Test 5 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

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

25
PCWm>________in normal patients
RAm
26
PCW is elevated un tamponade
true
27
prominent c waves in PCW indicate
MS
28
In pulmonary hypertension PCW is elevated
false
29
how does pulmonary htn affect PCW
it doesn't
30
gradient between PAd and PCWm
PE COPD
31
how could RAm exceeds PA
TS
32
increase in RA more than PA means
TS
33
what does MS do to waveforms
PCWm increase
34
what pressures are needed to asses MS
LV and PCW
35
PCW= 17 than repeat PCW=31 after 700 CC of saline and pt complains of SOB
pulmonary edema (decrease in EF)
36
what conditions increase end diastolic pa pressure and PCW
chronic obstructive lung disease high cardiac output
37
which shock elevated PCw
cardiogenic shock
38
extreme difference between the peaks of the a waves and their x descents?
CP?RC
39
CP is indicative of
discordance
40
RC is indicative of
Concordance
41
differences between RA and PCW tracings
v waves larger, sweep speed increased, respiratory variation in PCW
42
Increased RAv and RVs w decreased PAs PAd with PCW=PAd
PS+TR
43
diastolic gradient between RV and PA means
PS
44
RAv waves increased means
TR
45
Normal RA with, increased RVs RVedp and PAs with decreased PAd and PCW
PR
46
wide pulse pressure of the PA means
PR
47
increase in RA and RVs RVedp and PAs PAd with a decrease of PCWa with PCWm=PAd
MS
48
diastolic gradient between PAd and LV where PCWm=PAd means
MS
49
PCW canon v waves means
MR
50
dip and plateau and all pressures are elevating means
RC
51
increase in RA and RVs RVedp and PAs PAd PCWv with PCWm=PAd
MR
52
Increase in RAa RAv and PAs PAd and PCWa PCWv with decreased of RAx RAy and PCWx and PCWy with PCWm=PAd
RC