Pulmonary artery wedge waveform
Give this one a try later!
· Once you see this waveform during balloon inflation, stop inflating even if
all 1.5 ml of air has not been instilled. You do NOT want to infarct the
pulmonary artery; this will cause client death.
,Can you leave a PA catheter in a patient who is going to a MRI?
Give this one a try later!
NO- contains metal
How should you treat a patient who has a low contractility?
Give this one a try later!
Improve the force of contraction
Treatments: vasopressors
• Inotropes
• Dopamine (also vasoconstricts in high doses)
• Dobutamine
• Epinephrine
• Milrinone (Primacor - also vasodilates)
• Digoxin
• Isuprel
Ventricular assist devices bridge to transplantation
transducer calibration
Give this one a try later!
Ensure accuracy of reading (once per shift)
A patient has a low afterload: what would you see?
, Give this one a try later!
Vessels are "floppy"- LOW- SVR (neurogenic shock , anemia, cirrhosis,
vasodilation, sepsis)
If you loose the syringe on a swan-ganz catheter can you just get a new syringe?
Give this one a try later!
NO- you must get one from a new swan kit (1.5 CC)
leveling the transducer
Give this one a try later!
1. Client position: supine in bed
2. Phlebostatic axis: 4th intercostal space (mid-chest)
3. Align transducer w/ atria: correct hydrostatic pressure
What should the pressure bag be inflated to in order to maintain patency?
Give this one a try later!
300 mmHg
Give this one a try later!
· Once you see this waveform during balloon inflation, stop inflating even if
all 1.5 ml of air has not been instilled. You do NOT want to infarct the
pulmonary artery; this will cause client death.
,Can you leave a PA catheter in a patient who is going to a MRI?
Give this one a try later!
NO- contains metal
How should you treat a patient who has a low contractility?
Give this one a try later!
Improve the force of contraction
Treatments: vasopressors
• Inotropes
• Dopamine (also vasoconstricts in high doses)
• Dobutamine
• Epinephrine
• Milrinone (Primacor - also vasodilates)
• Digoxin
• Isuprel
Ventricular assist devices bridge to transplantation
transducer calibration
Give this one a try later!
Ensure accuracy of reading (once per shift)
A patient has a low afterload: what would you see?
, Give this one a try later!
Vessels are "floppy"- LOW- SVR (neurogenic shock , anemia, cirrhosis,
vasodilation, sepsis)
If you loose the syringe on a swan-ganz catheter can you just get a new syringe?
Give this one a try later!
NO- you must get one from a new swan kit (1.5 CC)
leveling the transducer
Give this one a try later!
1. Client position: supine in bed
2. Phlebostatic axis: 4th intercostal space (mid-chest)
3. Align transducer w/ atria: correct hydrostatic pressure
What should the pressure bag be inflated to in order to maintain patency?
Give this one a try later!
300 mmHg
