Anatomy & Physiology
The artery that the right ventricle pumps blood to.
What is the pulmonary artery?
The normal values for central venous pressure.
What is 2-8?
The number of atrioventricular valves in the heart.
What is two?
The vascular system that has the highest pressure.
What is the arterial vascular system?
The cardiac chamber associated with the central venous pressure.
What is the Right Atria?
The fix to an arterial waveform that has 2 or more oscillations after the square waveform test.
What is THE ONLY TIME a rose filter is appropriate to be used on the transducer.
The valve between right ventricle and right atria.
What is the Tricuspid valve?
The artery that takes unoxygenated blood to be oxygenated.
What is the pulmonary artery?
The large vessels that collect unoxygenated blood right before entering the heart to be send for reoxygenation.
What are the inferior and superior vena cava?
The sound that a regurgitating valve make when auscultated.
What is a murmur?
The cardiac chamber that supplies the pulmonary capillary bed with unoxygenated blood.
What is the right ventricle?
The nursing assessments that can determine the difference in heart failure for left compared to right.
*Must answer 5 correctly to win points*
LEFT- Lung sounds: Rhonchi, unproductive wet cough, SHOB with lying down and exertion, increased wedge pressure with Swan Ganz, decreased cardiac output, fatigue
RIGHT- Peripheral Edema, elevated CVP, fatigue, ascites SHOB with exertion
You have been trending your CVP. You expect your CVP to trend this way if you increase your ventilator PEEP.
What is your CVP will be INCREASING?
Chordea tendinea and papillary muscles tether the AV valves to the ventricular walls. If the Mitral Valve’s chordea tendineae becomes damaged this could happen to the valve.
For an extra $100, what would happen to the blood flow?
What is Mitral valve prolapse?
Extra $100: Blood flow would go backward into the left atrium
Where we sample blood for the most unoxygenated to assess how much oxygen is left on hemoglobin after the cell has already delivered oxygen to peripheral tissues and return to the heart to be reoxygenated. (Outside of the presence of a swan)
Where is the most distal port of your central line, (usually the CVP line)?
The cardiac conditions requiring ALL tubing to be filtered.
What are cardiac anomalies involving right-to-left or bidirectional shunting, such as atrial septal defects (ASD) or patent foramen ovale (PFO)
You come on shift, and your pt has the following hemodynamics: Temp: 97.5, HR: 113 (ST), BP: 86/47 (59), CVP: 7, SVR : 632, ScVO2: 64%. Pt is on 4LNC. FC 25mL/hour. You expect to add this kind of drip.
What is a vasoconstrictor?
With moderate to severe mitral valve regurgitation, we would expect these hemodynamics to be impacted and this is how those hemodynamics would trend.
What are the pulmonary artery pressures would increase and the cardiac output would decrease?
The acute condition that an SVO2 would be critically elevated >80%.
What is SEPTIC SHOCK.