ICP and Hemodynamics Midterm

Question 1

What is the goal of therapeutic hypothermia in the brain injured pt?

Answer 1

Decrease the risk of ischemic injury.

Question 2

What drug can result in respiratory depression?

Answer 2

Propofol

Question 3

What is the reversal agent for atracurium?

Answer 3

Neostigmine

Question 4

Which ECG is the following?

Answer 4

Wandering Pacemaker

Question 5

To find out CO using ficks method, what else can help determine the patients oxygen consumption?

Answer 5

1. Blood sample from the art. line
2. Blood sample from the pulmonary artery catheters distal port

Question 6

Which ECGs would require defib?

Answer 6

Pulseless V.tach and V.Fib.

Question 7

Assuming normal PVR, what parameter’s could be used as an indicator of left heart problems?

Answer 7

Pulmonary artery diastolic pressure

(or pulmonary artery pressure in general aka PAP)

Question 8

which of the following signs on a physical exam would be consistent with an increased central venous pressure?

Answer 8

JVD

Question 9

which of the following signs and symptoms would be consistent with an increased systematic vascular resistance?

Answer 9

Pale, cold, clammy extremities

Question 10

What parameter gives the best indications of heart contractility?

Answer 10

Ejection fraction

Question 11

How do you calculate PVRI?

Answer 11

Question 12

What can you expect to change in the hemodynamic profile for a large MI that results in left ventricle failure?

Answer 12

• Increased mean PAP, PAWP, SVR
• Decreased DO2

Question 13

Do2

CO2

O2er

Answer 13

Question 14

The pulmonary artery catheter can give indicator to which 2 parameters?

Answer 14

Right ventricular preload and right ventricular afterload