PA monitoring

Question 1

Strategies to decrease the risk of pulmonary hemorrhage include (2)

Answer 1

1) not advancing the PA catheter beyond 55 cm

2) a chest radiograph after catheter placement (not beyond the lateral mediastinal border)

Question 2

The distance from the access site to the right ventricle (RV) is ___ cm when either the right internal jugular or subclavian veins are accessed and ___ cm if the left internal jugular or subclavian veins are accessed.

Answer 2

35

45

Question 3

The PA tracing should be noted within ___ cm of the RV tracing.

Answer 3

15

Question 4

The level of the right heart, located 5 cm below the angle of Lewis (the sternomanubrial angle), is the commonly accepted reference point and is called the?

Answer 4

Phlebostatic axis

Question 5

Like the CVP waveform, the PAOP has three positive waves?

Answer 5

a,c,v

Question 6

The ___ wave occurs with left atrial contraction.

Answer 6

a

Question 7

The ___ wave occurs with mitral valve closure

Answer 7

c

Question 8

the __ wave occurs with left atrial filling

Answer 8

v

Question 9

The ___ wave is averaged to determine the PAOP

Answer 9

a

Question 10

In the presence of a large pulmonary artery occlusion

pressure v wave, how should pulmonary artery occlusion pressure be estimated?

Answer 10

The best way to estimate PAOP is to average the a wave.

Question 11

This method describes the pressure relationship between pulmonary arterial, pulmonary venous, and alveolar pressure in different anatomic areas of the lung.

Answer 11

The zones of West