31
Q

The RT palpates no pulse on the patient, but the ECG monitor is showing a very irregular, almost non-detectable QRS complex. The RT should

A

The RT should: Begin chest compressions and call code blue

32
Q

You are running a 12-lead ECG on a patient and you notice a sudden increase in artifact on the ECG paper. You have noticed that the electrode V2 has fallen off the chest. Where would you reposition this electrode on the patient

A

4th intercostal space on the left side of sternum