24 terms

6 Principles:CV

CV Heme
STUDY
PLAY
RAP: normal pressures
0-8 mmHg
RVP:normal pressures
RV systole: 15-28 mmHg
RV diastole: 0-8mmHg
15-28/0-8 mmHg
PAP:normal pressures
PA systole: 15-28 mmHg
PA diastole:5-16 mmHg
Mean: 10-22 mmHg
PAWP:normal pressure
Mean: 6-12 mmHg
Relative Contraindications for Cardiac Cath (6)
1. Uncontrolled ventricular irritability
2. Uncorrected HTN
3. Febrile Illness
4. Decompensated Heart Failure
5. Allergy to Contrast
6. Severe Renal Failure
Greatest Mortality is associated with occulsion to which coronary vessel?
Left main disease
What information does the Cath Report give you?
Summary of indications for procedure
Descript of Cath itself
Hemodynamic Data
-Chamber pressures
-CO
Dexcription of:
-Coronary Anat
-Ventricular Function
-Valvular Function
What Makes a Patient HIGH RISK? (8)
1. <1 or >70 years old
2. Severity of Disease
3. Increased 10 Fold with:
-Class IV ASA or NYHA
-Left Main disease
-EF<30%(or equal to)
4. Valvular heart disease
5. Renal Insuficiency
6. Insulin Dependent DM
7. Advanced peripheral or cerebral vascular disease
8. Severe Pulm Disease
Indications for Heart Cath (6)
1. Unstable Angina
2. Postinfaction angina
3. Typical/atypical chest pain
4. positive exercise stress test
5. Positive Dipyridamole stress test
6. Wall motion abnormalities
Which AANA standard covers the requirements for documentation of Patient Record?
Standard VI (6)
What does standard VI of the AANA practice guide say?
"There shall be complete, accurate, and timely documentation of pertinent information on the patient's medical record."
What is the purpose of Medical documentation?
1. Facilitates comprhensive patient care
2. Provides retrospective review of research data
3. Establishes a medical-legal record
Treatment options for CHF
Cardiac Glycosides:Digoxin
Phospodiesterase inhibitors:Amirinone, Milrinone
(FTI card; there are others)
Normal Hematocrit:
Male
Female
OB
Male-40-54%
Female-36-46%
OB-30%
Normal Hemoglobin:
Male
Female
OB
Male-13.5-17g/dL
Female-12-15g/dL
OB-11-12g/dL
Critical Levels of Hematocrit and Hemoglobin
Hematocrit:
-<15% can produce heart failure
->60% can cause spontaneous clotting
Hemoglobin:
-<5 Heart failure
->20 spontaneous clotting of capillaries
How to prevent sickling with sickle cell patients
Normothermic
Maintain fluid volume
Maintain oxygenation-maintain 30% crit
Normal Adult WBC count;
Bands?
WBC life span
4,500-10,000
Normal Bands:3-5%
Life:13-20 days
Neutrophils are associated with what condition
bacteria and stress
Eosinophils associated with what condition
Allergic rxns
Basophils are associated with what condition
Leukemia, hodgkin's disease
Lymphocyte increased indicates what
Viral infections
TB
Lymphocytic leukemia
Decreased in HIV and Immunosupression
Normal Platelet count
150,000-350,000
<50,000-Bleeding
<20,000-spontaneous bleeding
You are told the number not the function with a CBC. Need a TEG for functional status
Monocyte elevation indicative of what
TB, Malaria, Rocky Mountain Spotted Fever,