AHN 568 Test 1
Allen test? - ✔️✔️Before radial art line. Patient clench fist until blanched. Occlude
radial and ulnar arteries, release ulnar artery. Blood flow under 15 seconds.
What patients benefit from Swan? - ✔️✔️Cardiogenic shock, pulmonary artery
hypertension, severe chronic heart failure, heart lung transplant.
#1 Goal of GYN exam? - ✔️✔️Put the patient at ease
Speculum for short-nonsexually active teens - ✔️✔️Huffman virginal narrow and short
Speculum for fat, mulitparas? - ✔️✔️Graves extra long
Hepatojugular reflux techinque? - ✔️✔️HOB 30 degrees, pressure on the liver and look
for JVD. High CVP.
CVP less than 2? - ✔️✔️Dehydration, hypovolemia, dry. Vasodilation, sepsis,
anaphylaxis. Low venous return.
Most important part of CVP? - ✔️✔️Trend. Do not treat one number.
Common causes of CVP greater than 20? - ✔️✔️CHF, tamponade, vasoconstriction,
overhydration.
What causes low CVP? - ✔️✔️Hypovolemic. Drug induced vasodilation.
Why is air embolus a problem during central line placement? - ✔️✔️Foam in ventricle
with contraction.
How do you treat air embolus? - ✔️✔️Turn patient to left side. Trendelenburg. O2.
Why does trendelenburg help patient with air embolus? - ✔️✔️Air rises to wall of right
ventricle improving circulation.
Transducer below phlebostatic axis results in what type of reading? - ✔️✔️False high.
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