HEMODYNAMIC MONITORING PART 2 |COMPLETE STUDY
GUIDE WITH 100% ACCURATE QUESTIONS & ANSWERS |
ACE EVERY TEST | GUARANTEED EXCELLENCE.
What is Central Venous Pressure a measure of? Answer: -Direct measure of pressure in
vena cava or right atrium (RAP)
-Filling pressure of right ventricle (Preload)
How is central venous pressure obtained? Answer: CVP line (single, double, triple lumen)
What is the normal CVP? Answer: 2-6 mmHg
Why is it valuable to monitor CVP over time vs. a one time snapshot? Answer: See if
interventions are working
What can you do with a central venous pressure monitor? Answer: -Administer fluid,
blood, meds, and draw blood
Which port can you transduce on a central venous catheter? Answer: DISTAL (brown
depending on maufacturer)
Why do you transduce the most distal port on a central venous catheter? Answer: Closest
to the right atrium
Where can centeral venous catheters be placed? Answer: Subclavian, internal or external
jugular
What does low CVP indicate? Answer: -Hypovolemia
-Vasodilation (relative hypovolemia)
Gas tank EMPTY
What does high CVP indicate? Answer: -Hypervolemia
-Vasoconstriction
, -Heart Failure
-Pulmonary HTN
-Cardiac tamponade
Gas tank FULL
What do you do in the case of low CVP? Answer: Give fluids or pressors
What do you do in the case of high CVP? Answer: Give diuretics
Where does the tip of the catheter lie in a central venous catheter? Answer: Lower 1/3 of
the SVC
What are the 3 lumens of CVC? Answer: -Distal (brown) - transduce CVP
-Medial (blue) -
-Proximal (white) - drips, blood draws
CVP Complications Answer: -Infection
-Pneumothorax (during insertion)
-Air embolism
Why do you avoid femoral lines? Answer: Much more prone to infection, area must stay
exposed
What kind of dressing used for CVP monitor? Answer: Dry, sterile, occlusive dressing,
change dressing to stay clean
How do you confirm catheter placement? Answer: CXR
How often do you check CVP measurements and monitor trends? Answer: Depends on pt
condition
What is pulmonary artery pressure monitoring also called? Answer: Swan Ganz monitoring
GUIDE WITH 100% ACCURATE QUESTIONS & ANSWERS |
ACE EVERY TEST | GUARANTEED EXCELLENCE.
What is Central Venous Pressure a measure of? Answer: -Direct measure of pressure in
vena cava or right atrium (RAP)
-Filling pressure of right ventricle (Preload)
How is central venous pressure obtained? Answer: CVP line (single, double, triple lumen)
What is the normal CVP? Answer: 2-6 mmHg
Why is it valuable to monitor CVP over time vs. a one time snapshot? Answer: See if
interventions are working
What can you do with a central venous pressure monitor? Answer: -Administer fluid,
blood, meds, and draw blood
Which port can you transduce on a central venous catheter? Answer: DISTAL (brown
depending on maufacturer)
Why do you transduce the most distal port on a central venous catheter? Answer: Closest
to the right atrium
Where can centeral venous catheters be placed? Answer: Subclavian, internal or external
jugular
What does low CVP indicate? Answer: -Hypovolemia
-Vasodilation (relative hypovolemia)
Gas tank EMPTY
What does high CVP indicate? Answer: -Hypervolemia
-Vasoconstriction
, -Heart Failure
-Pulmonary HTN
-Cardiac tamponade
Gas tank FULL
What do you do in the case of low CVP? Answer: Give fluids or pressors
What do you do in the case of high CVP? Answer: Give diuretics
Where does the tip of the catheter lie in a central venous catheter? Answer: Lower 1/3 of
the SVC
What are the 3 lumens of CVC? Answer: -Distal (brown) - transduce CVP
-Medial (blue) -
-Proximal (white) - drips, blood draws
CVP Complications Answer: -Infection
-Pneumothorax (during insertion)
-Air embolism
Why do you avoid femoral lines? Answer: Much more prone to infection, area must stay
exposed
What kind of dressing used for CVP monitor? Answer: Dry, sterile, occlusive dressing,
change dressing to stay clean
How do you confirm catheter placement? Answer: CXR
How often do you check CVP measurements and monitor trends? Answer: Depends on pt
condition
What is pulmonary artery pressure monitoring also called? Answer: Swan Ganz monitoring
