Nir Hus Absite review q6

Pulmonary Artery Flow-directed Catheter (Swan-Ganz) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pulmonary Artery Flow-directed Catheter (Swan-Ganz) ,[object Object],[object Object],[object Object]

Thermodilution Cardiac Output ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mixed venous oxygen saturation ,[object Object],[object Object],[object Object]

Floating the Swan ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object]

Measured Variables ,[object Object],[object Object],[object Object],[object Object],[object Object]

Calculated Variables ,[object Object],[object Object],[object Object],[object Object],[object Object]

Normal Cardiac Hemodynamics (Adult) Mean Pressure Diastolic pressure Systolic pressure Pressure site 70 – 105mmHg 60 – 90mmHg 90 – 140 mmHg Aorta 2 – 12mmHg 90 – 140 mmHg L ventricle 1 – 12mmHg Pulmonary art wedge 10 – 18mmHg 5 – 15 mmHg 15 – 30 mmHg Pulmonary artery 0 – 8 mmHg 5 – 30 mmHg R ventricle 0 – 8 mmHg R atrium

Normal Cardiac Hemodynamics (Adult) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Oxygen Parameters 120-160 ml/min/m sq Oxygen consumption index 200-250 ml/min Oxygen consumption (VO2) 60-80% Mixed venous saturation (SvO2) 95-100% Arterial oxygen saturation (SaO2) 7.38-7.42 pH 22-28mEq/L Bicarbonate (HCO3) 35-45 mm Hg Partial pressure of arterial CO2 (PaCO2) 80-100 mm Hg Partial pressure of arterial O2 (PaO2) Normal Range Parameter

Principal Indications for Swan-Ganz Catheter ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hypotension Low SVR High SVR High SVR High CI Low CI Low CI Low CVP High CVP Low CVP Vasogenic Cardiogenic Hypovolemic

Shock High SVR High SVR Low VO 2 Normal VO 2 Low CI Low CI High CVP High CVP Cardiogenic Heart Failure

Right Atrial Pressure ,[object Object],[object Object],[object Object],[object Object]

Pulmonary Artery Wedge Pressure ,[object Object],[object Object],[object Object],[object Object],[object Object]

Pulmonary Artery Wedge Pressure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cardiac Output ,[object Object],[object Object],[object Object],[object Object]

Flick Method ,[object Object]

The Indicator-dilution Technique ,[object Object],[object Object],[object Object]

Cardiac Output (High) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cardiac Output (Low) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cardiac Output (Low) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cardiac Output (Low) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Vascular Resistance ,[object Object],[object Object],[object Object],[object Object],[object Object]

Systemic Vascular Resistance (SVR) ,[object Object]

Cardiac Tamponade ,[object Object],[object Object],[object Object],[object Object]

Treatment of Cardiac Tamponade ,[object Object],[object Object],[object Object]

Shunts ,[object Object],[object Object],[object Object]

Shunts ,[object Object],[object Object],[object Object],[object Object],[object Object]

Left to Right Shunts ,[object Object],[object Object],[object Object]

Right to Left Shunts ,[object Object],[object Object],[object Object]

Complications Associated With venipuncture ,[object Object],[object Object],[object Object],[object Object],[object Object]

Complications Associated With Catheter Insertion ,[object Object],[object Object],[object Object],[object Object]

Q1- Conditions necessary for PA pressure to equal L. atrial pressure include all of the following except ,[object Object],[object Object],[object Object],[object Object]

Q2- Before accurate pressure can be obtained with PA cath., the pressure transducer must be calibrated and zeroed to the level of the: ,[object Object],[object Object],[object Object],[object Object]

Q3 - Most common complication associated w/ the passage of a PA cath is: ,[object Object],[object Object],[object Object],[object Object]

Q4 – All of the following values can be derived from direct measurment during blood-gas analysis EXCEPT: ,[object Object],[object Object],[object Object],[object Object],[object Object]

Q5 - The oxyhemoglobin dissociation curve is shifted to the Left by: ,[object Object],[object Object],[object Object],[object Object],[object Object]

Q6 - The oxyhemoglobin dissociation curve is shifted to the Right by: ,[object Object],[object Object],[object Object],[object Object],[object Object]

Q7 – A Swan ganz cath in a 70 kg male was placed through the Left subclavian vein and a wedge pressure is obtained. The approximate distance into the pt. should be? ,[object Object],[object Object],[object Object],[object Object]

Q8 – Which sample of blood will have the lowest O2 tension ,[object Object],[object Object],[object Object],[object Object]

Q9 – Which sample of blood will have the highest O2 tension ,[object Object],[object Object],[object Object],[object Object]

Nir Hus Absite review q6

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Nir Hus Absite review q6

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