What is the Z point technique?
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is a method used to estimate ventricular end diastolic pressure. It is taken
just before the closure of the mitral valve and is especially useful when an A
wave does not exist on the PAOP tracing such as in atrial fib.
,When P2 component is greater than the P1 indicates:
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Poor brain compliance
The pt is placed on CRRT - The nurse know which is a priority when receiving CRRT?
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Frequent electrolyte monitoring to minimize electrolyte shifts
Values in Early compensated Hypovolemic shock?
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CO 4.0 L/min, HR 135, SV 65, SVR 1700, MAP 65
In hypovolemic states, circulating volume is depleted therefore preload
and contractility are decreased which leads to a decrease in SV and CO.
HR and SV increase as compensatory measure to preserve CO, MAP and
cerebral perfusion.
Pulmonary htn will result in elevated PA pressures but have no impact on?
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, PAOP
Crackles in bilateral lower lobes and a s3 heart sounds are indicative of what? Tx?
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Fluid overload
Furosemide 40 mg IV x 1 now
Brain death criteria?
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Positive Apnea test
Absent Oculovestibular and Oculocephalic reflex
Respiratory acidosis
What would minimize pancreatic stimulation?
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Begin feedings via jejunal route - enteral feedings are preferred. Utilization
of jejunal feedings maintain gut integrity and minimize pancreatic
stimulation.
, Before administering rtPA what must happen?
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Lower the BP to at least 185/110. An elevated BP prior to rtPA can cause
hemorrhage.
Patients with right ventricular infarctions become preload dependent. Meds that
decrease preload should be avoided - which meds are these?
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Morphine, Nitro, Beta blockers and diuretics.
Major abdominal surgery may cause which pulmonary complication?
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Atelectasis - tx would be pulmonary hygiene and chest x-ray
Post bariatric surgery should avoid what kind of meds?
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Extended release meds due to absorption concerns post-operatively
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is a method used to estimate ventricular end diastolic pressure. It is taken
just before the closure of the mitral valve and is especially useful when an A
wave does not exist on the PAOP tracing such as in atrial fib.
,When P2 component is greater than the P1 indicates:
Give this one a try later!
Poor brain compliance
The pt is placed on CRRT - The nurse know which is a priority when receiving CRRT?
Give this one a try later!
Frequent electrolyte monitoring to minimize electrolyte shifts
Values in Early compensated Hypovolemic shock?
Give this one a try later!
CO 4.0 L/min, HR 135, SV 65, SVR 1700, MAP 65
In hypovolemic states, circulating volume is depleted therefore preload
and contractility are decreased which leads to a decrease in SV and CO.
HR and SV increase as compensatory measure to preserve CO, MAP and
cerebral perfusion.
Pulmonary htn will result in elevated PA pressures but have no impact on?
Give this one a try later!
, PAOP
Crackles in bilateral lower lobes and a s3 heart sounds are indicative of what? Tx?
Give this one a try later!
Fluid overload
Furosemide 40 mg IV x 1 now
Brain death criteria?
Give this one a try later!
Positive Apnea test
Absent Oculovestibular and Oculocephalic reflex
Respiratory acidosis
What would minimize pancreatic stimulation?
Give this one a try later!
Begin feedings via jejunal route - enteral feedings are preferred. Utilization
of jejunal feedings maintain gut integrity and minimize pancreatic
stimulation.
, Before administering rtPA what must happen?
Give this one a try later!
Lower the BP to at least 185/110. An elevated BP prior to rtPA can cause
hemorrhage.
Patients with right ventricular infarctions become preload dependent. Meds that
decrease preload should be avoided - which meds are these?
Give this one a try later!
Morphine, Nitro, Beta blockers and diuretics.
Major abdominal surgery may cause which pulmonary complication?
Give this one a try later!
Atelectasis - tx would be pulmonary hygiene and chest x-ray
Post bariatric surgery should avoid what kind of meds?
Give this one a try later!
Extended release meds due to absorption concerns post-operatively
