Hemodynamic Monitoring Flashcards
The IABP transducer is placed at the phlebostatic axis at the _____ ICS, midaxillary.
4th
During the fast flush/square wave test, no more/less than __ oscillations before returning to waveform.
3
For an IABP, the pressure bag must be set at ______ mmHg.
300
(Arterial Line Problems)
________ is when the system is not dynamic (too much pressure)
Overdamping
(Arterial Line Problems)
_______ is when the system is too dynamic (too little pressure)
Underdamping
In a PA catheter, the ______ tip is used to measure pressures
distal
Do not exceed _____ cc of air in the distal cuff.
1.5
Do not take wedge pressure readings for >_____ seconds or _____ breaths.
15
3
Normale Range: Central Venous Pressure
2 - 6 mmHg
Normal Range: Right Ventricular Pressure
15 - 25 mmHg Systole
Normal Range: Pulmonary Artery Pressure
15 - 25 mmHg
Normal Range: Pulmonary Artery Wedge Pressure
8 - 12 mmHg
Normal Range: Coronary Perfusion Pressure
50 - 60 mmHg
Normal Range: Cardiac Output
4 - 8 L/min
Normal Range: Cardiac Index
2.5 - 5.0 L/m
Indications for IABP
Acute MI
Cardiogenic Shock
Contraindications for IABP
Aortic Insufficiency/disease
If there is a power failure with the IABP, manually pump every _____ to prevent blood from clotting on the balloon.
3 - 5 mins
IABP typically triggers off of Lead _____.
III
During systole, the IABP is _______.
deflated
During diastole, the IABP is ________.
inflated
In an inflation time error, early inflation will cause a “________”.
U Shape
In an inflation time error, late inflation will cause a “___” shape.
W
In _______ deflation, is the deflation of the balloon before systole.
early
Easy deflation will cause a “____” shape.
cliff
Late deflation will cause a “____________” shape.
Widened appearance
_________ is the most harmful timing error.
Late deflation
_________ is used frequently with ARDS and hyperemic patients.
ECMO
Extracorporeal Membrane Oxygenation
4 Reasons for failure to capture
Lead Dislodgement
Low Output
Lead Maturation
Lead or pacer failure
4 Reasons for Failure to Pace
Oversensing
Wire Fracture
Lead Displacement
Interference
4 Reasons for Failure to Sense
Increased Stimulation at electrode site
Poor Lead Contact
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Programming Problems
