babinski reflex - correct answer ✔ extension and spreading of toes when bottom
of foot is stroked. sign of nervous system lesion
battles sign - correct answer ✔ bruise behind ear, basilar skull fracture
becks triad - correct answer ✔ jvd, muffled heart tones, hypotension. from
cardiac tamponade
brudzinski sign - correct answer ✔ flexion of the neck results in flexion of the hip.
meningitis
coopernails sign - correct answer ✔ ecchymosis on perineum, labia, scrotum. sign
of pelvis fracture
cullens sign - correct answer ✔ bruising around umbilicus. Sign of pancreatitis or
ectopic pregnancy
grey turners sign - correct answer ✔ discoloration of skin around flank. sign of
pancreatitis
hammans sign - correct answer ✔ crunching sound of heart with asynchronous
heart beat. sign of mediastinal emphysema/tracheobronchial disruption
kehrs sign - correct answer ✔ left shoulder pain associated with splenic rupture
kernigs sign - correct answer ✔ pain to knee extension when hip is at 90 degrees.
sign of meningitis
levines sign - correct answer ✔ pain with clutched fist over midline of chest. sign
of cardiac chest pain
mcburneys sign - correct answer ✔ tenderness 2/3 the distance between
umbilicus and ileum. sign of appendicitis
muphys sign - correct answer ✔ pt unable to take deep breath on inspiration with
deep palpation beneath right coastal margins. sign of gall bladder issues
S2 "dub" heart tones - correct answer ✔ aortic and pulmonary valve closure
s1 "lub" sound - correct answer ✔ bicuspic/tricuspid valve closure
stroke volume is affected by - correct answer ✔ preload, afterload, contractility
s4 heart tone - correct answer ✔ indicative of stiff or noncompliant ventricle, like
with an old MI
s3 heart tone - correct answer ✔ ventricle stretch due to fluid overload
right coronary artery is typically repaired by using - correct answer ✔ saphenous
vein
dresslers sign - correct answer ✔ pericarditis from recent MI or cardiac surgery
alpha 1 stimulation results in - correct answer ✔ increased SVR/vasoconstriction
beta 1 stimulation results in - correct answer ✔ increased HR, contractility
janeway lesions and osler nodes are indicative of - correct answer ✔ endocarditis
elevated BNP signals - correct answer ✔ increased stretching of ventricles. found
in CHF
where should a cardiac transducer be placed? - correct answer ✔ phlebostatic
axis (4th intercostal space midaxillary)
what does the dicrotic notch symbolize? - correct answer ✔ aortic valve closing
saline from ART line should infuse at what rate - correct answer ✔ 3ml/hr
normal central venous pressure (CVP) - correct answer ✔ 2-6
when utilizing a swan ganz catheter, never exceed ____mL of air in distal balloon -
correct answer ✔ 1.5
coronary perfusion pressure calculation - correct answer ✔ PAWP-DBP (should be
50-60)
PAWP range - correct answer ✔ 8-12
PVR range - correct answer ✔ 50-250
PA pressure - correct answer ✔ 15-25 systolic, 8-15 diastolic
SVR range - correct answer ✔ 800-1200
what does PVR signify - correct answer ✔ right heart afterload, pulmonary
vascular resistance
what is PCWP - correct answer ✔ same as pAWP
left heart preload is also called - correct answer ✔ left ventricular end diastolic
pressure LVEDP
what is CI - correct answer ✔ same as CO
what happens to pressures during cardiogenic shock - correct answer ✔
decreased cardiac output (CO/CI), increased everything else
what happens to pressures during hypovolemic shock - correct answer ✔
decreased SVR, increased everything else
what happens to pressures during anaphylactic shock - correct answer ✔
increased CO/CI, decreased everything else
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