Hemodynamic Monitoring Flashcards

1
Q

As blood volume decreases, blood flow and blood pressure also decrease.
True or False

A

True

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2
Q

A pt’s BP is 130/85.

What is the pulse pressure and MAP?

A

Pulse Pressure= SBP-DBP: 45mmHg

MAP = [SBP+ 2(DBP)] /3 : 100mmHg

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3
Q

The longer the vessel, the lower the resistance and greater the flow.
True or False.

A

False

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4
Q

Which class of vessels has the greatest decline of mean blood pressure as blood flows away from the heart?

A

Arterioles

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5
Q

What 3 things does venoconstriction increase

A
  1. Blood pressure within the vein.
  2. Blood flow within the vein.
  3. Return of blood to the heart.
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6
Q

When does arterial systolic pressure occur in the cardiac cycle

A

During left ventricular ejection

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7
Q

Diastolic pressure occurs just before left ventricular ejection.
True or False

A

True

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8
Q

What increases pulse pressure

A

Decreased aortic compliance
Increasing preload
Increasing contractility
Increasing stroke volume

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9
Q

What does a pulmonary artery catheter monitor

A
Vascular tone
Myocardial contractility
Intracardiac pressures
Cardiac output
Fluid balance
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9
Q

What is a normal Cardiac output range

A

4-8L/min

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9
Q

MAP=COxSVR

True or False

A

True

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10
Q

Preload is measured by

A

Pulmonary occlusion pressure
Right Atrial pressure
Central Venous pressure

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11
Q

Cardiac Index is measured by CO/BSA (body surface area) and normal range should be 2.5-4 L/min/m2
True or False

A

True

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12
Q

If during exercise cardiac output doubles and systemic vascular resistance decreases by 50%, what will happen to mean arterial pressure? (assume that central venous pressure is zero)

a) increases by 50%
b) increases by 100%
c) decreases by 50%
d) does not change

A

d) does not change

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13
Q

Your patient has a left subclavian central venous catheter (CVL) and a left radial arterial catheter. Which assessment requires most immediate action?

a) A dampened arterial waveform
b) Numbness and tingling in the left hand
c) Slight oozing of blood at the CVL insertion site
d) Erythema at the CVL insertion site

A

b) Numbness and tingling in the left hand

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