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Exam (elaborations)

Exam (elaborations) Priorities in Critical Care Nursing 7th Edition

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,Preload - CORRECT ANSWERS-How much the ventricles stretch at the end of diastole.

Afterload - CORRECT ANSWERS-Resistance the heart must overcome during systole
to pump blood into circulation

SVR: 700-1200

Central Venous Pressure (CVP) - CORRECT ANSWERS-Used to estimate preload.
Pressure in Vena Cava

2-6mm Hg

Pulmonary Artery Pressure (PAP) - CORRECT ANSWERS-Pressure in pulmonary
artery

8-20mm HG

Stroke Volume - CORRECT ANSWERS-Blood ejected from left ventricle with each
contraction

60-100Ml/beat

Cardiac Output (CO) - CORRECT ANSWERS-Volume of blood pumped per minute

CO=SVxHR
4-8ml/min

Cardiac Index - CORRECT ANSWERS-CO relative to patient size

CI=CO/BSA

2.5-4L/min/m2

Systemic Vascular Resistance (SVR) - CORRECT ANSWERS-The resistance that
blood must overcome to be able to move within the blood vessels. SVR is related to the
amount of dilation or constriction in the blood vessel.

SVR=80*(MAP-CVP)/CO

700-1200 dyne

Pulmonary Artery Occlusion Pressure (PAOP) - CORRECT ANSWERS-left arterial
pressure
Use a swan catheter to measure

6-12mm HG

,Pulmonary Vascular Resistance (PVR) - CORRECT ANSWERS-vascular resistance to
blood flow in the lungs

PVR=80*(MAP-PAOP)/CI

255-285dynes

Left Ventricular end-diastolic pressure - CORRECT ANSWERS-pressure before systole

5-12mm HG

What does increased BNP indicate? - CORRECT ANSWERS-Ventricular wall stress
(MI/HF)

What are cardiac enzymes - CORRECT ANSWERS-troponin and CK-MB, BNP

P wave - CORRECT ANSWERS-atrial depolarization

0.06-0.11 seconds

PR interval - CORRECT ANSWERS-AV conduction
0.12-0.20 Seconds

QRS Complex - CORRECT ANSWERS-ventricular depolarization (contraction)

0.08-0.12 seconds

T wave - CORRECT ANSWERS-repolarization of ventricles

U Wave - CORRECT ANSWERS-late repolarization of he HIS-Purkinje system

QT Interval - CORRECT ANSWERS-Total time of ventricular depolarization and
repolarization
0.36-0.44 seconds

ST segment - CORRECT ANSWERS-ventricular repolarization

RR Interval - CORRECT ANSWERS-Distance between QRS complex

ACE Inhibitors (-prils) - CORRECT ANSWERS-Lower SVR = Lower BP

Contraindicated in hyperkalemia

Alpha1 adrenergic agonist (Midodrine/phenylephrine) - CORRECT ANSWERS-Increase
SVR = Increase BP

, Arterial Vasodilators (Hydralazine, minoxidil) - CORRECT ANSWERS-Relax vascular
smooth muscle leading to arterial vasodilatation

SE: reflex tachycardia

Angiotensin 2 receptor blockers: ARBS (-Sartan) - CORRECT ANSWERS-Lower SVR =
Lower BP

Similar MOA as ACE inhibitors but has fewer SE
SE: hyperkalemia/renal impairment

Anticoagulants (warfarin, apixaban, rivaroxaban,enoxaparin, heparin) - CORRECT
ANSWERS-Causes a disruption of clotting factors

Antidysrhythmic (amiodarone, flecainide, procainamide, sotalol) - CORRECT
ANSWERS-suppress arrhythmias

SE: Bradycardia, liver dysfunction

Beta-adrenergic antagonist (beta blockers-lol) - CORRECT ANSWERS-Lower BP and
HR. Decrease CO and slow AV node conduction

Calcium Channel Blockers (amlodipine, nicardipine, diltiazem, verapamil) - CORRECT
ANSWERS-Causes coronary artery vasodialation= slow cardiac conduction, decreased
HR and decreased myocardial contraction.

SE: Pedal Edema, facial flushing

Cardiac glycosides (Digoxin) - CORRECT ANSWERS-increase myocardial contraction
and decrease HR and slows conduction. Increases CO

SE: vison changes, renal impairment

Central Alpha2 agonist (Clonidine, methyldopa) - CORRECT ANSWERS-Causes
vasodilation = decrease SVR/HR/contractility

SE: bradycardia

Loop Diuretics (furosemide, bumetanide, torsemide) - CORRECT ANSWERS-increase
excretion of water and electrolytes. Can cause hypokalemia

Nitrates (nitroprusside, nitroglycerin) - CORRECT ANSWERS-Vasodilation= decrease
preload/afterload/CO = reduces work effort LV

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