Physiology of Surgery Flashcards

1
Q

Provides information to the cardiopulmonary status of the patient

A

hemodynamic monitoring

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2
Q

Indications for arterial catheterization

A

continuous blood pressure monitoring or frequent arterial blood sampling

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3
Q

T/F there are no absolute contraindications to arterial catheterization

A

true

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4
Q

used to determine whether the patency of the radial or ulnar artery is normal. It is performed prior to radial cannulation or catheterisation

A

allen test

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5
Q

Most commonly used site for arterial catheterization because of dual blood supply, easy access, low complication rate

A

radial artery

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6
Q

Risk for catheters that have been in place for more than 4 days

A

infection

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7
Q

Potential complication of arterial catheterization resulting when the vessel has been punctured that causes a leak of blood into surrounding tissue that’s walled off

A

pseudoaneurysm

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8
Q

Indications for central venous catheterization

A

access for fluids/drugs, parenteral nutrition, and CVP monitoring

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9
Q

provides info about the relationship between intravascular volume and right ventricular function

A

CVP

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10
Q

Critical problem in seriously ill patients

A

determination of the proper amount of fluids and bloods necessary to maintain blood volume

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11
Q

Most common complication of central venous catheterization through subclavian vein

A

pneumothorax

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12
Q

Most common complication of central venous catheterization through internal jugular vein

A

puncture of carotid artery

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13
Q

Reflects ability of the cardiac pump to handle returning blood volume

A

CVP or right atrial pressure

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14
Q

What does a CVP between 0-3 indicate?

A

circulating blood volume is below the normal blood volume the heart can handle

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15
Q

What does a CVP between 8-20 indicate?

A

circulating blood volume is higher than the normal blood volume the heart can handle

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16
Q

Volume of air moved in or out of the lung in single breath

A

tidal volume

17
Q

Maximal volume at expiration after a maximal inspiration

A

vital capacity

18
Q

Total volume of air leaving

A

minute volume

19
Q

Portion of tidal volume that doesn’t participated in gas exchange

A

dead space

20
Q

Provides info about efficacy of gas exchange, adequacy of alveolar ventilation, acid/base status

A

blood gas analysis

21
Q

Real time estimation of the arterial Hgb saturation

A

pulse oximetry

22
Q

Excellent monitor of adequacy of perfusion

A

kidneys

23
Q

Affected by GFR and urea production. Increased in TPN, GI bleeding, trauma, sepsis, steroid use. Lowered in starvation, liver dz.

A

BUN

24
Q

More accurate than BUN. Inversely related to GFR. Not affected by protein or nitrogen production. Related to muscle mass

A

plasma creatinine

25
Q

Used if values of plasma creatinine are affected by muscle disease. Most reliable method of assessing GFR

A

creatinine clearance

26
Q

Reflects spontaneous and on-going electrical activity in the brain

A

electrophysiologic monitoring

27
Q

Monitors cerebral blood flow and detects vasospasm

A

trans-cranial ultrasound