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ACNP I: Hemodynamics Questions and Answers

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ACNP I: Hemodynamics Questions and Answers

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  • November 11, 2024
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ACNP I: Hemodynamics Questions and
Answers
What is Septic Shock? Correct Ans-Sepsis is when the infection reaches the bloodstream and
causes inflammation in the body.

Severe sepsis is when the infection is severe enough to affect the function of your organs, such as
the heart, brain, and kidneys.

Septic shock is when you experience a significant drop in blood pressure that can lead to
respiratory or heart failure, stroke, failure of other organs, and death.



Physical Findings of Septic Shock (early)? Correct Ans-1.) RR&HR

2.) Warm/Flushed Skin

3.) Fever

4.) Hypothermia in the elderly



What hemodynamics would be decreased in Septic Shock (early)? (4) Correct Ans-CVP, PAP,
PCWP, SVR



What hemodynamics would be increased in Septic Shock (early)? (3) Correct Ans-CO, DO2,
SvO2



What is ARDS? Correct Ans-Acute respiratory distress syndrome (ARDS) or shock lung is a
medical condition occurring in critically ill patients characterized by widespread inflammation in

, the lungs. It is a life-threatening lung condition that prevents enough oxygen from getting to the
lungs and into the blood.



Physical Findings of ARDS? (2) Correct Ans-1.) Severe Respiratory Distress

2.) Lungs sound clearer than CXR



What hemodynamics would be decreased in ARDS? (2) Correct Ans-SaO2, SvO2




What hemodynamics would be increased in ARDS? What would be normal? Correct Ans-
PAP increased

PCWP normal



What is Cardiac Tamponade? Correct Ans-Cardiac tamponade is pressure on the heart that
occurs when blood or fluid builds up in the space between the heart muscle (myocardium) and
the outer covering sac of the heart (pericardium).



Physical Findings of Cardiac Tamponade? Correct Ans-Pulsus Paradoxus (Drop in BP more
than 10 with inspiration)



Describe the hemodynamics with Cardiac Tamponade? Correct Ans-Equalization of CVP and
PCWP

May have cannon A and V waves-stiff walls

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