ࡱ> Q@  bjbj͘ "$+88,pL":<<<<<<$wR`-`[[[:[:[.[fd s;lGk~L0,___<[``D E PA Catheter Basics Indications Dx: Cardiogenic vs. Distributive shock; Cardiogenic vs. Non-cardiogenic Edema Management of Heart Failure Peri-operative management Features: -110 cm, 7 French, 2 ports, balloon, thermistor - Insert via R. IJ/ L. subclavian; Sail effect of balloon  INCLUDEPICTURE "http://www.rnweb.com/be_core/content/journals/r/data/2003/0901/screen/r9a057f1.jpg" \* MERGEFORMATINET  Normal Pressures - Fall during inspiration/rise with expiration -Read pressures at end of expiration (intrathoracic P = atmospheric P) RA 2-8mm Hg RV 15-30/2-8mmHg PA 15-30/6-12mm Hg PCWP 6-12 mm Hg  INCLUDEPICTURE "http://www.rnweb.com/be_core/content/journals/r/data/2003/0901/screen/r9a057f3a.gif" \* MERGEFORMATINET  Management: -Must insert under fluoroscopy if recent (3mo) PPM/ICD or LBBB. -When wedging, inflate balloon slowly to 1.5cm -Always remember to leave balloon deflated Problems during insertion: Can not advance into pulmonary artery: usually due to large RV Ventricular arrhythmias 50% of placements, withdraw, no rx unless sustained CHB transvenous pacing Unable to wedge true cause unknown (non-uniform inflation), use PAD x PHTN Abnormal Waveforms Canon a-waves Large v-waves Over - Wedging INCLUDEPICTURE "http://www.rnweb.com/be_core/content/journals/r/data/2003/0901/screen/r9a057f4.gif" \* MERGEFORMATINET  Hemodynamic Parameters Correct for Size: BSA (m2) = [Ht (cm) + Wt (kg) 60] / 100 usu 1.6-1.9 CI = CO/BSA NL 2.4-4.0, thermodilution vs. Fick  INCLUDEPICTURE "http://www.mc.vanderbilt.edu/surgery/trauma/Powerpoint/PAC_fof/img027.gif" \* MERGEFORMATINET  R=(Pin  Pout)/Q Hydraulic Analogy to Ohm s Law (R="V/I) SVR = (MAP  CVP)/CO NL 700-1600 dynes*sec/cm5 PAGE  PAGE 1 M!    ! 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