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Clinical assessment > Monitoring > Flashcards

Monitoring Flashcards

(48 cards)

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1
Q

Inferior leads show ischemia

A

II, III, AVF

RAD

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2
Q

Septal leads show ischemia

A

VI, V2

LAD

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3
Q

Anterior leads show ischemia:

A

V3, V4

LAD

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4
Q

Lateral Leads show ischemia:

A

V5, V6, I, AVL

CxA

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5
Q

QRS complex normal

A

0.08

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6
Q

QTc normal

A

<0.45

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7
Q

pwave normal

A

0.08 sec

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8
Q

CVP reflects

A

pressure in R atrium

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9
Q

CVP a wave shows

A

R atrial contraction, just after p wave

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10
Q

a wave absent in

A
  1. afib
  2. ventricular pacing
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11
Q

V wave (CVP) shows

A

Passive filling of RA, just after T wave begins

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12
Q

Large v waves from

A

tricuspid regurgitation
increased volume

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13
Q

C wave (CVP)

A

tricuspid elevation toward atrium during systole and closure of tricuspid valve

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14
Q

Subclavian —>vena cava/RA junction length

A

10 cm

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15
Q

IJ —>RA jucntion length

A

R: 15 cm
L: 20 cm

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16
Q

Femoral –>RA Junction length

A

40 cm

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17
Q

Median basillic –> RA junction length

A

R: 40 cm
L: 50 cm

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18
Q

When placing PAC, how far in do we lace catheter?

A

Distance from insertion site –>RA junction + distance from CVP to where tip will reside

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19
Q

Portion of ventricular AP occurs during ST sgement:

A

End of ventricular depolarization

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20
Q

During sinus arrythmia, what happens to heart rate?

Study These Flashcards
A

HR increases during inhalation

decreased intrathoracic pressure –>increased venou return –>increased HR

21
Q

Reflex that may initiate sinus arrythmia:

22
Q

minimal dose of atropine to treat bradycardia

23
Q

initial shock for acute episode of afib

Study These Flashcards
A

cardioversion 100 joules

24
Q

5 conditions that cause failure to capture

Study These Flashcards
A

Hypokalemia
Hyperkalemia
Hypocapnia
Hypothermia
MI

25
RA pressure
1-10 (CVP) (nickle)
26
PAP
15-30/5-15 (quarter over dime)
27
RVP
15-30/0-8 (quarter over nickel)
28
PAOP
5-15 (dime)
29
LVP
>100 (dollar)
30
PAWP shows
INDIRECT measurement of left arterial pressure (only accurate if in zone 3 of lung)
31
Thermodilution - when is CO underestimated?
1. inject volume too high 2. inject solution too cold
32
Thermodilution - when is CO over estimated?
1. Inject volume too low 2. inject solution too hot 3. Partially wedged PAC 4.Thrombus on tip of PAC
33
When is thermodilution unable to predict CO?
1. intracardiac shunt 2. Tricuspid regurgitation
34
Characteristics of under-damped system
oscilliations overestimated SBP underestimated DBP
35
2 causes of underdamped system
1. stiff tubing 2. catheter whip
36
characteristics of overdamped system
No oscillations underestimated SBP overestimated DBP
37
5 causes of overdamped system
1. not enough pressure in bag 2. kinked tubing 3. loose connection 4. clot at catheter tip 5. air bubble
38
aortic regurg on art line
1. wide pulse pressure 2.bisferinens pulse
39
Aortic stenosis on art line
1. Narrowed pulse pressure (d/t obstructed outflow) 2. Delayed, slurred upstroke 3. Altered or absent dicrotic notch 4. overdamped features
40
burst suppression occurs during
deep general anesthesia
41
beta waves associated with
light anesthesia
42
theta waves associated with
children general anesthesia
43
Delta waves associated with
general anesthesia brain ischemia/injury deep sleep
44
during induction of GA, ____ brain waves occur
increased beta waves
45
deep anesthesia is associated with ____ on ECG
burst suppression
46
What waves predominate during GA?
theta and delta
47
MEP anesthesia consideration
no muscle relaxants unless you can reverse what you use to intubate
48
What should you do if the line isolation monitor alarms?
unplug the last thing you turned in

Clinical assessment (10 decks)

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