KETTERING TMC CORRECT COMPREHENSIVE
QUESTIONS AND ANSWERS SURE A+
✔✔if transducer is above the catheter the readings will be - ✔✔lower
✔✔if transducer is below the catheter the readings will be - ✔✔higher
✔✔PAP
*right side of the heart/atrium/valves - cor pulmonale - lungs* - ✔✔25/8 (mean 14)
✔✔PCWP (pwp)
*left side of the heart/atrium/valves - think CHF* - ✔✔4-12 mmhg (mean 8)
✔✔CVP
*fluids - also monitors right heart (will increase if right heart failure)* - ✔✔2-6 mmhg
(mean 4)
✔✔MAP - ✔✔93 mmhg
✔✔If PAP is rising - the trouble is in the - ✔✔lungs
✔✔anyone with lung disease has - -
*nitric/flolan* - ✔✔pulmonary hypertension
✔✔if right heart failure only the - will go up, the rest go down - ✔✔cvp
✔✔Proximal catheter port measures - ✔✔cvp
✔✔distal port with balloon *deflated* measures - ✔✔pap
✔✔distal port with balloon *inflated* measures - ✔✔pcwp
, ✔✔the presence of a double spike is normal for the arterial pressure waveform and
occurs when the *pulmonic or aortic valve closes* - ✔✔dicrotic notch
✔✔if while monitoring the PAP and unable to see distinct high and low values, check to
see if the - - - ✔✔balloon is deflated
✔✔occurs when the monitor doesn't show the dicrotic notch and the catheter is
somehow obstructed - ✔✔pressure dampening
✔✔a *blood clot*(most common), bubble in the catheter or transducer dome, or kinking
of the tube may cause an - - ✔✔obstruction
✔✔if a - - occurs:
*-aspirate*
*-flush the catheter*
*-rotate the catheter* - ✔✔blood clot
✔✔*increased* CVP
*normal or decreased* PAP
*normal or decreased* PCWP
*normal* Qt (cardiac output) - ✔✔right heart failure (cor pulmonale, tricuspid valve
stenosis)
✔✔*increased* CVP
*Increased* PAP
*normal or decreased* PCWP
*normal* Qt (cardiac output) - ✔✔lung disorders (PE, pulmonary hypertension, air
embolism)
✔✔*normal* CVP
*Increased* PAP
*Increased* PCWP
*decreased* Qt - ✔✔left heart failure (mitral valve stenosis, chf)
✔✔*increased* CVP
*Increased* PAP
*Increased* PCWP
*Increased* Qt - ✔✔hypervolemia
✔✔*decreased* CVP
*decreased* PAP
*decreased* PCWP
QUESTIONS AND ANSWERS SURE A+
✔✔if transducer is above the catheter the readings will be - ✔✔lower
✔✔if transducer is below the catheter the readings will be - ✔✔higher
✔✔PAP
*right side of the heart/atrium/valves - cor pulmonale - lungs* - ✔✔25/8 (mean 14)
✔✔PCWP (pwp)
*left side of the heart/atrium/valves - think CHF* - ✔✔4-12 mmhg (mean 8)
✔✔CVP
*fluids - also monitors right heart (will increase if right heart failure)* - ✔✔2-6 mmhg
(mean 4)
✔✔MAP - ✔✔93 mmhg
✔✔If PAP is rising - the trouble is in the - ✔✔lungs
✔✔anyone with lung disease has - -
*nitric/flolan* - ✔✔pulmonary hypertension
✔✔if right heart failure only the - will go up, the rest go down - ✔✔cvp
✔✔Proximal catheter port measures - ✔✔cvp
✔✔distal port with balloon *deflated* measures - ✔✔pap
✔✔distal port with balloon *inflated* measures - ✔✔pcwp
, ✔✔the presence of a double spike is normal for the arterial pressure waveform and
occurs when the *pulmonic or aortic valve closes* - ✔✔dicrotic notch
✔✔if while monitoring the PAP and unable to see distinct high and low values, check to
see if the - - - ✔✔balloon is deflated
✔✔occurs when the monitor doesn't show the dicrotic notch and the catheter is
somehow obstructed - ✔✔pressure dampening
✔✔a *blood clot*(most common), bubble in the catheter or transducer dome, or kinking
of the tube may cause an - - ✔✔obstruction
✔✔if a - - occurs:
*-aspirate*
*-flush the catheter*
*-rotate the catheter* - ✔✔blood clot
✔✔*increased* CVP
*normal or decreased* PAP
*normal or decreased* PCWP
*normal* Qt (cardiac output) - ✔✔right heart failure (cor pulmonale, tricuspid valve
stenosis)
✔✔*increased* CVP
*Increased* PAP
*normal or decreased* PCWP
*normal* Qt (cardiac output) - ✔✔lung disorders (PE, pulmonary hypertension, air
embolism)
✔✔*normal* CVP
*Increased* PAP
*Increased* PCWP
*decreased* Qt - ✔✔left heart failure (mitral valve stenosis, chf)
✔✔*increased* CVP
*Increased* PAP
*Increased* PCWP
*Increased* Qt - ✔✔hypervolemia
✔✔*decreased* CVP
*decreased* PAP
*decreased* PCWP
