Pericardiocentesis

Question 1

tamponade from trauma is best treated with

Answer 1

subxiphoid window prcedure, though a temporizing pericardiocentesis can aid while preparing for this or definitive surgical repair

Question 2

what is pulsus paradoxus

Answer 2

SBP drops >10 mmHg during normal respirations

Question 3

During an acute rapidly expanding pericardial effusion, stroke volume will increase with removal of even a small amount of fluid (as little as _____) from the pericardial sac

Answer 3

50 mL

Question 4

the key symptoms of tamponade are

Answer 4

dyspnea and chest pain

Question 5

the classic ecg finding for tamponade

Answer 5

ELECTRICAL ALTERNANS
-alternating high- and low-voltage QRS complexes as the heart swings toward and then away from the ECG leads on the chest wall with each contraction

Question 6

the most characteristic sign on echocardiogram for tamponade

Answer 6

RIGHT-SIDED HEART COLLAPSE

• during diastole, the RV presses inward
• during systole, the RA presses inward