Hemodynamic Monitoring

Question 1

The IABP transducer is placed at the phlebostatic axis at the _____ ICS, midaxillary.

Answer 1

4th

Question 2

During the fast flush/square wave test, no more/less than __ oscillations before returning to waveform.

Answer 2

3

Question 3

For an IABP, the pressure bag must be set at ______ mmHg.

Answer 3

300

Question 4

(Arterial Line Problems)

________ is when the system is not dynamic (too much pressure)

Answer 4

Overdamping

Question 5

(Arterial Line Problems)

_______ is when the system is too dynamic (too little pressure)

Answer 5

Underdamping

Question 6

In a PA catheter, the ______ tip is used to measure pressures

Answer 6

distal

Question 7

Do not exceed _____ cc of air in the distal cuff.

Answer 7

1.5

Question 8

Do not take wedge pressure readings for >_____ seconds or _____ breaths.

Answer 8

15

3

Question 9

Normale Range: Central Venous Pressure

Answer 9

2 - 6 mmHg

Question 10

Normal Range: Right Ventricular Pressure

Answer 10

15 - 25 mmHg Systole

Question 11

Normal Range: Pulmonary Artery Pressure

Answer 11

15 - 25 mmHg

Question 12

Normal Range: Pulmonary Artery Wedge Pressure

Answer 12

8 - 12 mmHg

Question 13

Normal Range: Coronary Perfusion Pressure

Answer 13

50 - 60 mmHg

Question 14

Normal Range: Cardiac Output

Answer 14

4 - 8 L/min

Question 15

Normal Range: Cardiac Index

Answer 15

2.5 - 5.0 L/m

Question 16

Indications for IABP

Answer 16

Acute MI

Cardiogenic Shock

Question 17

Contraindications for IABP

Answer 17

Aortic Insufficiency/disease

Question 18

If there is a power failure with the IABP, manually pump every _____ to prevent blood from clotting on the balloon.

Answer 18

3 - 5 mins

Question 19

IABP typically triggers off of Lead _____.

Answer 19

III

Question 20

During systole, the IABP is _______.

Answer 20

deflated

Question 21

During diastole, the IABP is ________.

Answer 21

inflated

Question 22

In an inflation time error, early inflation will cause a “________”.

Answer 22

U Shape

Question 23

In an inflation time error, late inflation will cause a “___” shape.

Answer 23

W

Question 24

In _______ deflation, is the deflation of the balloon before systole.

Answer 24

early

Question 25

Easy deflation will cause a “____” shape.

Answer 25

cliff

Question 26

Late deflation will cause a “____________” shape.

Answer 26

Widened appearance

Question 27

_________ is the most harmful timing error.

Answer 27

Late deflation

Question 28

_________ is used frequently with ARDS and hyperemic patients.

Answer 28

ECMO

Extracorporeal Membrane Oxygenation

Question 29

4 Reasons for failure to capture

Answer 29

Lead Dislodgement

Low Output

Lead Maturation

Lead or pacer failure

Question 30

4 Reasons for Failure to Pace

Answer 30

Oversensing

Wire Fracture

Lead Displacement

Interference

Question 31

4 Reasons for Failure to Sense

Answer 31

Increased Stimulation at electrode site

Poor Lead Contact

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