Campus Collusion
Review Questions for Test Preparation

       
    

  



Hemodynamic MonitoringMedical-Surgical Nursing-7th edition

Review Online for Free
Lies about Study Techniques: Believe them at your own risk.
www.NursingInAFlash.com

Page 1
Skip Navigation Links
Question Answer
What are risk factors for developing ventricular tachycardia during a Swan-Ganz insertion?
Show Answer
Decreased potassium, decreased magnesium, hypoxia, acidosis. You must inform the doctor if these conditions exist prior to insertion.
What do changes in PAWP potentially indicate?
Show Answer
Left ventricular dysfunction, mitral stenosis (a higher pressure in the left atrium than the left ventricle), or valvular stenosis.
How is cardiac output measured using a Swan-Ganz?
Show Answer
Inject cold water at the end of expiration. The catheter measures the amount of blood pumped in a minute through the thermistor lumen.
What is a normal pulmonary artery pressure (PAP)?
Show Answer
Systolic of 20-30, Diastolic of 5-10
The systolic pressure of the pulmonary artery pressure represents the pressure in the ______ ventricle.
Show Answer
Right ventricle
The diastolic pressure of the pulmonary artery pressure represents the pressure in the ______ ventricle.
Show Answer
Left ventricle
An increase central venous pressure (CVP) is indicative of?.
Show Answer
Fluid overload
Where in the body is the proximal lumen of the Swan-Ganz catheter located?
Show Answer
The right atrium or the superior vena cava
What type of medication is used when a patient's blood pressure is good, but they have an increased Pulmonary Capillary Wedge Pressure (PCWP)?
Show Answer
Nipride/nitroprusside. It decreases afterload (the pressure the left ventricle must overcome to pump out blood systemically), and increases preload.
What medications are commonly infused for a patient with a Swan-Ganz catheter to improve the heart's contractility and pumping?
Show Answer
Dopamine and Dobutamine.
Download these questions to your phone here
How frequently are dopamine and Dobutamine titrated to maintain a patient's blood pressure while on a Swan-Ganz catheter?
Show Answer
Every 2 to 5 minutes under the blood pressure is stable
How frequently should a patient's blood pressure be assessed once their goal heart rate and blood pressure should be reached while they are on monitored via a Swan-Ganz catheter?
Show Answer
Assess them every 15 minutes
An increased pulmonary artery pressure (PAP) is indicative of?
Show Answer
Pulmonary hypertension, ARDS-essentially it's indicative of an increased pulmonary resistance
What is an indication via the Swan-Ganz catheter that a patient has pulmonary edema?
Show Answer
A PCWP over 20
_______ measures right and left ventricle squeeze. It can be used to assess for lung problems like pulmonary hypertension.
Show Answer
Pulmonary artery pressure (PAP)
Once a Swan-Ganz is inserted what should be done post-procedurally?
Show Answer
Clean the insertion site and cover with a Tegaderm, keep the head of the bed under 60 degrees, balance the catheter, X-ray it for placement, document to insertion site, note the exit mark on the catheter.
When should readings of a Swan-Ganz catheter be done?
Show Answer
Readings should be taken during therapeutic changes (titrating medications, infusing fluids), and at standard 15 minute intervals.
What is the underlying goal for a patient with a Swan-Ganz catheter?
Show Answer
Improve their cardiac output, not their blood pressure by maximizing preload and decreasing afterload.
What PCWP level signals a need to call the physician?
Show Answer
Any time it is over 20
________ is a measure of pressures in the left atrium and is equal to the end diastolic pressure.
Show Answer
The Pulmonary Artery Wedge Pressure (PAWP), the same thing as a PCWP.
  
Page 1 Skip Navigation Links
Not what your looking for, continue searching

    
Skip Navigation Links