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Cardiopulm > Physiologic Monitoring > Flashcards

Physiologic Monitoring Flashcards

1
Q

ECG normal

A

60-90 bpm

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2
Q

A-line normals

BP and MAP

A

120/80

60-110

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3
Q

What is CVP

A

Central Venous pressure

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4
Q

Normal for CVP

A

2-8 cmH2O

2-6 mmHg

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5
Q

ICP normals

A

Intercranial pressure

15 mmHg

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6
Q

SpO2 normal

A

Arterial oxygen saturation

97-98

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7
Q

Purpose of tracheal tubes

A

Access upper airway when obstructed
Suctioning
Enable mechanical vent
Protect airway

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8
Q

2 types of trach tubes

A

Endotracheal

Tracheostomy

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9
Q

Complications of Trach tubes

A 
Ulcer
Scarring
Fistula
Larynx damage
Infection
A/W obstruction
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10
Q

ET-Tubes used for

A

Short term 7-10 days

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11
Q

Trachs have a ___

A

Low-pressure (25 cmH2O) cuff which inflates during mechanical ventilation

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12
Q

Have an opening in posterior wall of tube above cuff

A

Fenestrated trach

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13
Q

Purpose of chest tubes

A

To remove excess fluid or air from pleural/mediasinal cavity

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14
Q

Chest tube for fluid

Chest tube for pneumothorax

A

Fluid: 3/4 intercostal space
pneumothorax: 2nd intercostal space

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15
Q

3 compartments for draining container of Chest tube

A

Under-water-seal drainage
Collection chamber
Suction chamber

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16
Q

Air bubbles in chest tube indicative of

A

Air leak

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17
Q

Can you be mobilized and ambulated with under-water-seal drainage?

How about wall suction?

A

CHEAA bruh

Naww

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18
Q

Used to detect hypoxemia

A

Pulse oX

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19
Q

SpO2 of 90% corresponds to PaO2 of

A

60mmHg

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20
Q

Direct measurement of Artieial BP, CVP, intracardiac pressure

A

Hemodynamic monitoring (HDM)

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21
Q

A-line

A

Peripheral arterial catheter

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22
Q

Aline used to monitor

A

Arterial pressure by drawing blood samples

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23
Q

Complications of Continuous arterial pressure monitoring

A

Eccymosis, Hematoma, and soreness

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24
Q

Sites of Aline

A

Radial (most common)
Dorsalis pedis
Femoral
Brachial

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25
Q

Transducer of Aline placed at

A

Level of R artium

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26
Q

CVP catheter

A

Central venous pressure catheter

27
Q

Where are CVP placed and for what

A

RA to monitor RA pressure

28
Q

If right ventricle failing, CVP will

A

RISE

29
Q

CVP waveform fluctuates with _____, decrease with _____ and increases with ______

A

Respiration
spontaneous inspirtation
Positive pressure respiration

30
Q

Swan-Ganz is a

A

Pulmonary Artery Catheter

31
Q

Where is swan-ganz inserted and for what

A

RA->RV->pulmonary artery

Detect heart failure, sepsis, and pulmonary edema

32
Q

What can be calculated from Swan Ganz

A

preload
Contractile state of heart
And Afterload

33
Q

Indications for swan-gaz

A

-Measure patient’s hemo status

34
Q

Used in medical management of pt with brain injury

A

Neurologic monitoring device

35
Q

Where are ICPs placed and for what

A

Injured side of brain

-monitor pressure against skull, help guide interventions to decrease pressure and increase cerebral perfusion

36
Q

Two types of ICPs

A

External ventricular drain

Bolt

37
Q

High intercranial pressure results in decreased

A

Cerebral perfusion

38
Q

Normal ICP waveform has how many peaks

A

3

39
Q

Driving pressure of blood to the brain

A

Cerebral perfusion pressure

40
Q

Normal CPP

A

60 mm HG

41
Q

What is PICC and what is it for

A

Peripherally inserted catheter

Provide venous access for meds, nutrition, fluids

42
Q

Where is PICC placed

A

Antecubital fossa

Tip into superior vena cava

43
Q

Risks of PICC

A

Mechanical phlebitis
Infection
Venous thrombis
Catheter Embolus

44
Q

Purpose of Triple lumen catheter

A

3 catheters in 1 to provide:
Meds
Nutrition
Blood products

45
Q

TLC goes through

A

Subclavian -> SVC

46
Q

Risks of TLC

A 
Pneumothorax
Embolization
Tissue damage
Hemorrage
Infection
47
Q

PT with TLC

A

Defer if pneumothorax
Avoid HTN of neck
Clarify otransfer orders
Avoid displacement

48
Q

Provide vascular access to pts needing infusion of drugs,TPN,other fluids

A

Implantable port

49
Q

Where is implantable port placed

A

Percutaneous place from subclavia->SVC

50
Q

Pacemaker purpose

A

Electrical stimulation to myocardium

51
Q

Implantable port risk

A

Pneumothorax
Infection
Venous Thrombosis
Catheter migration/embolus

52
Q

Temp pacemaker risk

A

Infection
Arrhythmia
Myocardial perforation
Pulmonary emboli

53
Q

Implications for Pacemaker PT

A

Clarify ordered therapy
Traction-> flexion can pull out lead
Coughing can displace lead

54
Q

Purpose of hemocath

A

Permit access for urgen dialysis

55
Q

Where is hemocatheter placed?

A

Subclavian
Internal jug
Femoral vein

56
Q

Risk of hemo cath

A

Pneumothorax
Hemothorax
Bleeding

57
Q

Implications for PT and hemo cath at femoral site and neck site

A

Femoral: clarify LE ROM, transfer ambulation

Nek: Clarify UE ROM

58
Q

Used as life saving IV for those in respiratory failure

A

Mechanical Ventilation

59
Q

Factors leading to intubation

A

RR>30/min
>90% O2 saturation
PaO2 <50 PaCO2 >50

60
Q

3 important parameters of Mech Ventilation

A

Volume
Frequency
Oxygen

61
Q

Breaths delivered by vent

A

Assist control or continuous mandatory Ventilation

62
Q

Partial support mechanical ventilation

A

Synchronized intermittent mandatory ventilation

63
Q

Alarms in mechanical Vent

High pressure

Low Pressure

A

A/w blocked or tension in pneumothorax

Disconnected vent, air leak

Cardiopulm (13 decks)

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