Hesi RN Complex Adult Health II (A+ Graded Already) 2024

Hesi RN Complex Adult Health II (A+ Graded Already) 2024Hesi RN Complex Adult Health II (A+ Graded Already) 2024 Indication for arterial line placement? correct answers Hemodynamic monitoring Multiple blood samples Diagnostic or interventional radiology procedures Continuous cardiac output monitoring What test must be preformed prior to an arterial line placement? correct answers Allen's test How often should a fast flush test be preformed? correct answers Every 8 hours After blood draws If the hemodynamic status changes When changing tubing What are the most common sites for arterial line insertion? correct answers Radial Femoral Axillary Dorsalis Pedis Brachial Arteries Positioning for radial arterial line placement: correct answers 30-60 degrees of dorsiflexion with the aid of a roll of gauze and an armband. Avoid hyperabduction of the thumb. How often should the atrial line catheter be changed out? correct answers Every 7 days Causes of inaccuracy in arterial line readings: correct answers Air bubbles in the catheter system Failure to zero the transducer air-fluid interface Blood in the catheter system Blood clot at the catheter tip Kinking of the tubing system Catheter tip lodging against the arterial wall Soft, compliant tubing Long tubing Too many stopckcks (3) What is the pathology of afterload? correct answers The pressure in which the heart must pump against in order to eject blood during systole. Medications that reduce afterload/preload include? correct answers Vasodilators What is the pathology of preload? correct answers The filling pressure of the heart at end of diastole. What is systemic vascular resistance (SVR)? correct answers Resistance the left ventricle must overcome to open the aortic valve and eject a volume of blood into systemic circulation. Systemic vascular resistance (SVR) is used for what calculations? correct answers Blood pressure Blood flow Cardiac function What is pulmonary vascular resistance (PVR)? correct answers Resistacne the right ventricle must overcome to open the pulmonic valve and eject a volume of blood in the pulmonary vasculature. What is pulmonarartery occlusion pressure (PAOP)? correct answers The pressure created by the volume of blood that remains in the left heart at end-diastole. Inotropic drugs mode of action: correct answers Negative inotropic drugs weaken the force of muscular contractions. Positive inotropic drugs increase the strength of muscular contractions. Inotropic drug examples: correct answers Dobutamine Digoxin Milrinone Dopamine Vasodilator mode of actions: correct answers Relaxes the smooth muscles of the blood vessels opening them up. Vasodilator drug examples: correct answers