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hemodynamics test review

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Question
Answer
Identifying marks for an arterial wave form?   show
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show small thin line, lower to the horizontal scale line.  
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show waveform hits the top and the bottom of the scale.  
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Identifying marks for the PAP waveform?   show
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show the line is thin and wiggly but higher on the scale than the CVP.  
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show Sys 90-140 torr, Dia 60-90 torr, Mean 70-105  
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show 2-6 torr  
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show < 6 torr  
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Normal value for RV?   show
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show sys 20-30 torr, dia 8-15 torr, mean 10-20 torr  
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show 4-12 torr  
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show 2.5-4.5 L/min/m2  
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Normal value for QT?   show
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show 4-6 Vol%  
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Normal value for Stroke volume?   show
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Normal value for ejection fraction?   show
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Discuss preload?   show
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show resistance that opposes ventricular ejection.  
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show assemble equipment, perform Allen's test, drape pt, inject 1% lidocaine, catheter inserted 30 degree angle, hold needle and advance catheter, remove needle and secure, attach drip and observe waveform.  
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show done by physician, check ballon for patency, inserted into selceted sight until reaches R atrium then inflate balloon with 1.5cc's.  
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Common sites for placing pulmonary catheter?   show
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show radial, brachial, or femoral.  
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Equipment needed for a pulmonary catheter?   show
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Equipment needed for an arterial line placement?   show
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show pressurized to 300 torr and set to drip 2-4ml per hour.  
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Thermodilution method for measuring QT?   show
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show requires I and E gases as well as mixed, gold standard, but rarely used.  
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show simultaneous measurements of art pressure and C.O. by other methods for a baseline. If art prssure goes up them C.O. will go up.  
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Estimated C.O. monitoring?   show
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show Systemic Vascular Resistance- pressure on the vessel's throughout the body (from aorta).  
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Discuss PVR?   show
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Discuss vascular resistance?   show
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show fraction of end diastolic volume ejected with each beat. EF=SV/EDV. <30% exercise tolerance severly limited.  
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show End Diastolic Volume- amount of blood before the contraction. Preload, or systole.  
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Discuss ESV?   show
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show energy the heart uses to eject blood against the aortic or pulmonary pressures. Correlates with O2 requirments of heart. L ventricle has to work 6X harder then the R.  
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Calculate CaO2, CvO2, C(a-v)O2, C.O., and EF?   show
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Discuss factors that affect contractility of the heart?   show
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show HR and SV  
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show measurements based on body size.  
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show preload and PWP  
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show amount of blood in R atrium or CVP  
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What do parameters do these reflect: CVP, PAP, PWP, C.O.?   show
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show amount of work on the left side of heart.  
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Discuss RCWI?   show
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show directly related to SVR, mycardial mass, viscosity.  
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Discuss RVSWI?   show
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Both LVSWI and RVSWI increase with?   show
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