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Adult Health 1 Review > T1 Blueprint - Cardiovascular Assessment (Josh) > Flashcards

T1 Blueprint - Cardiovascular Assessment (Josh) Flashcards

1
Q

When does the SA node contract?

A

during diastole

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2
Q

When does the Left Atrium empty blood into Left Ventricle?

A

diastole

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3
Q

When do the AV valves close and the Semilunar valves open?

A

Systole (squeeze)

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4
Q

What is the best indicator of fluid balance?

A

weight (1 L - 1 kg)

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5
Q

What is normal Systolic Pressure of Pulmonary Artery (PAS)?

Diastolic Pressure of Pulmonary Artery (PAD)?

A

PAS = 20-30 mmHg

PAD = 5-10 mmHg

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6
Q

What is normal Pulmonary Artery Mean Pressure (PAm)?

A

10-15 mmHg

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7
Q

What is normal PAWP?

A

4-12 mmHg

***represents filling pressures of the LEFT SIDE of heart

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8
Q

What is normal CO?

A

4-6 L/min

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9
Q

What is normal CI?

A

2.2-4.0 L/min

***adjusts CO for BSA

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10
Q

What is normal SV?

A

60-70 mL

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11
Q

What is normal SVR?

A

800-1400 dynes

***lower indicates vasodilation

***higher indicates vasoconstriction

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12
Q

What medications can raise SVR?

A

DA and NE

***constrict vessels

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13
Q

What medications can lower SVR?

A

Nitroprusside
Nitroglycerine
Hydralazine

***vasodilators

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14
Q

— is synonymous with afterload.

A

SVR

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15
Q

What is normal CVP?

A

2-5 mmHg

***represents filling pressure of right side of heart

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16
Q

What is normal SVO2?

A

60-80%

17
Q

What do high values (more than 80%) SVO2 indicate?

A

Hyperoxygenation

Anesthesia

Sepsis

False reading

18
Q

What do low values (less than 60%) SVO2 indicate?

A

Anemia

Bleeding

Cardiogenic Shock

Hyperthermia

Seizures

Activity

Hypoxemia

19
Q

What is normal SVV?

A

less than 10-15%

  • **if too high, they need a fluid bolus
  • **anything above 10 is a Pulsus Paradoxus
20
Q

What do SVV below 10-15% indicate?

A

client will likely not benefit from extra fluids

21
Q

— represents the afterload for the LEFT side of the heart.

A

SVR (800-1400 dynes)

22
Q

— represents the afterload for the RIGHT side of the heart.

A

PVR (100-250 dynes)

23
Q

What are drugs that INCREASE afterload?

A

DA

NE

24
Q

What are drugs that DECREASE afterload?

A

Nitroprusside

Nitroglycerine

Hydralazine

25
Q

With hemodynamic monitoring, where do you place the transducer?

A

Phlebostatic Axis

***4th ICS and Half way between the AP diameter

26
Q

With hemodynamic monitoring, how do you test the accuracy of the numbers?

A

Flash Flush Waveform Test

***rapidly flushes the artery with saline

27
Q

With hemodynamic monitoring, what do you do before accessing the Radial Artery?

A

Allen’s Test

28
Q

With hemodynamic monitoring, what is an important assessment?

A

distal circulation

  • monitor for numbness, pain
29
Q

With hemodynamic monitoring, what do we set the pressure bag to?

A

300 mmHg

30
Q

With hemodynamic monitoring, how long do we apply pressure upon removal of catheter?

A

10 mins

31
Q

With hemodynamic monitoring, what position do we want the HOB?

A

between 0 to 60 degrees

32
Q

With hemodynamic monitoring, how is the transducer calibrated?

A

opening it to atmospheric pressure very shift and every position change

33
Q

— —- is an invasive diagnostic procedure that involves the use of dye as contrast media to allow visualization of circulation.

A

Cardiac Angiography

34
Q

What is important to monitor when performing Cardiac Angiography?

A

Kidney function (BUN and Cr) because dye can affect kidney perfusion

35
Q

With any invasive producedure, what do we always check for?

A

bleeding (hematomas will be hard)

pulses distal to the site

36
Q

What are four contributing factors for SVO2?

A

CO (preload, afterload, contractility, HR)

Hgb

SaO2

Tissue Metabolism

Adult Health 1 Review (26 decks)

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