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Adult Test #1
Hemodynamics
29
Nursing
Graduate
09/10/2011

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Cards

Term
Intraaarterial Blood pressure monitoring
Definition
-measures systolic, diastolic, and MAP
-used to get frequent ABG's
Term
Complications with line in radial artery
Definition
arterial dissection
trauma to nerves
hematoma
thrombus
decreased blood flow to the hand
Term
Diastolic filling phase
Definition
-tricuspid and mitral valves open
-blood leaves the atria to the ventricles
-pressure in atria an ventricles equalizes at end of diastole
Term
systolic ejection phase
Definition
-pulmonic and aortic valves open
-blood rapidly ejected from the ventricles to pulmonary artery/aorta
-systolic pressures between the ventricle and artery equalize
Term
Stroke Volume
Definition
amount of blood ejected from each ventricle with each heart beat.
Term
preload
Definition
force or load on ventricle during diastole
volume
end diastolic volume
Term
afterload
Definition
force or load on the heart during ejection systole
Pressure
inversely related to CO
Term
contractility
Definition
-inotropic state of muscle fibers
-affects perfusion status
-helps determine the force of ventricular contraction
Term
CVP
Definition
-central venous pressure
-right heart volume status
-Norm-2-8mm hg
-low=hypovolemic
Term
PAP
Definition
-reflects systolic and diastolic pressure in pulmonary vasculature
-systolic: 20-30
-diastolic 5-10
Term
PAWP
Definition
-Pulmonary artery wedge pressure
-left heart volume status
-norm 6-12
-low is hypovolemia
Term
Cardiac index
Definition
-Norm 2.5-4
-relates cardiac output to body surface area
Term
MAP
Definition
-Mean arterial pressure
-perfusion
-norm 70-100
Term
SVR
Definition
-Systemic Vascular Resistance
-resistance to left ventricular ejection
-Norm: 800-1200
Term
What is the goal of hemodynamics
Definition
to optimize CV function in order to ensure adequate tissue oxygenation
Term
What would you do for a low HR
Definition
atropine
pacemaker
Term
What would you give for a high HR
Definition
Beta blockers
Ca channel blockers
Term
What would you give for a low preload?
Definition
fluids
Term
What would you give for a high preload?
Definition
Diuretics
Venous dilators
Term
What would you give for a low afterload?
Definition
vasopressors
Term
What would you give for a high afterload?
Definition
Atrial dilators
Ca channel blockers
ACE inhibitors
Term
What would you give for low contractility?
Definition
inotropic agents
Term
What would you give for a high contractility?
Definition
Beta blockers
Ca channel blockers
Term
hypovolemic shock
Definition
-loss of intravascular volume and what is left is inadequate to fill vascular space
-decreased blood flow and tissue perfusion
Term
Cardiogenic shock
Definition
-impaired ability of heart to pump blood
-due to left ventricular heart failure
Term
Intraaortic Balloon pumping
Definition
-inflates during diastole to increase coronary artery flow (increase supply)
-deflates during systole to decrease afterload (decrease demand)
Term
LVAT
Definition
-implanted device used to partially/totally support patients with ventricular failure
-allows heart to heal
-gives time while waiting for heart transplant
Term
Anaphylactic shock
Definition
severe allergic reaction
increased capillary permeability
Term
Neurogenic shock
Definition
ineffective SNS that causes no nerve signals to transmit resulting in vasodilation
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