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CCNRP COMPREHENSIVE FINAL EXAM | 210 QUESTIONS | WITH COMPLETE SOLUTIONS!!
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CCNRP COMPREHENSIVE FINAL EXAM | 210 QUESTIONS | WITH COMPLETE SOLUTIONS!!
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CCNRP Comprehensive Final1. When in doubt Support the ABCs
2. 1 kg is equal to how many liters? 1 kg = 1 L
3. What is pulses paradoxus? 10+ mmHg varia-
tion in BP between
inspiration and ex-
piration
4. What is orthostatic hypotension? 10+ mmHg drop in
BP from lying to
sitting or sitting to
standing
or
15+ BPM increase
in HR
5. Normal CVP 2-6 mmHg
6. Normal PAWP 8-12 mmHg
7. Normal BP 120/80 mmHg
8. Normal MAP > 60 mmHg
9. Normal cardiac index (CI) 2.5-4 lpm
10. Normal cardiac output (CO) 4-8 lpm
11. Normal PA pressure 20-30/10-15
mmHg
12. Normal SVR 900-1400
dynes/sec/cm5
13. Normal PVR 100-250
dynes/sec/cm-5
, CCNRP Comprehensive Final
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14. Normal SV 60-130 mL/beat
15. Normal EF 55-70%
16. HR x SV = CO
17. Sodium nitroprusside is a potent arterial vasodilator. Decrease
What will it do to afterload?
18. What are some effects of dobutamine? Increases contrac-
tility
Improves CO
Increases SV
Mild vasodilation
19. What effects do beta adrenergic blocking agents have Decrease myocar-
(ie. beta blockers)? dial contractility
Decrease HR and
BP
Decrease myocar-
dial O2 demand
Increased exer-
cise tolerance
20. What are adverse effects of beta blockers? Dizziness
Bron-
chospasm/wheez-
ing
Nausea
Hypotension
Bradycardia
21. Venous occlusion Normal pulse
Cool/moist skin
Dependent
cyanosis/edema
Brown pigmenta-
tion @ ankles
, CCNRP Comprehensive Final
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22. Arterial occlusion (5 P's) Pulseless
Pallor
Pain
Paralysis
Paresthesia
23. Heart sounds: S1, S2 Normal
Closure of tri-
cuspid and mitral
valve
Closure of pul-
monic and aortic
valve
24. Heart sounds: S3, S4 Abnormal
Occurs during re-
sistance to ven-
tricular filling
ex. HF, MI
25. Starling's law The greater
the stretch, the
stronger the force
of contraction
Think of a hair
tie being stretched
over and over
again until it is no
longer able to be
used!
26. Cardiac output is determined by 4 things Perload
Afterload
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