NUR-504 Exam 1 with precise detailed solutions || || || || || ||
What is the first organ affected when there is a cardiac issue? - ✔✔Kidneys- the kidneys
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require a lot of blood || || || ||
What is Central Venous Pressure (CVP)? - ✔✔It's the preload, comes into the blood from
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the right side of the heart
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What's an A-line? - ✔✔a thin, flexible tube that is placed into an artery that takes the most
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accurate blood pressure || ||
If the blood pressure is low, what is the CVP? - ✔✔low CVP
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How do you increase CVP and increase BP? - ✔✔Constrict the vessels
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What is the cardiovascular focused assessment? - ✔✔Med history, allergies,
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aspirin/anticoagulants, skin color, mouth, sclera, skin temperature, pulses || || || || || || ||
What is preload? - ✔✔what comes into right atrium from the body- aka CVP
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What is the pathway of blood in the heart? - ✔✔Into right atrium (preload-what comes in
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aka CVP), goes to right ventricle, pulmonary arteries (only artery with deoxygenated blood-
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MUST KNOW), goes into left atria, then left ventricle
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What is afterload? - ✔✔resistance left ventricle must overcome to circulate blood
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throughout body ||
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If CVP is high or BP is high, will there be a high resistance? - ✔✔Yes, more afterload
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Where is the A-line placed? - ✔✔Usually radial artery, hooked up to sensor that gives you
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the MAP
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What are the normals for the MAP? - ✔✔65 or greater (heart is great)
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What kind of blood is the pulmonary arteries carrying to the lungs? - ✔✔Deoxygenated
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blood (she mentioned this multiple times!!)
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What brings CVP up with extremely low BP? - ✔✔They need a constrictor
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DOPAMINE FIRST LINE || ||
Norepi, epi, dopamine|| ||
What if someone's blood pressure is too high? - ✔✔vasodilator nitro- (Sublingual, IV)
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What does dopamine do? - ✔✔constrict (fast acting)
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What does dobutamine do? - ✔✔dilate (slow acting)
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What is Levophed? - ✔✔norepinephrine
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What does inotrope mean? - ✔✔helps the heart pump
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What is the P wave? - ✔✔atrial depolarization/contracting- sinus node, also known as the
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sinoatrial node, creates an action potential
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