Lindsey Jones 3C1 - Therapeutics : Circulation
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| What is Hemodynamic Monitoring - line insertion? | show 🗑
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| show | 1. Internal jugular vein 2. subclavian artery. 3. Anti-cubital vein. 4. femoral vein.
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| show | Location of Catheter:RA/Just prior- 2-6mmHg. RV:2-25mmHg. PA-12:25mmHg.
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| show | Insert the ballon deflated. Advance &watch the pressure waveform on the monitor.Once in RA ballon is inflated &act as a sail, guiding catheter into RV &finally into PA.Once there ballon is deflated & Remain that way except when PCWP measurement is needed
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| show | 1. CVP- central venous pressure. 2. PAP - Pulmonary artery pressure. 3. PCWP - pulmonary capillary wedge pressure. 4. CO- cardiac output.
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| show | to Determine conditions of 1)Right & Left heart 2)Vascular system of the lungs 3)Systemic Vascular system. Also the methdology of CVP,PAP,PCWP& Cardiac Output.
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| What is the methodology of Hemodynamic monitoring - CVP (BEFORE THE Right Heart) | show 🗑
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| What is the methodology of Hemodynamic monitoring - PAP (AFTER the Right Heart) | show 🗑
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| show | If high, then there is a problem w/the lung. If PAP and PCWP is high then no problem w/the lung. If PAP is high and PCWP is low then problem is in the lung.
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| What is the methodology of Hemodynamic monitoring - CO | show 🗑
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| show | Both are methods of changing cardiac rhythms through electrical stimuli. Cardioversion is a form of defibrillation only w/ the synchronization On. This involves the placement of paddles on the chest & applying shcok to the pt.
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| What type of heart problems does a Cardioversion treat? | show 🗑
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| show | Start @ low voltage around 50-100 joules.
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| How do you prepare a Cardioversion procedure? | show 🗑
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| What should be done in a synchornization in a Cardioversion? | show 🗑
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| What type of heart problems does a Defibrillation treat? | show 🗑
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| What voltage does Defibrillation starts with? | show 🗑
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| What should be done in synchronization in a Defibrillation? | show 🗑
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| What is Basic cardiac life support (BCLS)? | show 🗑
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| show | 1. Color of face & extremities. 2. Pulse can be felt during compressions. 3. If carotid artery is not accessible, use femoral artery
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| Basic cardiac life support (BCLS): What should we do when there is no pulse ? | show 🗑
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| show | 1. Pneumothorax (from broken ribs) 2. Gastric Distension or rupture 3. Liver laceration 4. Aspiration 5. Cross-contamination 6. Cardiac Contusion (bruising of the cardiac muscle) 7. Continue CPR regardless of above hazards.
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| show | 1. look, listen, & feel for breathing for @least 10 seconds. Use Carotid pulse. Use current BLS compression /breath ratio. Continue CPR if no pulse.
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| Basic cardiac life support (BCLS): What are the ventilation rates? | show 🗑
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| show | 1.Neonate - 3 compressions then 1 ventilation (3:1), 2. Infant &child= 15:2 3. Adult 30:2
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| Advance cardiac Life support (ACLS)? | show 🗑
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| show | 1. Ventricular Tachycardia(pulseless), 2. Ventricular Fibrillation 3. Bardycardia 4. Asystole.
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| show | 1. Defibrilliate @ 360 joules - check pulse in between 2. if unsuccessful, administer epinephrine, Lidocaine, Amioderone.
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| Advance cardiac Life support (ACLS): What is ventricular fibrillation? | show 🗑
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| show | It gives the pt. transitions to v-fib or pulseless v-tach - the transition witnessed as it happened.
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| Advance cardiac Life support (ACLS): What is Bardycardia? | show 🗑
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| Advance cardiac Life support (ACLS): What is Asystole? | show 🗑
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| show | 1. Poor Contractility of the heart 2. Vasodilation 3. Dehydration - most common.
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| Advance cardiac Life support (ACLS): In Hypotension How do you treat poor cardiac contractility related problems? | show 🗑
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| Advance cardiac Life support (ACLS): In Hypotension How do you treat Vasodilation related problems? | show 🗑
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| Advance cardiac Life support (ACLS): In Hypotension How do you treat dehydration? | show 🗑
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