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RCP 160 midterm review questions with correct answers
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RCP 160 midterm review questions with correct answers
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RCP 160 midterm review▪filling pressure of the ventricle and the end of ventricular diastole, or ventricular end-diastolcorrect answerpreload
Left ventricular afterload is indicated by whatcorrect answerSVR (Systemic Vascular Resistance)
▪ the impedance the right and left ventricles must overcome to eject blood into the great vesselscorrect answerAfterload
▪the afterload the right ventricle must overcomecorrect answerPulmonary vascular resistance (PVR)
▪the strength and rate of cardiac contractionscorrect answerContractility-
▪What could cause an increase in left ventricular afterload?correct answerAn increase in SVR
What hemodynamic measurement is used to estimate right ventricular preloadcorrect answerCVP (Central Venous Pressure)
Central Venous Pressure Line or CVPcorrect answer-(To monitor right sided (right atrium) heart pressure)
-To administer large volumes of fluid
-Administer cardiac meds during CPR
CVP Placement:correct answer▪Inserted into the right jugular vein or right subclavian vein
CVP normal vauescorrect answer4-12 cmH2O or 2-6 mmHg
▪CVP Complications:correct answer-(Pneumothorax)
-Hemothorax -Vessel damage
-Infection
-Thrombosis
-bleeding
▪Where must the pulmonary artery cath be wedged to measure PCWP?correct answerZone 3
Pulmonary ArteryCatheterization—cont'dcorrect answerPosition of catheter in relation to the West's zone of the lung (Zone 3
▪How do you check absolute confirmation of placement of a CVP line?correct answerCXR
▪What are some issues that can cause an increases in PCWP?correct answer: CHF, MI, fluid overload, mitral valve stenosis
▪What is the normal value for PCWP?correct answer: 4 - 12 mmHg
▪What hemodynamic measurement would you expect to be elevated in a patient with right heart failure?
correct answerCVP
▪If a patient is hypervolemic, would we see an increase or decrease in SVR?correct answer: Increase
▪A PCWP greater than _____ mmHg, could indicate cardiogenic pulmonary edema.correct answer18 mmHg
Ground glass appearance on a CXR indicatescorrect answerARDS
▪What 2 medications are good to use for a patient with elevated ICP and is showing signs of ventilator asynchrony?correct answerPropofol and Morphine
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