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Carnegie > Test 3 PCW hw > Flashcards

Test 3 PCW hw Flashcards

1
Q

if PCW pressures are up then you have sampled

A

end expiration

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2
Q

PCWm 30 LVedp 15

A

MS

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3
Q

PCW 12/30/18

A

MR

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4
Q

PAd>PCWm

A

COPd/PEd

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5
Q

PCW -/15/12

A

AFib/flutter

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6
Q

RA goes up in resp variation during inspiration

A

kussmaul’s

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7
Q

respiratory variation in Ra indicates

A

Kussmaul’s

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8
Q

RAm 25 RVedp 15 PAd 25 PCWm 25

A

tamponade

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9
Q

95-100 means catheter is

A

wedged

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10
Q

60-70% means catheter is

A

in pa

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11
Q

70-95% catheter is

A

both pa and PCW

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12
Q

Why is the distance longer from the ECG R wave to the PCW v
wave than the distance from the ECG P wave to the PCW v wave?

A

Longer distance to travel backward from LV against Mitral
valve to LA to Pulmonary Veins and finally to catheter in PCW
position.

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13
Q

if PCW and LV events don’t align

A

phase shift

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14
Q

insertion pa to PCW is impossible

A

false

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15
Q

insertion PCW to la is impossible

A

true

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16
Q

to asses fro Pulmonary htn what waves to sample

A

PA and PCW

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17
Q

PCW 20/51/34

A

MR

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18
Q

RA 8/4/5 RV 25/0/5 5 PA 25/10/15 PCW 12/8/10

A

normal

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19
Q

if pressures are high for PCW respiratory variation when was it sampled

A

end expiration

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20
Q

proper scale for swan

A

40

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21
Q

PCWm=

A

LVedp=PAd=LA

22
Q

In COPD, pulmonary artery diastolic pressure is lower than
pulmonary capillary wedge pressure

A

false

23
Q

Papillary muscle rupture causes

A

MR canon v waves

24
Q

In mitral regurgitation PCW a-waves are sometimes swamped by larger v-waves in fusion beats

A

true

25
Q

PCWm>________in normal patients

A

RAm

26
Q

PCW is elevated un tamponade

A

true

27
Q

prominent c waves in PCW indicate

A

MS

28
Q

In pulmonary hypertension PCW is elevated

A

false

29
Q

how does pulmonary htn affect PCW

A

it doesn’t

30
Q

gradient between PAd and PCWm

A

PE COPD

31
Q

how could RAm exceeds PA

A

TS

32
Q

increase in RA more than PA means

A

TS

33
Q

what does MS do to waveforms

A

PCWm increase

34
Q

what pressures are needed to asses MS

A

LV and PCW

35
Q

PCW= 17 than repeat PCW=31 after 700 CC of saline and pt complains of SOB

A

pulmonary edema (decrease in EF)

36
Q

what conditions increase end diastolic pa pressure and PCW

A

chronic obstructive lung disease
high cardiac output

37
Q

which shock elevated PCw

A

cardiogenic shock

38
Q

extreme difference between the peaks of the a
waves and their x descents?

A

CP?RC

39
Q

CP is indicative of

A

discordance

40
Q

RC is indicative of

A

Concordance

41
Q

differences between RA and PCW tracings

A

v waves larger, sweep speed increased, respiratory variation in PCW

42
Q

Increased RAv and RVs w decreased PAs PAd with PCW=PAd

A

PS+TR

43
Q

diastolic gradient between RV and PA means

A

PS

44
Q

RAv waves increased means

A

TR

45
Q

Normal RA with, increased RVs RVedp and PAs with decreased PAd and PCW

A

PR

46
Q

wide pulse pressure of the PA means

A

PR

47
Q

increase in RA and RVs RVedp and PAs PAd with a decrease of PCWa with PCWm=PAd

A

MS

48
Q

diastolic gradient between PAd and LV where PCWm=PAd means

A

MS

49
Q

PCW canon v waves means

A

MR

50
Q

dip and plateau and all pressures are elevating means

A

RC

51
Q

increase in RA and RVs RVedp and PAs PAd PCWv with PCWm=PAd

A

MR

52
Q

Increase in RAa RAv and PAs PAd and PCWa PCWv with decreased of RAx RAy and PCWx and PCWy with PCWm=PAd

A

RC

Carnegie (10 decks)

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