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Hemodynamics

Total questions: 10

Worksheet time: 6mins

Name
Class
Date
1.

Your patient has the following hemodynamic values:

SVR = 780

BP = 88/42

CVP = 2

PA = 18/4

SVV = 22%

Based on these values, your patient is probably

a)

Experiencing an acute MI

b)

Fluid overloaded

c)

Significantly vasoconstricted

d)

Hypovolemic

2.

Your patient was admitted with metastatic lung cancer, is taking chemotherapy, has low urine output, temp - 102.4, BP = 88/46, platelet count = 14,000, lactic acid 9.8, and altered mental status. After assessment, you recognize that the patient needs which of the following?

a)

IV fluid resuscitation with 30 mL/kg

b)

Blood cultures after first dose of dual therapy antibiotics

c)

Stat CT of the head without contrast

d)

Dobutamine infusion to increase perfusion

3.

The first line drug for refractory hypotension with septic shock is . . .

a)

Dopamine

b)

Norepinephrine

c)

Epinephrine

d)

Primacor

4.

Which of the following pressures are normal?

a)

PAP = 34/24; PCWP = 12

b)

PAP = 30/20; PCWP = 10

c)

PAP = 28/18; PCWP = 20

d)

PAP = 24/14; PCWP = 12

5.

Your patient with an inferior wall MI also has RV infarction. He soon develops RV failure. Which of the following data obtained would support this?

a)

PAP 23/8; PCWP = 19; CVP = 20

b)

PAP = 54/28; PCWP = 14; CVP = 14

c)

PAP = 28/19; PCWP = 10; CVP = 20

6.

A normal wedge pressure, increased pulmonary artery pressures, and evidence of right ventricular failure would most likely indicate . . .

a)

Cardiac tamponade

b)

Left ventricular failure

c)

Pulmonary embolism

d)

Myocardial infarction

7.

Which one of these is NOT a determinant of cardiac output?

a)

Preload

b)

Afterload

c)

Body surface area (BSA)

d)

Heart rate

e)

Contractility

8.

A patient in the warm hyperdynamic phase of sepsis will have decreased afterload. Knowing this, infusions that might increase afterload and help with tissue perfusion are all of the following EXCEPT

a)

Milrinone (Primacor)

b)

Dopamine

c)

Norepinephrine (Levophed)

d)

Epinephrine

e)

Phenylephrine (Neo-synephrine)

9.

All of the following decrease afterload EXCEPT

a)

Nitroprusside (Nipride)

b)

Clevidipine (Cleviprex)

c)

Hydralazine (Apresoline)

d)

Milrinone (Primacor)

e)

Norepinephrine (Levophed)

10.

You have a septic patient with HR = 120, BP = 88/42, Cardiac index = 5.3, oliguria, altered mentation, warm extremities and Cardiac output = 9.2. To improve the patient's blood pressure, the best choice would be:

a)

Dobutamine

b)

Phenylephrine (Neo-Syneprhine)

c)

Epineprhine

d)

Dopamine