1. which of the following is not a site used for arterial cannulation (art line)
    carotid artery
  2. which of the following are possible complications of arterial cannulation
    • infection
    • arterial spasm
    • thromboembolism
  3. which of the following would cause the CVP to increase
    fluid overload
  4. what is the normal value of CVP
    • < 6mmHg
    • <12 cmH2O
  5. what would be considered a normal value for pulmonary artery pressure (PAP)

    normal is 20-30/6-15 mmHg
  6. given SV of 62mL and HR of 88bmp, what is the cardiac output

    CO= HR x SV
  7. what is the normal range of CO in an adult
    4-8 Lpm
  8. what is the normal range for CI
    2.5 - 4.0 L/min/m2
  9. the amount of precontraction stretch applied to the ventricles is a definition of
  10. preload of the left ventricle is assessed by
    pulmonary capillary wedge pressure (PCWP)
  11. the following is possible hemodynamic effect of used mechanical ventilation
    • reduces preload
    • reduced cardiac output
    • decreased afterload
  12. the following would incre3ase pulmonary vascular resistance (PVR)
    • hypoemia
    • acidosis
    • pulmonary emboli
  13. the port on the swan ganz catheter used for injecting cold fluids for thermodilution CO measurement
    the proximal port
  14. what is the normal SVR
    900-1400 dynes/sec/cm5
  15. what would not be considered a possible insertions site for a swan ganz catheter
    carotid artery
  16. improper positioning of the pressure transducer abot the level of the right atrium will result in
    falsely low pressure reading
  17. what is normal PVR
    110-225 dynes/sec/cm5
  18. what swan ganz PA catheter measures cardiac output by the the following method
  19. positive chronotropic drugs affect cardiac output by
    increasing the heart rate
  20. what is normal PCWP
  21. what is HB
    • Woman 12-14 g/dL
    • Male 14-16 g/dL
  22. the force the ventricles must overcome to pump blood out refers to
  23. when the ejection fraction reaches ___ exercise tolerance is compromised
  24. systemic vascular resistance is a indicator of
  25. the following is the most efficient way to increase CO
    increase SV
  26. what is normal Hct
    • Woman 42%
    • Men 45%
  27. the balloon on a pulmonary artery catheter should be inflated
    during insertion

    to obtain PCWP readings intermittently
  28. what is normal EJ
  29. a hematocrit of 58% is indicative of
  30. in a COPD patient acidosis and hypoxemia could cause
    SVR decrease and PVR increase
  31. a patient with a pulmonary emboli generally has an increase PAP, SVR and CVP. where did the majority of pulmonary emboli originate from
    thomboemboli from DVT of the legs
  32. hemodynamic "diastolic plateau" describes
    cardiac tamponade
  33. 3 drugs used in front line management of pulmonary edema are
    • lasix
    • oxygen
    • morphine
  34. in a patient who is peripherally vasodilated you would expect there preload to be
  35. in a patient who is peripherally vasodilated you would expect their afterload to be
  36. how/why severe hypoxemia can cause metabolic acidosis
    when your body isn't getting proper O2 like in anaerobic state lactic acid builds up in the body
  37. inotropic describes
    drugs that effect contractility of the heart
  38. which anti-arrhythmic needs to be used with caution with patients suffering from asthma
    Propanolol (Inderal)
  39. normal variance between an arterial line BP measurement and a manual cuff pressure is considered to be
    5-20 mmHg, as long as the arterial line pressure is high
  40. the following care measures must be taken to prevent large blood loss of a patient with a radial arterial line
    diligent attention to keeping the tubing visible at all times
  41. Nitro = Nitroglycerine

    • increases CO--SV--HR (contractility)
    • decreases BP--SVP--PVR--CVP--PCWP
    • (preload and afterload)
    • myocardial O2 consumption
Card Set
heart-drugs and effects