Hemodynamics and ABGs

Question 1

CVP Value

Answer 1

2-6mmhg

Question 2

PAP Value

Answer 2

systolic 20-30mmhg
diastolic 8-15mmhg

Question 3

PAWP/PCWP Value

Answer 3

8-12

Question 4

CO Value

Answer 4

4-8L/min

Question 5

CI Value

Answer 5

2-4 l/min

Question 6

SV Value

Answer 6

60-130 ml

Question 7

Stroke Index Value

Answer 7

25-45 ml/m2

Question 8

PVR Value

Answer 8

50-250 dyn

Question 9

SVR Value

Answer 9

800-1200 dyn

Question 10

Single thin black line equals __ on the PAC

Answer 10

10cm

Question 11

Single thick black line equals __ on the PAC

Answer 11

50cm

Question 12

Double thick black line equals __ on the PAC

Answer 12

100cm

Question 13

PA catheter is exhibiting a large well defined hemodynamic waveform, obvious notch on the left side of the wave indicates

Answer 13

the tip has migrated to the RV

Question 14

PAC balloon should only be filled to __ml

Answer 14

1.5ml

Question 15

patient’s PA waveform suddenly changed to a low ampulitude rolling waveform indicates __

Answer 15

Inadvertent advance to wedge

Question 16

Patient’s PA waveform is in the wedge position, you would

Answer 16

have the patient cough forcefully and assure the balloon is full delfated while they lie on their side

Question 17

CPP Coronary Perufsion Pressure Formula

Answer 17

DBP-PCWP=CPP
normal value 50-60mmhg

Question 18

CVP represents

Answer 18

RA preload

Question 19

PAP represents

Answer 19

PA pressure on the right side of heart

Question 20

PAWP represents

Answer 20

Evalutes preload of the left side of the heart

Question 21

Dicrotic notch represents the

Answer 21

Closure of the aortic valve

Question 22

PVR represents

Answer 22

afterload of the right side of the heart

Question 23

SVR represents

Answer 23

afterload of the left side of the heart

Question 24

Cardiac Output formula

Answer 24

HRxSV

Question 25

Positive pressure will cause cardiac pressure to

Answer 25

Rise upon inspriation

Question 26

Ejection fraction

Answer 26

55-70% relation of LV filling and SV

Question 27

Increased EF associated with

Answer 27

Diasotlic HF

Question 28

Decreased EF assoiciated with

Answer 28

Systolic HF

Question 29

The IABP tip should be how far from the aortic arch

Answer 29

2-4 cM

Question 30

Where should the IABP be above and below in the aorta

Answer 30

Above the renal artery and below the subclavian

Question 31

Where do you auscultate the aortic valve

Answer 31

2nd ICS to the right of the sternum

Question 32

Where do you auscultate the pulmonic valve

Answer 32

2nd ICS to the left of the sternum

Question 33

Where do you auscultate the mitral valve

Answer 33

4th or 5th ICS mid clavicular line

Question 34

What is the S3 heart tone

Answer 34

Ventricular gallop, indicates dilated cardiomyopathy

Question 35

What is the S4 heart tone

Answer 35

Indicates hypertrophy, pulmonary HTN and CHF

Question 36

Presentation of aortic Aneurysm, symptoms and cxr

Answer 36

Wide mediastinum on CXR, Weak/absent pulse on one side, tearing like pain,

Question 37

What are the Debakey classifications I, II, III

Answer 37

I ascending, descending and aortic arch
II ascending aorta
III descending Aorta

Question 38

First line treatment of Hypertension in the Aneurysm pt

Answer 38

Beta-blockers
Esmolol, metoprolol, labetolol

Question 39

What ABG values are consistent with Metabolic Acidosis?

Answer 39

pH <7.35 HCO3 <22

Question 40

Normal pH values?

Answer 40

7.35-7.45

Question 41

If one is retaining hydrogen Ions, does this mean they are acidotic or alkalotic

Answer 41

Acidotic

Question 42

Normal PaCO2

Answer 42

35-45

Question 43

Normal HCO3

Answer 43

22-26

Question 44

Normal Base Excess

Answer 44

-2,2