NR341 Final Exam Review| 113
QUESTIONS| GRADED A
Cardiac output Correct Answer: heart rate x stroke volume
Preload Correct Answer: -amount of blood in the ventricles before contractions
Afterload Correct Answer: -how hard the heart needs to pump to push blood out
Contractility Correct Answer: -force and velocity of ventricle ejection
Compliance Correct Answer: -ability of the heart to stretch
PA (Swan-Ganz) catheter Correct Answer: -used to get direct measurements in the heart
CVP/RAP Correct Answer: -Right atrium preload
-normal is 2 to 8
PAP Correct Answer: -pulmonary artery pressure
-afterload of the right ventricle
- 15-25/8-15
PAOP (wedge) Correct Answer: -left ventricle preload
-6 to 12 mmHg
A line pressure Correct Answer: -left ventricle afterload
-100-120/60-80
Hypervolemia interventions Correct Answer: -Diuretics
-fluid restriction
-slowdown infusion rate
-listen to lung sounds
-edema
-JVD
Hypovolemia interventions Correct Answer: -Give fluids
-blood products
-oxygen
-vasopressors
-monitor electrolytes
PA Catheter placement Correct Answer: -goes into the right atrium of the heart
-right 4th intercostal space mid axillary line
, Zero device of PA catheter Correct Answer: -Phlebo-static access device levels the transducer
-The transducer must be aligned with the phlebo-static access
Normal CO Correct Answer: 4-8L/min
Cardiac index Correct Answer: 2.2-4L/min/squared
SVR Correct Answer: 800-1200 dynes/sec/cm
PVR Correct Answer: <250 dynes
MAP Correct Answer: Systolic + 2(diastolic)/3
Hypovolemic shock Correct Answer: -Shock caused by fluid or blood loss
Hypovolemic shock symptoms Correct Answer: -hypotension
-tachycardia
-weak thready pulse
-cool
-pale
-moist skin
-decreased urine output
-confusion
-weakness
-decreased CO
-increased SVR
Hypovolemic shock treatments Correct Answer: -Fluids
-blood
-vasopressors
-medications
Cardiogenic shock Correct Answer: -pump issue
-heart fails to act as a effective pump (MI, cardiomyopathy, afib, v-tach)
Cardiogenic shock symptoms Correct Answer: -hypotension
-tachycardia
-weak thready pulse
-cool, pale, moist skin
-urine output less than 30mL/hr
-crackles
-tachypnea
-Left sided HF: dyspnea, fatigue, pink frothy sputum, cough
-Right sided HF: edema, JVD
-Decreased CO and increased SVR
QUESTIONS| GRADED A
Cardiac output Correct Answer: heart rate x stroke volume
Preload Correct Answer: -amount of blood in the ventricles before contractions
Afterload Correct Answer: -how hard the heart needs to pump to push blood out
Contractility Correct Answer: -force and velocity of ventricle ejection
Compliance Correct Answer: -ability of the heart to stretch
PA (Swan-Ganz) catheter Correct Answer: -used to get direct measurements in the heart
CVP/RAP Correct Answer: -Right atrium preload
-normal is 2 to 8
PAP Correct Answer: -pulmonary artery pressure
-afterload of the right ventricle
- 15-25/8-15
PAOP (wedge) Correct Answer: -left ventricle preload
-6 to 12 mmHg
A line pressure Correct Answer: -left ventricle afterload
-100-120/60-80
Hypervolemia interventions Correct Answer: -Diuretics
-fluid restriction
-slowdown infusion rate
-listen to lung sounds
-edema
-JVD
Hypovolemia interventions Correct Answer: -Give fluids
-blood products
-oxygen
-vasopressors
-monitor electrolytes
PA Catheter placement Correct Answer: -goes into the right atrium of the heart
-right 4th intercostal space mid axillary line
, Zero device of PA catheter Correct Answer: -Phlebo-static access device levels the transducer
-The transducer must be aligned with the phlebo-static access
Normal CO Correct Answer: 4-8L/min
Cardiac index Correct Answer: 2.2-4L/min/squared
SVR Correct Answer: 800-1200 dynes/sec/cm
PVR Correct Answer: <250 dynes
MAP Correct Answer: Systolic + 2(diastolic)/3
Hypovolemic shock Correct Answer: -Shock caused by fluid or blood loss
Hypovolemic shock symptoms Correct Answer: -hypotension
-tachycardia
-weak thready pulse
-cool
-pale
-moist skin
-decreased urine output
-confusion
-weakness
-decreased CO
-increased SVR
Hypovolemic shock treatments Correct Answer: -Fluids
-blood
-vasopressors
-medications
Cardiogenic shock Correct Answer: -pump issue
-heart fails to act as a effective pump (MI, cardiomyopathy, afib, v-tach)
Cardiogenic shock symptoms Correct Answer: -hypotension
-tachycardia
-weak thready pulse
-cool, pale, moist skin
-urine output less than 30mL/hr
-crackles
-tachypnea
-Left sided HF: dyspnea, fatigue, pink frothy sputum, cough
-Right sided HF: edema, JVD
-Decreased CO and increased SVR
