Page 962 - Cardiac Nursing
P. 962

,7"+    !PP!?P        QXD                 !-  0AGE     !PTARA )NC














                                                                                                    2!0 TRACING FROM PATIENT ON MECHANICAL VENTILATION  4HE 2!0 IS A MEAN PRESSURE  BISECT AN END EXPIRATORY WAVEFORM SO THAT THE AREAS ABOVE AND BELOW ARE EQUAL   2!0








                             Example                                                                )NTERPRETATION      MM (G
                         ,   / " Ê" Ê,   /Ê /,   Ê   Ê*1  "  ,9Ê ,/ ,9Ê*, --1, -Ê/"Ê   Ê       -

                                                                                     Inspiration







                                                                               v                      02
                                                                                c  a  End-expiration   $OWNSLOPE OF THE A WAVE  !FTER THE 123  FOLLOWS THE A WAVE   $OWNSLOPE OF THE V WAVE
                             ECG Findings                                      a  c  v            n    MSEC AFTER 0 WAVE  BY A TIME INTERVAL  0EAK OF THE 4 WAVE

























                             Mechanical Event                                                   2! SYSTOLE  2! RELAXATION  4RICUSPID VALVE CLOSURE 2! FILLING AGAINST CLOSED TRICUSPID ALVE 2! EMPTYING WITH OPENING OF TRICUSPID VALVE  ONSET OF 26   DIASTOLE







                                                                           30
                                                                              20   10    0
                             Pressures/waveforms                                              2! 0RESSURE   n  MM (G




                     **    8Ê                                                                   A WAVE  X DESCENT  C WAVE  V WAVE  Y DESCENT
   957   958   959   960   961   962   963   964   965   966   967