WorksheetsPost test CVS monitoring
Total questions: 10
Worksheet time: 8mins
Falsely low estimations of blood pressure determined by a noninvasive cuff occur in which of the following conditions?
Use of a cuff that is too small
Use of a loosely applied cuff
The extremity being below the level of the heart
Use of excessively quick deflation of the cuff
A pulmonary artery catheter is placed to help guide management of hypotension Cardiac output is found to be markedly decreased with low central venous, pulmonary artery, and pulmonary artery occlusion pressures. Systemic vascular resistance is moderately elevated. Of the options listed below, the most beneficial intervention at this time would be to
Administer volume
Begin diuresis
Start an infusion of milrinone
Start an infusion of epinephrine
The fidelity of fluid-transducing systems (i.e., arterial lines) is constrained by which of the following properties?
Amplification
Piezoelectric impedance
Natural frequency
Laminar flow
Compared with the right internal jugular (IJ) vein, the left IJ vein is used less often for central venous access because of
which of the following?
Potential for damage to the thoracic duct
Closer proximity to the carotid artery
Increased risk of pneumothorax
Increased risk of injury to the phrenic nerve
Determination of mixed venous O2saturation (SVO2)
allows one to assess which of the following?
Adequacy of CO2 delivery
Adequacy of cerebral perfusion
Determination of intracardiac and pulmonary shunts
Quantity of dead space within the lungs
Which of the following parameters is the MOST important in determining potential for tissue damage with ultrasonography?
Frequency
Wavelength
Propagation velocity
Amplitude
ECG monitors utilize high- and low-frequency filters to reduce noise (artifact).
Which of the following are reduced with low-frequency filtering ?
Muscle fasciculation
Respirations
Tremor
Electromagnetic interference from other devices
Intraoperative a wareness under general anesthesia can be eliminated by closely monitoring
Electro-encephalogram
BP/ heart rate
Bispectral index (BIS)
None of the above
You are taking over a case from another anesthesia provider with a patient in the
beach chair position and a history of moderate carotid artery disease. You are told during pass-off that the patient’s blood pressures have consistently been 90/50 mmHg . You notice the blood pressure cuff on the left arm is one or two sizes small and barely stays on the patient. A blood pressure cuff that is too small will
Incorrectly underestimate the true blood pressure
Incorrectly overestimate the true blood pressure
Randomly both over- and underestimate the true blood pressure
Not give an incorrect blood pressure, but will be uncomfortable in an awake
patient
A patient with methemoglobinemia will have a pulse oximetry reading that
Converges around a saturation of 85%
Converges around a saturation of 65%
Converges around a saturation of 45%
Varies widely
