Images Flashcards

1
Q

Define the Teg variables listed

A

R: Time from begining to first dectable clot formation

K: Time from begining of clot to the formation of a cloth with a strength of amplitued of 20 mm

Alpha Angle: Angle between R adn imaginalryl line from time of clot initiation, to the point of max clot speed

Ma: Maximum aplitidued of curve

LY30: % of amplituded reduction 30 min after Ma

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2
Q

What does each part represent

A

R: activation phase

K: amplification

Alpha angle: Propigation

Ma: Termination phase

Ly 30: Fibrinolysis

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3
Q

What are the abnormalities, differentials, and treatment

A

Prolonged R and Decreased Ma

Alo increased K and Decreased Alpha angle

Anticoagulants

Tx: FFP

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4
Q

What are the abnormalities, differentials, and treatment

A

Increased Alpha Angle; Increased Ma

Decreased R, K

Hypercoagulable— antithrombotics considered

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5
Q

What are the abnormalities, differentials, and treatment

A

Early: Increased Alpha angle, MA, Decreased LY30

Less decreased R, K

Late: Increased R, Deecreased alpha angle and MA

Less incresed K

DIC

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6
Q

What are the abnormalities, differentials, and treatment

A

Severely increased LY 30: Also decreased MA

Hyperfibrinolysis

TXA, EACA

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7
Q

What are the abnormalities, differentials, and treatment

A

Decreased MA

Less increased K and Decreased Alpha angle

Platelet blockers, Thrombcytopenia, thrombopathies

Platelets (FFP, Cryo) Fibrinogen

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8
Q

In the chart what are the doses of the pressors

A
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9
Q

What are the pressors effect on contractitily, HR, CO, Vasomotor tone and BP

A
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10
Q

Draw the pressor receptor activity chart

A
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11
Q

Draw and lable the wigger’s diagram

A
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12
Q

Draw an lable the cardiac pressure volume loop

A
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13
Q

Identify the control type of these mechanical ventilation scalars

A

Pressure control

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14
Q

Identify the control type of these mechanical ventilation scalars

A

Volume control scalars

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15
Q

Draw and lable the pressure scalar for volume control

A
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16
Q

Describe the changes noted on the pressure scalar with increased resistance vs decreased compliance

A
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17
Q

Draw and label the parts of the flow scalar

18
Q

Describe the changes noted in this flow scalar

A

B- inspiratory time to short

C- optium with descending ramp

D- Inspiratory time to long

19
Q

Describe the changes seen on the flow scalar with expiratory too long or gas trapping

A

Gas trapping may be auto PEEP, COPD, wasted effort

20
Q

Label the parts of the volume scalar. What is the difference between pressur control and volume control in the appearance.

A

a-> b Inspiration

b-> c Inspiratory pause

C-d -> expiration

Not able to tell the difference on the appearance

21
Q

Draw and lable the phases of the respiratory cycle on a pressure scalar

22
Q

How will a change in compliance alter the appreance of a pressure volume loop

A

Decrease: Shifts down and to the right

Increase: Shift up and to the left

23
Q

Draw and lable the parts of a ventilator pressure volume loop

24
Q

Describe the trauma seen in this pressure volume loop

A

Volutrauma is injury induced by high tidal volume causing overdistension of alveoli. Atelectrauma is damage from the shear and strain of the collapsible lung units opening and closing.

25
Describe how a pressure control pressure volume loop is different than a Volume control pressure volume loop
26
Assess this pressure volume loop
Spontaneous breath. Negative initial inspiratory deflection
27
What is the underlying cause of this pressure volume loop
Leak as did not return to baseline
28
What is the cause of this change in the flow volume loop
Restricitve in large airway: Broncho constriction
29
What is the cause of this flow volume loop change
Leak
30
What is the cause of the abnormalitites in this flow volume loop
Secretions
31
What is the cause of this change in the pressure volume loop
Decreased compliance
32
What is the cause of this change in the pressure volume loop
Over distension ## Footnote Peak inspiratory pressure is above the upper inflection point (takes large amount of pressure to get minimal volume
33
active exhalation Increased work
34
What is the cause to this change on the flow volume loop
air trapping auto PEEP
35
What is the cause of this change on flow scalar
air trapping auto peep
36
What are the cause of these changes to the loops
Supplying fresh gas to the circuit to fast or too slow
37
What are the causes to the changes of these scalars
Supplying fresh gas to the circuit to fast or too slow
38
What is the cause of these changes
Pt is trying to breath and the machine is not triggering. Ineffective trigger setting.
39
What causes this change
autotrigging caused by a leak
40
What is the cause of this change
increased airway resistance
41
What does each section of the waveform represent
A wave: atrial contraction end diastole C Wave: The pressure increase due to tricuspid bulging into the atrium as a result of isovolumetric contraction X descent: drop in atrial pressure during ventricular systole caused by atrial relaxation Y descent: drop in atrial pressure as blood enters the ventricle during diastole emptying
42
Draw and label the parts to the CVP waveform with ECG