Physiologic Monitoring

Question 1

Reflects tissue perfusion and affected by vasoconstriction and low cardiac output

Answer 1

Peripheral temperature

Question 2

Useful information about ischemia, arrhythmias, electrolyte imbalance and drug toxicity

Answer 2

ECG

Question 3

Affected by changes in the volume status of px, vasomotor tone and cardiac output

Answer 3

Arterial blood pressure

Question 4

Useful but not very accurate in assessing volume status

Answer 4

Central Venous Pressure

Question 5

Indications of hypovolemia

Answer 5

Trauma
Shock
Burn
Sepsis

Question 6

Normal CVP range

Answer 6

6 and 12 mmHg

Question 7

Used where the vein is punctured with a needle followed by insertion of a j wire through the needle

Answer 7

Seldinger technique

Question 8

Central line cause of infection

Answer 8

S aureus

S epidermidis

Question 9

Measure hemoglobin saturation

Estimate of arterial saturation

Answer 9

Pulse oximetry

Question 10

In pulse oximetry what cant be distinguish

Answer 10

Carboxyhemoglobin

Oxyhemoglobin

Question 11

Lung pressure are controlled by

Answer 11

Elastic nature of lungs
Surfactant
Negative intrapleural pressure

Question 12

This is a invasive test in assessing pulmonary functioning

Answer 12

Gas monitoring

Question 13

This condition can tolerate abnormal blood

Answer 13

Chronic pulmonary disease

Question 14

Supine position

Measures ventricular pressure

Answer 14

ICP

Question 15

Normal value of ICP

Answer 15

Less than 10mmhg

Question 16

Increased ICP are seen in what condition

Answer 16

Subarachnoid hemorrhage
Hepatic encephalopathy
Brain tumors
Encephalitis

Question 17

When ICP is above 20-25mmHg what can you do

Answer 17

Control of hyperkapnia
Mannitol
Slight head up tilt
Sedation such as propofol or thiopental

Question 18

Measures voltage fluctuation

Answer 18

EEG

Question 19

Urine output is a guide for

Answer 19

Cardiac output
Splanchic perfusion
Renal function

Question 20

Used to differentiate pre renal and renal failure

Answer 20

Specific gravity and osmolality

Question 21

Normal urine output of an adult

Answer 21

0.5ml/kg/hr

30-40 per hour

Question 22

Useful for evaluating progress of renal function

Answer 22

Urine electrolytes
Urea
Creatinine

Question 23

Conditions where UREA is increased

Answer 23

GI bleeding
High protein intake
Increased catabolism

Question 24

Mannitol and loop diuretics can cause what

Answer 24

Electrolyte abnormalities

Question 25

Primarily used in differential diagnosis of oliguria

Answer 25

Tubular function test

Question 26

How do you assess liver function

Answer 26

LFT

Question 27

Seen in hepatocellular damage Obstructive picture

Answer 27

High transaminases High ALK