Monitoring
Hemodynamics
Shock
Vasopressors and Inotropes
Random
100
Major operative procedures, diagnosis of RV failure, fluid management, hemodynamic support
What are indications for central venous catheters?
100
Heart Rate x Stroke volume
What is cardiac output?
100
A life-threatening condition that results when you lose more than 20 percent (one-fifth) of your body's blood or fluid supply
What is hemorrhagic shock?
100
Antidiuretic hormone also used for diabetes insididus and esophageal variceal bleeding
What is vasopressin?
100
First line (in almost everyone)
What are fluids first?
200
Hemorrhage, Air Emboli, Infection, Altered skin integrity, Impaired Circulation
What are complications of invasive monitoring?
200
states that the end force of contraction is related to the sarcomere length at the beginning of contraction
What is Starlings law
200
Insufficient perfusion of tissue to meet the demands for oxygen and nutrients
What is cardiogenic shock?
200
Potent alpha with some beta activity
What is norepinephrine?
200
Preferred over dobutamine in patients taking beta blockers?
What is milirinone?
300
Swan-Ganz catheter
What is a pulmonary artery catheter?
300
The end diastolic volume that stretches the right or left ventricle of the heart to its greatest dimensions under variable physiologic demand
What is preload?
300
low blood pressure, rapid heart rate, signs of poor end-organ perfusion, and weak pulse
What are typical signs of circulatory shock?
300
Responsible for breakdown of cAMP to AMP. By inhibiting the enzyme, cAMP levels are increased which leads to increased myocardial contracility
What is PDE responsible for?
300
PICC, IO, subclavian, femoral line
What are lines vasopressors should be run through?
400
The purpose is diagnostic; it is used to detect heart failure or sepsis, monitor therapy, and evaluate the effects of drugs
What is pulmonary artery catheterization?
400
The amount of blood returning to the heart (venous return) and the ability of the heart to pump the blood into the arterial system
What does central venous pressure reflect?
400
Dobutamine, milrinone, and dopamine
What are ideal agents for cardiogenic shock?
400
Second-line alternative to norepinephrine in patients with absolute or relative bradycardia with low risk of tachyarrhythmias
What is dopamine?
400
Strong alpha 1 activity
What is phenylephrine?
500
Coagulopathies, newly inserted pacemaker wires, recent cannulation of the internal jugular vein, infection of the line site, and SVC syndrome
What are absolute and relative contraindications?
500
Pressure in the wall of the left ventricle during ejection
What is afterload?
500
Decreased CVP, Decrease PAWP, Decreased CO, and Increased SVR
What are hemodynamic parameters of hypovolemic shock?
500
Pure beta agonist, synthetic, strong binding to beta-2 receptors causing hypotension
What is isoproterenol?
500
____ leave 'um dead
What is Levophed?
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