vasoconstricted
High SVR
ex: hypothermia, hypovolemia, meds
Low SVR Meds, sepsis, re-warming, hyperthermia
Normal PAP 25/10
Pulled back t0o far: ventricular waveform
PAP waveform
Pulled in too far: Wedge waveform
Red port on the Swan balloon for a wedge pressure if ordered
Measures PAP
Yellow port on the Swan
Can only use this to draw a mixed venous
Measures CVP
Blue port on the Swan
Can push meds through this
CO/CI and temperature
White port on the Swan
other white port it for fluids
q-shift and when you open the system.
When do you zero the Swan?
zero at phlebostatic axis
8-12
Normal wedge pressure High wedge: LV failure and tamponade
Low wedge: hypovolemia
Vitals q 15 min until aldrete >9
Phase 1 monitoring
ABG 30 min after arrival
Right side: A wires
Where are epicardial wires located?
Left side: V wires
Normal milliamps on temporary pacer. 10-20
What do you do if you do not have capture? go up on the milliamps
Failure to capture You have a spike, but no QRS complex to follow
Failure to sense You have
Patient spikes
needs in the vasodilation,
diuresis, wrong place orand not capture
treatment for tamponade.
1/3
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