HEMØDYNAMIC MÖNITÕRING Flashcards
What is a CVAD?
A Catheter that is placed on large blood vessels of people who require frequent access to their vascular system
What is a PICC line?
A peripherally-placed non-tunneled catheter that sits in the superior vena-cava just above the Atria
What may be an indication for a PICC line?
- Compromised/inadequate peripheral access
- Infusion of hyperosmolar or highly acidic/alkalotic solutions
- Continual infusion of an irritating agent (Chemo, etc)
- Short/long acting IV antibiotics
What are some nursing assessments for a PICC line?
- Insertion is Verified via diagnostic imaging
- Insertion site is clean with tissue dressing
- Infusion tubing is secured, labelled with Ø leakage
When should a physician be notified in regards to a PICC line?
- Excessive bleeding
- New/change in cardiac rhythms
- Sudden onset of unexplained respiratory distress
- Chest pain
- Pain, Edema, Numbness, Tingling, Swelling or decreased circulation in cannulated arm
What does Cardiac Output mean?
Volume of blood pumped by heart in 1 minute
WHat is preload?
Volume of blood within chamber of the heart at the end of diastole (After contraction)
What does afterload mean?
Forces opposing ventricular ejection (What the heart has to pump against in order to empty)
What is the normal range of pH in the blood?
7.35-7.45 (7.40)
What is the normal range of PaCO2? A/ 35-45 B/ 40-50 C/ 32-45 D/ 28-38
A/ 35-45
What is the normal range of BiCarbonate (HCO3)? A/ 22-28 B/ 20-26 C/ 22-26 D/ 26-32
C/ 22-26
A decrease in cardiac contractions is a common side effect of a ___ imbalance
Acidic imbalance
The interference with muscular functioning is attributed to a ____ imbalance.
Alkalotic imbalance
A decrease in tissue oxygenation can be attributed to a ____ imbalance.
Alkalotic imbalance
This type of imbalance can decrease to response and actions of certain medications significantly.
Acidic imbalance