Swan Ganz

Question 1

What size tubing would you need for the swan ganz catheter?

Answer 1

Not more than 4 feet

Question 2

How much pressure is needed for the TYPCO pressure bag?

Answer 2

300 mmHg

Question 3

Name the equipment needed for the Swanz Ganz or PAC catheter?

Answer 3

Catheter
Tubing (not greater than 4')
Stopcocks--Heparnized NSS
Tyco Pressure Bag
Pressure Transducer--convert pressure to electrical signal
Amplifier
Recording Device
ECG

Question 4

Where should the transducer be placed?

Answer 4

At midchest

Question 5

What would happen if you placed the transducer above the chest level?

Answer 5

The pressure would be falsely low

Question 6

What locations should the PAC be inserted?

Answer 6

Right Internal Jugular
Subclavian
Basilic
Cephalic
Femoral

Question 7

What is the yellow port?

Answer 7

Distal port

Question 8

What the red port called?

Answer 8

Balloon port

Question 9

What is the blue port called

Answer 9

Proximal

Question 10

What is the port that monitors temperature and which temperature and why?

Answer 10

thermistor, measures blood temperature needed for CMO

Question 11

What is the distal port used for?

Answer 11

Monitors pressure (PAP & PWP)
Obtain venous blood samples
Inject medications

Question 12

What is the distal port normally infused with and why?

Answer 12

Infused with heparnized solution because it must constantly monitor pressure

Question 13

What is the red port used for?

Answer 13

Insertion purposes to allow float

And permits wedging when you want PCWP reading

Question 14

What marking does the blue port stop at?

Answer 14

30 cm from tip

Question 15

How much air is inserted into balloon?

Answer 15

1.5 ml of air

Question 16

Where does the opening of the blue line sit?

Answer 16

At opening of right atrium

Question 17

What are the uses of the proximal or blue port?

Answer 17

RA pressure
Administration of drugs & fluids
Sample blood
Inject saline for CMO reading

Question 18

What is the purpose of the VIP?

Answer 18

It provides an extra port for medications & sampling so that the proximal can be continuously used for pressure & not turned off

Question 19

What can the #6 line do if present?

Answer 19

Atrial/Ventricular Cardiac Pacing
Continuous cardiac output
Ventricular Port VIP
Right ventricular Ejection Fraction Catheter

Question 20

Where should the catheter be set at?
A.  Zone 1
B.  Zone 2
C.  Zone 3
D.  All of the above

Answer 20

C. Zone 3 because more blood is located in this zone

Question 21

What is a normal pressure measurement provided by PAC in the right atrium?

Answer 21

2-6 mmHG

Question 22

What is a normal pressure measurement provided by PAC in right ventricle?

Answer 22

20-30–systole

0-5–diastole

Question 23

What is a normal pressure measurement of PAC in pulmonary artery?

Answer 23

20-30 –systole

6-15 mmhg in diastole

Question 24

What is the normal mean pressure of the pulmonary artery?

Answer 24

10-20 mmHg

Question 25

What is a normal pulmonary capillary wedge pressure?

Answer 25

4-12 mmHg

Question 26

Why is the pressure in the right ventricle & pulmonary artery the same?

Answer 26

Because the pulmonary SL valve is open

Question 27

What is the cause of the dicrotic notch?

Answer 27

Caused by the closing of the valve in the pulmonary artery

Question 28

Which side of the heart is affected by cardiogenic pulmonary edema?

Answer 28

Left Heart