16. Swan Ganz Catheter Flashcards

1
Q

PAC requires

A

a central line w/introducer port

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2
Q

options for PAC introducers1

A

8.5F PSI (cordis)
9F MAC catheter

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3
Q

RA insertion depth

A

20-25 cm

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4
Q

RA pressur

A

5-12 mmHg

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5
Q

RV insertion depth

A

30-35cm

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6
Q

RV pressure

A

15-30/0-8 mmHg

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7
Q

PA insertion depth

A

40-55cm

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8
Q

PA pressure

A

15-30/5-15 mmHg

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9
Q

PA wedge depth

A

50-60cm

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10
Q

PA wedge pressure

A

5-15mmHg

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11
Q

pressure beofre catheter is wedge

A

PA pressure

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12
Q

pressure after catheter is wedged

A

backflow from LA

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13
Q

PCWP is an estimate of

A

LAP

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14
Q

what happens when cathter wedges

A

incr PaCO2
decr EtCO2

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15
Q

PAC: red port

A

balloon port
connect syringe to inflate

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16
Q

how much should you max inflate the PAC balloon

A

1.5mL

17
Q

PAC: yellow port

A

distal tip of catheter
PAP
PCWP

18
Q

PAC: blue port

A

30cm
CVP monitoring
proximal injectatae (thermistore)

19
Q

PAC: white port

A

proxima infusion
30 cm

20
Q

PAC: yellow thermistor

A

blood temp
CO

21
Q

PAC abilities

A

PAP
CVP
PCWP
calculate CO
calculate SVR
calculate PVR
deliver drug infusions
pacing wire insertion
aspirate air emboli

22
Q

PAC Indications

A

low EF
pulm HTN

23
Q

PAC CI

A

LBBB
WPW
tricuspid regurge

24
Q

PAC complications

A

air emboli
arterial puncture
pulm artery rupture
sustained ventricular ectopy
cardiac structure damage
knotting

25
Q

PAC tips for easier insertion

A

ask pt to inhale (decr itP incr BF)
Reverse Tburg w/right lateral tilt
incr catheter stiffness
give inotropes (incr CO)