characteristics of the unoxygenated side of the heart. select all that apply.

characteristics of the oxygenated side of the heart. select all that apply.

characteristics of the oxygenated side of the heart. select all that apply.

normal cardiac output

Why would cardiac output be decreased? Select all that apply.

Why would cardiac output be increased?

What is cardiac output adjusted for?

Cardiac output equation

Which is considered a normal heart rate (normal sinus rhythm?)

Amount of volume or fluid responsiveness your heart is dealing with; volume in ventricles at the end of diastole. Referenced as the tank of the heart.

What does central venous pressure measure?

The ability of the heart muscle. Referenced as the pump or the squeeze of the heart.

Normal central venous pressure.

True or false: central venous pressure is measured in the heart.

The resistance or the plumbing of the heart. What the ventricle must overcome with each contraction and get CO/SV out.

The systemic vascular resistance (SVR) is associated with which heart chamber?

Normal systemic vascular resistance (SVR).

The pulmonary vascular resistance (PVR) is associated with which heart chamber?

Normal pulmonary vascular resistance (SVR).

True or false: Frank-Starling's Law - the more volume we have the more stretch we have at the END of diastole the stronger the next contraction will be.

Causes of increased stroke volume. Select all that apply.

Causes of decreased stroke volume. Select all that apply.

Causes of decreased stroke volume. Select all that apply.

HR and/or SV is less than normal/decreased

HR and/or SV is above normal/increased

Causes of decreased cardiac output. Select all that apply.

Causes of decreased cardiac output. Select all that apply.

Causes of increased cardiac output. Select all that apply.

Causes of increased cardiac output. Select all that apply.

This line produces a beat by beat blood pressure, allows the nurse or RRT to draw blood samples for ABGs, and is commonly placed in the radial or femoral artery.

Includes PICC large, CORDIS/pressure transducer, Swan-Ganz catheters. Includes a large bore catheter. Can be single or multi-lumen. Allows us administer meds such as vasoactive drips, high/low pH meds or TPN, draw blood samples, and perform dialysis. Often placed in the IJ, SCV, or femoral vein.

18 year old female presents to the ER following a single-vehicle rollover MVA. She was unrestrained (no seatbelt), had positive airbag deployment, and positive loss of consciousness. GCS is 3 and she was intubated in the field prior to arrival. Systolic blood pressure is 65 over palpation. MD pages a level one trauma and orders warm normal saline to be given bolus via pressure bag. What else should the nurse expect to set up for for rapid blood transfusion/fluid resuscitation?

When we "zero" a line, do we turn the stopcock towards or away from the patient to open to air?

True or false: transducer must be at the phlebostatic axis.

Standing orders for central venous catheters (CVCs). Select all that apply.

Catheter that is threaded into right atrium, right ventricle into pulmonary artery. Measures the pressure in the R and L side of heart, temperature, CVP and CO. Could have four to six lumens.

Normal PAP

Normal PA occlusion or PA wedge pressure

Which is a possible cardiac complication associated with the insertion of Swan-Ganz catheter?

Parameters of Swan-Ganz catheter/PA catheter. select all that Apply.

Normal mixed venous oxygen saturation (SvO2)

Continuously monitoring SvO2 with special triple lumen catheter.

True or false: FloTrac system has a high risk of pneumothorax

FloTrac system monitors what? select all that apply.

Minimally invasive hemodynamic monitoring system that is placed in the wrist.

percentage of how much variation in b/w breaths when the pressure changes

Normal stroke volume variation

Causes of increased stroke volume variation (> 15%). Select all that apply.

Causes of decreased stroke volume variation (< 10%). Select all that apply.

Non-invasive hemodynamic monitoring system. It is a finger cuff that can be used up to 72 hrs with the EV1000 platform.

What does the ClearSight system monitors what? Select all that apply

What does the ClearSight system monitor? Select all that apply

Retrieved from ABG. More accurate, and determines if patient is fluid responsive.

retrieved from central line with pressure cable and transducer

Causes of decreased central venous pressure. Select all that apply.

Similar to Swan-Ganz, measures pulmonary artery pressure

Causes of decreased right atrial pressure. Select all that apply.

similar to wedge pressure, what the ventricle is doing upon the relaxation phase

Causes of decreased left ventricular end diastolic pressure. Select all that apply.

Causes of increased left ventricular end diastolic pressure. Select all that apply.

Normal SaO2 levels

causes of increased PVR/SVR

includes isotonic, hypotonic, and hypertonic fluids or IV fluids

plasma/volume expanders

Which are colloids? Select all that apply.

Indications for blood products. Select all that apply.

Level one trauma emergency blood products. Select all that apply.

Examples of blood products. Select all that apply.

activates the heart contraction/pump of the heart to increase cardiac output and increase BP

low dose of dopamine

moderate dose of dopamine

higher dose of dopamine

low dose of dopamine drip indications. select all that apply

moderate dose of dopamine drip indications. select all that apply

high dose of dopamine drip indications. select all that apply

normal dose of norepinephrine/Levophed

normal dose of neosynephrine (Phenylephrine)

normal dose of vasopressin (Pitressin)

normal dose of nitroglycerin drip

indications for norepinephrine (Levophed). select all that apply.

indications for neosynephrine (Phenylephrine). select all that apply.

indications for vasopressin (Pitressin). select all that apply.

indications for nitroglycerin drip. select all that apply.