ANCC CV-BC Cert Study. Procedural
Study Sets And Also Drugs Per Dx Exam
With 100% Correct And Verified Answers
Pulm Art Wedge Pressure Monitoring - Correct Answer-SHould
see a waveform with two small hill that correspond to the ecg
Labeled a and v.
a is LV EDP normal is 1-6 mmHg
v is LA filling and normal is <5 mmHg
balloon inflation only takes 1.5 cc fluid
NORMAL is 6-12 mmHg
PRIOR to IABP placement, what must be assessed?
What value is very important for iabp? normals? - Correct Answer-
Collateral Circ
Via doppler or ALLEN test
MAP. Mean arterial pressure.
MAP is [diastoleX2]+ Systole
-------------------------------
3
normal is 70-100
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,What is CVP? what does it measure, where, and normals? -
Correct Answer-Central Venous Pressure- looks at pressure in the
RA. assesses the Fx of the RV.
Normal is 2-5 mmHg
After surgery may be elevated to 6-8
High CVP could show fluid overload, RV failure, cardiac
tamponade, tricuspid stenosis, regurgitation, or thrombus
obstruction
Low CVP could mean shock or vasodilation, low volume
cabg vs midcab - Correct Answer-cabg is traditional. longer, larger
incision, heart/lung bipass use, longer rehab
midcab shorter procedure, may not go on bypass. sometimes pain
may be worse after this but pain doesn't last as long as cabg
followup for carotid endarterectomy - Correct Answer-1 week
after. check for cranial nerve tests. assess vocal cord fx
dopplers done at 3,6,12 mo flwup
followup after thromboembolectomy - Correct Answer-at 1 week.
dopplers are also done here
risks during hypothermic therapy - Correct
Answer-may be at higher risk for bleeding d/t
extended clotting times. can safely go down
to 33 C
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, Aneurysm size vs followup time - Correct
Answer-5 or larger..likely surgery
3-4 cm and non symptomatic--6 months to a
year followup
under 3 cm..checks every 5-10 yrs depending
on problems
treatment for Buerger's disease - Correct
Answer-stop smoking
may need to revascularize sometimes
amputation
anticoagulation/antiplatelet drugs
major amputations are common for those who
won't quit smoking
raynauds' treatment - Correct Answer-may
use CCB to dilate vessels and Alpha blockers
also. BBs are not indicated/helpful
keep hands/feet warm
don't use vibratory machines
.pharm agents for cardiomyopathy in general
- Correct Answer-CCBs
ACE inhibs
BBs
Diuretics
Anticoags
antiarrhythmics
antibiotics
corticosteroids
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