A drug that increases the contractility of the heart is known as a positive
inotrope.
chromotrope.
dromotrope.
vasoconstrictor. - ANS-inotrope
A patient with a newly inserted pulmonary catheter begins to cough up blood-tinged sputum.
The most likely cause for this is:
a. pulmonary infarction.
b. pneumothorax.
c. perforation of the heart muscle.
d. pulmonary embolus. - ANS-a. pulmonary infarction.
An increase in CVP during inspiration most likely is caused by:
a. a mechanical breath.
b. the instrument not being zero-balanced correctly.
c. a spontaneous breath.
d. the catheter being inserted into the right ventricle. - ANS-a. a mechanical breath
** a positive-pressure breath will cause the CVP to increase during inspiration
An increase in pulmonary artery systolic pressure is seen in patients with which of the following
conditions?
1. Pulmonary embolus
2. Mitral valve stenosis
3. Right ventricular failure
4. Hypoxia and hypoxemia - ANS-1, 2, and 4
Arterial cannulation is indicated for which of the following?
1. Determining cardiac output
2. Severe hypotension
3. Unstable respiratory failure
4. Avoiding arterial injury from multiple arterial punctures - ANS-2, 3, and 4
At rest, approximately 64% of the total blood volume is stored in the
a. extremities.
b. venous system.
c. lungs.
d. liver. - ANS-venous system.
, Blood flow is directed to organs that have the highest metabolic needs when at rest. Which of
the following organs would have the lowest metabolic needs when at rest?
Liver
Kidneys
Heart
Muscles - ANS-Heart
Both the CVP and the pulmonary artery wedge pressure waveforms have three waves for each
cycle, namely:
a. waves q, r, and s.
b. waves a, c, and v.
c. waves p, t, and u.
d. waves p, r, and v. - ANS-waves a, c, and v
Bradycardia in an adult is defined as a heart rate less than _____ beats/min.
100
60
120
50 - ANS-60
Cardiac output is a product of which two variables? - ANS-HR * SV
Circulation to the vital organs (kidneys, coronary arteries) may be compromised if the MAP falls
to below _____ mm Hg.
a. 80
b. 60
c. 100
d. 120 - ANS-60 mmHg
Complications of direct arterial monitoring include which the following?
1. Infection
2. Ischemia
3. Hemorrhage
4. Hypotension - ANS-1, 2, and 3
How much time is represented on the horizontal axis of the ECG paper by five large boxes? -
ANS-1 s
If, when the pulmonary artery catheter is inserted, there is a rapid increase in the height of the
pressure waveforms with the downstroke dropping near zero, the respiratory therapist should:
a. withdraw the catheter because it has been jammed into the heart wall.
b. inflate the balloon to prevent further damage because the ventricular septum has ruptured.
c. deflate the balloon and withdraw the catheter because it is curling within the atrium.
d. continue the insertion because the catheter now has entered the right ventricle. -
ANS-continue the insertion because the catheter now has entered the right ventricle.
In left ventricular failure, the pulmonary capillary wedge pressure is expected to:
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