Complete Solutions
What does RV waveforms measure ? Correct Answer - RV
Pressure
What do you do if your PA catheter hemodynamic waveform show a
RV waveform? Correct Answer - Attempt to float the PA
catheter by injecting 1.5cc air in to the PA Catheter balloon
Overdampened Waveform Correct Answer -
overdamping=obstruction
-kink
-air in the line
-overfilled pressure bag
-boyles law
Underdampen Waveform Correct Answer - under-little
pressure
-not enough pressure in the bag
-noncompliant tubing
Your pt PA waveform is in wedge position, how to remedial the
issue? Correct Answer - Have the pt cough forcefully in
attempt to dislodge the PA catheter
how do you calculate coronary perfusion pressure? Correct
Answer - CPP=DBP-PAWP
What is the range of coronary perfusion pressure? Correct Answer
- 50-60
What is atrial tachycardia? Correct Answer - SVT
, diabetes insipidus Correct Answer - kidneys are not able to
conserve water
s/s polyuria, polydipsia, and polyphagia
dx through urine osmolality
tx IV fluid resus, and vasopressim/desmopressin(DDAVP)
Hyperthyroidism Correct Answer - aka graves disease &
thyrotoxicosis
"thyroid storm"
s/s weight loss, palpitations, nervousness, heat intolerance,
exophthalmos/proptosis (bulgin of eyes)
DO NOT GIVE ASA
tx IV Fluids first, beta blockers, steroids (dexamethasone), Tylenol
Hypothryoidism Correct Answer - AKA Myxedema
Coma(considered this when ALOC)
decreased level of thyroid hormone, low metabolism
s/s fatigue, goiters, cold intolerance, weight gain, puffy eyelids,
sparse hair
tx levothryoxine (T4) or or triostat (T4) fluids for hypovolemia,
glucocorticoid support, and passive rewarming