Test Flashcards

1
Q

Pvr

A

50-250

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2
Q

SVR

A

900-1400

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3
Q

Cardiac index

A

2.5-4

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4
Q

Stroke volume index

A

30-60

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5
Q

Cvp

A

2-6

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6
Q

Pawp

A

6-12

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7
Q

Cardiac output =

A

Hr x stroke volume

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8
Q

What affects HR?

A
  1. Sympathetic ( speeds HR UP) SNS
  2. parasympathetic nervous system ( slows it down) PNS
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9
Q

Three factors of affect stroke volume

A

1.) preload
2.) after load
3.) contractility.

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10
Q
  • [ ] Normal body surface area is
A

1.8-2

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11
Q

blood flow rate per minute

A

5-10

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12
Q

Mix venous is

A

Swan

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13
Q

Central venous is

A

The triple lumen

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14
Q

When do u read peep

A

On expiration

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15
Q

Where do u read peep

A

On ventilator
Valley

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16
Q

What 4 things can increase Cardiac output?

A

Sympathetic nervous system activation and catecholamines include dopamine, epinephrine (adrenaline), and norepinephrine (noradrenaline).

Early infection cause you got massive Vaso dilation. Easy able to eject blood in sep
Hyper thyroidism
Anemia

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17
Q

What can decrease cardio output

A

Preload- dehydration or overload

After load - is clamped down

Contractility - if the HR is slow speed him up atropine or pacemaker
If to fast speed him up with adenosine

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18
Q

Mix Venous gas is

A

60-80

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19
Q

Mix venous gas

A

To much oxygen
60-80
Swan

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20
Q

What caused increase after load

A

Vasoconstrictors

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21
Q

2mg Glucagon reverses

A

Beta blockers

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22
Q

Drugs that affect Alpha receptors

A

1.) )Norepinephrine -+4, beta 1= +2 (0.5-20mcg/min)
2.) Epinephrine+4 (1-20mcg/min)
3.)).)Dopamine ((1-20mcg/kg/min)
4.) dobutamine (1-20 maybe I do/kg/min)
5.) phyenylephine +4 (20-200mcg/min) beta 1=4, beta 2=1
vasopressin (0.01 units /min)

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23
Q

Factors that affect cardiac output:

A

Heart rate and certain arrhythmias

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24
Q

Cardiac Index is

A

2.5-4 liters

25
Cardiac Index tell you what
- Tells you the adequacy of the cardio output
26
cardiac index formula is
cardio output then divide by the body surface area which 2
27
- [ ] Normal body surface area is
Normal body surface area is 1.8-2
28
Strike volume index
30-60ml/beats
29
Preload of the right ventricle Normal cvp or right atria pressure is
2-6
30
Preload of the left ventricle pawp is
6-12
31
Pawp means ? And is also know by what
Pulmonary artery wedge pressure (PAWP), Pulmonary capillary wedge pressure (PCWP): Pulmonary artery opening pressure (PAOP)
32
How do u adjust cvp
Low cvp give some volume High cvp take some off lasix , dialysis
33
What is the blood flow rate per minute
5-10
34
systemic vascular resistance is
900 -1400
35
PVR is
50-250
36
After loads affects
PVR &SVR
37
Why use a pulmonary artery catheter?
Measure hemodynamic parameters Obtain blood samples Provide assess to central circulation
38
When do u read pawp
Read the PAWP at the end of expiration.
39
* P-R interval = l
* P-R interval = 0.12 - 0.20 sec (3 - 5 small squares)
40
* QRS width =
* QRS width = 0.08 - 0.12 sec (2 - 3 small squares)
41
* Q-T interval
* Q-T interval 0.35 - 0.43 sec
42
- When the qt interval widens out you may get
- [ ] When the qt interval widens out you may get torsades
43
Your treat torsade with ?
Mg
44
What can widen a qt intervals
Haldol and zofran
45
* U wave is suspected to be caused by?
repolarization purkinje fibers and low potassium
46
Treatment fot  puless VT
CPR Defih CPR Defib Epi 1mg I’ve push Defib Amiodarone 300mg or lidocaine.1mg/kg Defib EPI 1mg Defib Amiodarone 150mg
47
Cranial nerves in order Oh Oh Oh To Touch And Feel a girls vagina ah heaven
• I: Olfactory =smell • II: Optic:=vision • III: Oculomotor= (pupil constrict, medial and superior movement of eve? • IV: Trochlear= (inferior eye movement) • V: Trigeminal-= Sensory (sensation on scalp, face and eye) Motor (Temporal and masseter muscle) • VI: Abducens, motor (lateral eye movement • VII: Facial= Sensory (taste on anterior 2/3 of tongue); Motor (facial muscles of expression, eyelid closure) • VIII: Acustic= (hearing, equilibrium) • IX: Glossopharyngeal “taste and swallowing • X: Vagus= parasympathetic and rare • XI: Spinal Accessory= shoulder shrugs • XII: Hypoglossal-tongue movement
48
CPP IS
50-70
49
Normal iCPl pressure is less than
15
50
Treatment for DI
Vasopressin
51
Treatment for siaDH
Diuretic
52
Cerebral Salt Wasting Syndrome
Hypertonic saline, Fludrocortisone
53
Brain consussion
Non bleed
54
Brain contusion
Bleeding
55
Mannitol is a
Sugar
56
How do you reduce acutely raised intracranial pressure,
Mannitol
57
Meningeal irritation • Kernig's sign Brudzinski's sign
Meningeal irritation • Kernig's sign Brudzinski's sign
58
CPP-is
map -icp