Barry Monitoring
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Map formula | show 🗑
|
||||
| Pulse Pressure | show 🗑
|
||||
| show | systolic and pulse pressures are exaggerated. (ie radial systolic will be higher than the aortic)
🗑
|
||||
| Indications for invasive blood pressure monitoring | show 🗑
|
||||
| Complications associated with invasive b/p | show 🗑
|
||||
| Slope of a-line upstroke reflects | show 🗑
|
||||
| show | SVR
🗑
|
||||
| show | underestimates systolic
🗑
|
||||
| Under dampened a-line reading | show 🗑
|
||||
| show | fluid admin. in shock, caustic drug admin., TPN, aspiration of air emboli, insertion of transq pacer leads, gaining venous access in pt with poor peripheral veins, major trauma, frequent blood sampling
🗑
|
||||
| show | renal cell tumor extension into RA, tricuspid vegetation, not if on anticoags, insertion site infection, new pacer wires, carotid disease (plaque thrombus), contra-lateral diaphragm dysfunction, prior neck sx
🗑
|
||||
| 3 Peaks on CVP wave form | show 🗑
|
||||
| show | X and y
🗑
|
||||
| Complications of CVP | show 🗑
|
||||
| Complications of any central catheter presence | show 🗑
|
||||
| show | increases
🗑
|
||||
| show | preload; RVEDV
🗑
|
||||
| show | 1-15mm/hg
🗑
|
||||
| show | Poor LV function,Detect MI or complications of MI (IABP),Complicated valve lesions,Shock of any cause,Severe pulmonary disease,Bleomycin toxicity,Complicated surgical procedure,Massive trauma, Hepatic transplantation
🗑
|
||||
| Swan Ganz contraindications | show 🗑
|
||||
| show | same as with CVP in addition to: Emboli (air, catheter insertion),Cardiac perforation,Cardiac dysrhythmia/heart block,Knotting
🗑
|
||||
| show | Diagnose myocardial ischemia, valve problems, wall motion abnormality, air emboli, confirm the adequacy of valve reconstruction and other surgical repairs, determine the cause of hemodynamic disorders and other intraoperative complications
🗑
|
||||
| TEE complications | show 🗑
|
||||
| EEG used for | show 🗑
|
||||
| EEG Waves | show 🗑
|
||||
| Concerning EEG Activity (Decreased blood flow to the brain) | show 🗑
|
||||
| show | decreased frequencies, slowing
🗑
|
||||
| BIS monitoring values and meaning | show 🗑
|
||||
| BIS useful because it may | show 🗑
|
||||
| Evoked potentials | show 🗑
|
||||
| A Damaged pathway on an evoked potential will | show 🗑
|
||||
| show | (dorsal) Stimulate peripheral nerve, Record evoked potential over spinal cord or brain
🗑
|
||||
| show | Reflect impulses along auditory pathway, MOST RESISTANT to effects of anesthesia, Posterior fossa crani’s; acoustic neuromas; CN VIII
🗑
|
||||
| MEP’s: motor evoked potentials | show 🗑
|
||||
| What is an oxygen analyzer | show 🗑
|
||||
| Pulse oximetry measures what | show 🗑
|
||||
| show | uses light emitting diodes with 2 wavelengths of light transmitted through tissues. Oxy hgb absorbs more Infrared and Deoxy absorbs more Red light.
🗑
|
||||
| Beer-Lamberts Law | show 🗑
|
||||
| CarboxyHgb affects pulse ox how ? | show 🗑
|
||||
| show | will always give an 85% (because it absorbs red and infrared in equal ratio 1:1) pulse ox reading, therefore it may be falsely high or falsely low depending pt’s true ox saturation
🗑
|
||||
| show | Decr. Pulsatile blood flow (hypothermia; hypotension; hypovolemia; PVD); bright lighting; shivering; venous congestion; nail polish; methylene blue(can drop for a couple minutes); MethHgb; carboxyHgb(falsely high, ie.copd); motion/electrical interference;
🗑
|
||||
| show | smoke inhalation, copd, smokers (cherry red lips is a late sign)
🗑
|
||||
| show | occurs in <1% of humans, congenital or acquired, impairs unloading of oxy onto tissues,
🗑
|
||||
| show | Causes of acquired methemoglobinemia include: nitrobenzene, benzocaine(hurricane spray), prilocaine, and dapsone
🗑
|
||||
| show | brownish-gray cyanosis, tachypnea, metabolic acidosis, healthy pt will tolerate but anemic or severe heart failure will not
🗑
|
||||
| Methemoglobin reversal | show 🗑
|
||||
| The further peripheral you get with a non-invasive b/p the | show 🗑
|
||||
| Korotkoff sounds | show 🗑
|
||||
| show | 2-3 mmHg per heart beat, or 3-5mmHg /sec
🗑
|
||||
| show |
🗑
|
||||
| show | R atrium (phlebostatic axis), at the tragus if in the seated position(this measures perfusion at the circle of willis)
🗑
|
||||
| ECG can detect | show 🗑
|
||||
| Lead II benefits | show 🗑
|
||||
| Lead V | show 🗑
|
||||
| show | take LA lead and place at 5th intercostals space ant. Axillary line, then select lead 1 on the monitor
🗑
|
||||
| show | disease in the right coronary artery (inferior wall)
🗑
|
||||
| Lead V1-V6 reflects | show 🗑
|
||||
| show | posterior wall MI
🗑
|
||||
| show | anteroseptal wall
🗑
|
||||
| show | anteroapical wall
🗑
|
||||
| V4, V5 & V6 reflect | show 🗑
|
||||
| show | Detect changes in HR, onset of dysrhythmias, airway/ventilation problems, VAE (venous air embolism)
🗑
|
||||
| show | Soft, thinned walled tube placed in the lower 1/3 of the esophagus, most accurate measure of temp
🗑
|
||||
| show | eso varices
🗑
|
||||
| Anesthetics affect temp through the | show 🗑
|
||||
| show | radiation, convection, evaporation and conduction
🗑
|
||||
| Volatile anesthetics effect all EP’s by | show 🗑
|
||||
| IV agents have ____ effect on EP’s | show 🗑
|
||||
| alveolar deadspace | show 🗑
|
||||
| If no co2 detected on capnography assume | show 🗑
|
||||
| If not returning to baseline 0 then | show 🗑
|
||||
| show | Having trouble blowing out CO2, COPD; kink, foreign body obstruction, emphysema
🗑
|
||||
| show | cardiogenic oscillations at end expiratory phase, matches up with HR
🗑
|
||||
| show | PE
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
dupy6
Popular Nursing sets