Anyone have any good critical care questions to quiz me on? - page 3

Hey all you expert critical care nurses! I am going to be taking the BKAT 8. I took it once before. Not sure how prepared I am for it again...I have a little bit of experience in CC, but I think I... Read More

  1. Visit  fiveofpeep profile page
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    Quote from CVmursenary
    i think rap and pap would be elevated and the wedge would be elevated but not reflect left atrial preload correctly?
    You are correct in that the RAP and PAP would be elevated because of the pulmonary hypertension secondary to the PE and the relative RHF from the obstruction.

    The PAOP would not be elevated in a non-diseased heart because of the obstructed blood flow in the pulmonary vascular system secondary to the clot. There may even be a preload deficit in the left side because of this.

    Once again this is a "textbook case" straight from Pass CCRN
  2. Visit  CVmursenary profile page
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    what if the wedge was behind the clot?, wouldnt it have a high reading?
  3. Visit  fiveofpeep profile page
    0
    Quote from CVmursenary
    what if the wedge was behind the clot?, wouldnt it have a high reading?
    Probably, but I'm no expert on PE's so I'm just reporting straight from the book. Maybe someone else can shed some light on this?


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