Hemodynamics Flashcards

1
Q

CO (Cardiac Output)

A

4-8 L/min

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2
Q

CI (Cardiac Index)

A

2.5-4.5 L/min/m2

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3
Q

CVP (Central Venous Pressure)

A

3-8 mmHg

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4
Q

RA (Right Atrial)

A

1-7 mmHg

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5
Q

RV systolic

A

20-30 mmHg

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6
Q

RV diastolic

A

0-5 mmHg

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7
Q

PA systolic

A

20-30 mmHg

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8
Q

PA diastolic

A

5-15 mmHg

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9
Q

PA mean

A

less than 20 mmHg

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10
Q

PWCP

A

6-12 mmHg

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11
Q

SVR

A

900-1400 dynes/sec/cm5

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12
Q

PVR

A

100-250 dynes/sec/cm5

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13
Q

SVO2

A

60-80%

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14
Q

What is the square looking port with the red cap? and what is it for?

A

Thermistor Port for temperature monitoring

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15
Q

What is the blue port? and what is it for?

A

Proximal injectatet, CVP monitoring

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16
Q

What is the white port? and what is it for?

A

RA Infusion, IVF infusions

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17
Q

What is the odd shaped shorter port? and what is it for?

A

Balloon port, wedge pressure (PWCP)

18
Q

What is the yellow port? and what is it for?

A

PA distal, PA pressure monitoring

19
Q

Where should the transducer be placed for an A line

A

Phlebostatic Axis - 4th ICS, midaxillary line

20
Q

saline locks, IV tubing and pressure tubing are good for how many hours?

A

96

21
Q

what color is the proximal port on a CVL and what is it used for?

A

white, meds, IVF, blood draws and administration

22
Q

what color is the medial port on a CVL and what is it used for?

A

blue, CVP monitoring, TPN (if no CVP is needed), intermittent short med infusions

23
Q

what color is the distal port on a CVL and what is it used for?

A

brown, the biggest lumen - OS port; used for large amounts of IVF, blood, viscous and colloids

24
Q

Always scrub the hub of the CVL port for how many seconds before penetrating the diaphragm?

A

30

25
Q

NA values and what does it do?

A

135-145, electrolyte that assists with water balance

26
Q

K values and what does it do?

A

3.5-5.1, electrolyte that helps with proper cellular function and assists w/ BP control, heart, and kidney function

27
Q

BUN values and what does it do?

A

7-21 Blood Urea Nitrogen; byproduct from protein breakdown. Excreted by kidneys

28
Q

Creatinine values and what does it do?

A

0.6-1.1, the byproduct of muscle metabolism, excreted by kidneys

29
Q

Mg values and what does it do?

A

1.6-2.6, needed for more than 300 biochemical reactions. Maintains normal muscle and nerve functions, supports healthy immunes system, keeps heart beat steady, helps bones remain strong, helps regulate blood glucose levels and aids in production of energy and protein.

30
Q

Glucose values and what does it do?

A

70-100, major source of energy for the body. Can be used or stored w/ assistance of insulin

31
Q

WBC values and what does it do?

A

4.8-10.8, help regulate immune system and stop spread of infection

32
Q

RBC values and what does it do?

A

4.2-5.4, transportation system for nutrients, oxygen and carbon dioxide

33
Q

Hemoglobin values and what does it do?

A

12-16, the oxygen carrying element found inside the RBC, carries O2

34
Q

hematocrit values and what does it do?

A

37-47, % of RBCs, in the blood

35
Q

platelet values and what does it do?

A

140-440, clotting component of the blood, partial cells w/ no nucleus

36
Q

ST elevation in leads II, III, aVF mean what?

A

Inferior wall MI, involving RCA. RV is injured as well as posterior and inferior LV

37
Q

what is Beck’s triad?

A

Associated w/ cardiac tamponade: decreased/muffled heart tones, increased CVP and JVD, profound hypotension resistant to treatment

38
Q

Pulsus paradoxes:

A

abnormally large drop in SBP and wave amplitude during inspiration of > 10 mmHg

39
Q

treatment for cardiac tamponade

A

emergent sternotomy

40
Q

cardiac tamponade:

A

build up of blood or other fluid in the pericardial sac that puts pressure on the heart and can prevent it from pumping effectively.

fluid puts pressure on the heart

prevents heart from expanding and filling

less blood leaves the heart

less O2 to tissues leads to

increased HR, decreased BP, increased RR, panic, JVD

loss of consciousness, death