Hemodynamics Flashcards

1
Q

Preload

A

the pressure at a given space during diastole

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2
Q

Contractility

A

the force of contraction used to propel blood forward

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3
Q

Cardiac output

A

the volume of blood ejected from the heart per minute

4-8 L/min

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4
Q

Cardiac index

A

cardiac output based on a person’s weight and height

2.5-4.2 L/min

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5
Q

Afterload

A

the pressure that fluid must overcome

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6
Q

SVR

A

the arterial blood pressure
based off the diameter of the lumen
770-1500

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7
Q

What are noninvasive ways to measure hemodynamics?

A

Blood pressure

JVD

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8
Q

What is a normal JVD reading?

A

7-9mm

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9
Q

What is JVD associated with?

A

preload

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10
Q

What are invasive ways of measuring hemodynamics?

A

arterial pressure monitoring
central venous pressure/right atrial pressure
pulmonary artery catheterization

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11
Q

What supplies do you need for invasive monitoring?

A
invasive catheter
noncompliant tubing
transducer with stopcocks
flush system
bedside monitoring
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12
Q

Where is the level of the phlebostatic axis?

A

the 4th intercostal space

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13
Q

What are the sites of insertion for the arterial pressure monitoring?

A

radial artery
brachial artery
femoral artery

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14
Q

What do you check before using the radial artery for the site of insertion?

A

collateral blood flow through the ulnar artery to the hand

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15
Q

When measuring CVP/RAP what do you need to do to acquire an accurate reading?

A

stop the infusion going through the tubing

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16
Q

What is the normal value for CVP/RAP?

A

2-6 mmHg

17
Q

What type of catheter is used for pulmonary artery catheterization?

A

a Swan-Ganz catheter

18
Q

Where is the insertion site for the PA catheter?

A

the subclavian, internal jugular or femoral vein

19
Q

What position is the patient put in to insert the PA catheter and why?

A

Trandelenburg to help increase blood flow and trap any air embolism that could potentially occur in the atrium and not put it into circulation

20
Q

What is the wedge pressure/PAOP an indirect reading of?

A

the left side of the heart

21
Q

What is the normal PAOP?

A

8-12 mmHg

22
Q

What is the goal with hemodynamic monitoring?

A

to maintain adequate tissue perfusion

23
Q

What does SvO2 measure?

A

the amount of oxygen in the mixed venous blood

24
Q

What does a high SvO2 mean?

A

that the cells are absorbing/using enough oxygen

25
Q

What does a low SvO2 mean?

A

the demand is higher than the supply of oxygen

26
Q

What is the ScvO2

A

the oxygenation of the central venous blood

27
Q

What is the normal value for SvO2?

A

60-75%

28
Q

What is the normal value for ScvO2

A

65-85%

29
Q

What is the esophageal doppler used for?

A

indication of how blood is flowing

can help determine if there are clots in the atrium