Tamponade

Question 1

Tamponade usually occurs with ___ to ___effusions but can occur with ___ effusions if they’re ___ filling.

Answer 1

Mod-large ; small; rapidly

Question 2

Tamponade physiology depends on what two things?

Answer 2

• volume
  -rate of accumulation

Question 3

What 2 things occurs wit tamponade ?

Answer 3

-decreased CO
-decreased cardiac filling

Question 4

What is the procedure to drain an effusion called?

Answer 4

Pericardiocentesis

Question 5

What are some physical signs on tamponade?

Answer 5

-tachycardia
-fatigue
-dyspena
-pulses paradoxus
-becks triad
-electrical alternanas

Question 6

What is pulses paradoxus with tamponade?

Answer 6

A systolic BP respiratory variation of >10mmhg

Question 7

What is becks triad?

Answer 7

-hypotension
-quiet heart
-increased venous pressure

Question 8

What is electrical alternans?

Answer 8

Alternating QRS amplitudes

Question 9

What is the most sensitive way to diagnosis cardiac tamponade by we echo?

1. RV diastolic collapse
2. RV systolic collapse
3. m-mode of LA wall motion
4. Respiratory variation

Answer 9

4

Question 10

What cardiac condition would prevent RV diastolic collapse?

1. Concentric LVH
2. high systemic Hypertension
3. Pulmonary hypertension
   4.TR

Answer 10

3

Question 11

What are some echo signs of cardiac tamponade?

Answer 11

-right ventricular diastolic collapse
-dilated IVC with no collapse
-Right ventricle, and left ventricle changes with respiration
-Left atrial collapse in either cardiac cycle

Question 12

What are some reasons tamponade may be a false finding?

Answer 12

-COPD
-Pleural effusion
-unstable volume