test 2 Ra pressure notes Flashcards

Ra pressures

1
Q

access routes for sampling RA pressures

A

right internal jugular
brachial vein/femoral vein

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2
Q

diastolic gradient of the RAm and RVedp is indicative of

A

TS

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3
Q

a/v/m applies to which right waveforms

A

RA and PCW

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4
Q

RA and PCW waveforms format is written as

A

a/v/m

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5
Q

true or false RA=SVR

A

false

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6
Q

true or false RA=CVP

A

true

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7
Q

a represents

A

atrial contraction

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8
Q

c represents

A

tv closure

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9
Q

x represents

A

atrial relaxation

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10
Q

v represents

A

ventricule contraction

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11
Q

y represents

A

ventricular empyting

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12
Q

on the EKG where is the a

A

at the p wave

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13
Q

on the EKG where is the c

A

before qrs

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14
Q

on the EKG where is the v

A

end of qrs

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15
Q

these are criteria for
balloon starts bobbing
o2 sat greater than 95
a and v waves

A

good wedged catheter in pcw

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16
Q

s/d/m is for which Right waveforms

A

PA

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17
Q

s/d/EDP are for which Right waveforms

A

RV

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18
Q

what is the correct order for insertion into the right side

A

RA RV PA PAW

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19
Q

RA RV PA PAW is insertion or pullback

A

insertion

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20
Q

what is the correct order for pullback on the right side

A

PAW PA RV RA

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21
Q

PAW PA RV RA is this insertion or pullback

A

pullback

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22
Q

PAd should match ______

A

PCWm

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23
Q

RAm should match

A

RVedp

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24
Q

PCWm should match

A

PAd

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25
PAs should match
RVs
26
RVs should match
PAs
27
normally when inhaling what happens to diaphragm and pressures in the ra
go down
28
normally when exhaling what happens to pressures and diaphragm in the ra
go up
29
what is not present in waveform during AFib
a waves
30
respiratory variation in the PCW is normal
true
31
respiratory variation in the ra is normal
false
32
respiratory variation in the ra could suggest
tamponade
33
Low RAm would suggest
1.hypovalemia 2. improper transducer zero
34
elevated RAm would suggest
1. intravsc volume overload 2. RV failure 3. tamponade 4. LV failure 6. COPD, Pulm HTN 7. Atrial Myoxma (tumor)
35
Canon/elevated a waves would suggest
TS, RV failure
36
Absent A waves would suggest
AFib/aflutter
37
elevated/canon v waves suggest
TR
38
Elevated RAm and v waves would suggest
VSD
39
elevated and equal pressures suggest
tamponade
40
equal a and v waves suggest
Constrictive
41
M's and W's in the RA would suggest
Constrictive pericarditis/Restrictive myopathy
42
width between a and v suggest
1st degree
43
high pressures when inhaling with m's and w's suggest
kussmaul's disease
44
what causes kussmaul's disease
acid base imbalance
45
how to confirm kussmaul's
measure RA and RV for square root
46
how to know the difference between Ra and PCW
PCW has respiratory variation
47
large systolic gradient with RV being too high suggest
TR
48
elevated a and v waves suggests
tamponade
49
If elevated and equal RA PCW and PA
tamponade
50
IF RAa and RAv elevated
TS and TR
51
if only RAv elevated
TR
52
If RV elevated and PA is normal
PS
53
IF PA elevated and PCW normal
COPD
54
if PA and RA elevated and CO and CI low
Heart failure and Pulm HTN
55
If RAm eleavated
TS
56
IF RA and RV high but equal
tamponade
57
If PAs high and PAd normal
pulmonic regurge
58
Normal a values for RA
5-14
59
Normal v values for RA
5-10
60
Normal RA m values
4-8
61
Normal a values for PCW
10-24
62
normal v values for PCW
10-20
63
normal PCW means
10-15
64
normal PA s values
25-35
65
normal PA s values
10-15
66
Normal RV s
25-35
67
normal RV d
0
68
normal mean RV
4-8