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Physiologic Monitoring Flashcards

(63 cards)

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1
Q

ECG normal

A

60-90 bpm

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2
Q

A-line normals

BP and MAP

A

120/80

60-110

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3
Q

What is CVP

A

Central Venous pressure

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4
Q

Normal for CVP

A

2-8 cmH2O

2-6 mmHg

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5
Q

ICP normals

A

Intercranial pressure

15 mmHg

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6
Q

SpO2 normal

A

Arterial oxygen saturation

97-98

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7
Q

Purpose of tracheal tubes

A

Access upper airway when obstructed
Suctioning
Enable mechanical vent
Protect airway

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8
Q

2 types of trach tubes

A

Endotracheal

Tracheostomy

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9
Q

Complications of Trach tubes

A 
Ulcer
Scarring
Fistula
Larynx damage
Infection
A/W obstruction
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10
Q

ET-Tubes used for

A

Short term 7-10 days

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11
Q

Trachs have a ___

A

Low-pressure (25 cmH2O) cuff which inflates during mechanical ventilation

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12
Q

Have an opening in posterior wall of tube above cuff

A

Fenestrated trach

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13
Q

Purpose of chest tubes

A

To remove excess fluid or air from pleural/mediasinal cavity

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14
Q

Chest tube for fluid

Chest tube for pneumothorax

A

Fluid: 3/4 intercostal space
pneumothorax: 2nd intercostal space

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15
Q

3 compartments for draining container of Chest tube

A

Under-water-seal drainage
Collection chamber
Suction chamber

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16
Q

Air bubbles in chest tube indicative of

A

Air leak

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17
Q

Can you be mobilized and ambulated with under-water-seal drainage?

How about wall suction?

A

CHEAA bruh

Naww

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18
Q

Used to detect hypoxemia

A

Pulse oX

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19
Q

SpO2 of 90% corresponds to PaO2 of

A

60mmHg

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20
Q

Direct measurement of Artieial BP, CVP, intracardiac pressure

A

Hemodynamic monitoring (HDM)

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21
Q

A-line

A

Peripheral arterial catheter

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22
Q

Aline used to monitor

A

Arterial pressure by drawing blood samples

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23
Q

Complications of Continuous arterial pressure monitoring

A

Eccymosis, Hematoma, and soreness

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24
Q

Sites of Aline

A

Radial (most common)
Dorsalis pedis
Femoral
Brachial

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25
Transducer of Aline placed at
Level of R artium
26
CVP catheter
Central venous pressure catheter
27
Where are CVP placed and for what
RA to monitor RA pressure
28
If right ventricle failing, CVP will
RISE
29
CVP waveform fluctuates with _____, decrease with _____ and increases with ______
Respiration spontaneous inspirtation Positive pressure respiration
30
Swan-Ganz is a
Pulmonary Artery Catheter
31
Where is swan-ganz inserted and for what
RA->RV->pulmonary artery | Detect heart failure, sepsis, and pulmonary edema
32
What can be calculated from Swan Ganz
preload Contractile state of heart And Afterload
33
Indications for swan-gaz
-Measure patient's hemo status
34
Used in medical management of pt with brain injury
Neurologic monitoring device
35
Where are ICPs placed and for what
Injured side of brain | -monitor pressure against skull, help guide interventions to decrease pressure and increase cerebral perfusion
36
Two types of ICPs
External ventricular drain | Bolt
37
High intercranial pressure results in decreased
Cerebral perfusion
38
Normal ICP waveform has how many peaks
3
39
Driving pressure of blood to the brain
Cerebral perfusion pressure
40
Normal CPP
60 mm HG
41
What is PICC and what is it for
Peripherally inserted catheter Provide venous access for meds, nutrition, fluids
42
Where is PICC placed
Antecubital fossa Tip into superior vena cava
43
Risks of PICC
Mechanical phlebitis Infection Venous thrombis Catheter Embolus
44
Purpose of Triple lumen catheter
3 catheters in 1 to provide: Meds Nutrition Blood products
45
TLC goes through
Subclavian -> SVC
46
Risks of TLC
``` Pneumothorax Embolization Tissue damage Hemorrage Infection ```
47
PT with TLC
Defer if pneumothorax Avoid HTN of neck Clarify otransfer orders Avoid displacement
48
Provide vascular access to pts needing infusion of drugs,TPN,other fluids
Implantable port
49
Where is implantable port placed
Percutaneous place from subclavia->SVC
50
Pacemaker purpose
Electrical stimulation to myocardium
51
Implantable port risk
Pneumothorax Infection Venous Thrombosis Catheter migration/embolus
52
Temp pacemaker risk
Infection Arrhythmia Myocardial perforation Pulmonary emboli
53
Implications for Pacemaker PT
Clarify ordered therapy Traction-> flexion can pull out lead Coughing can displace lead
54
Purpose of hemocath
Permit access for urgen dialysis
55
Where is hemocatheter placed?
Subclavian Internal jug Femoral vein
56
Risk of hemo cath
Pneumothorax Hemothorax Bleeding
57
Implications for PT and hemo cath at femoral site and neck site
Femoral: clarify LE ROM, transfer ambulation Nek: Clarify UE ROM
58
Used as life saving IV for those in respiratory failure
Mechanical Ventilation
59
Factors leading to intubation
RR>30/min >90% O2 saturation PaO2 <50 PaCO2 >50
60
3 important parameters of Mech Ventilation
Volume Frequency Oxygen
61
Breaths delivered by vent
Assist control or continuous mandatory Ventilation
62
Partial support mechanical ventilation
Synchronized intermittent mandatory ventilation
63
Alarms in mechanical Vent High pressure Low Pressure
A/w blocked or tension in pneumothorax Disconnected vent, air leak

Cardiopulm (13 decks)

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