Thursday, November 13, 2008

Thursday November 13, 2008

Case: 68 year old patient admitted with CHF. Now with diuresis patient is stabalized and clinically stable to transfer to floor. Patient last CVP noted was 12. Patient bed is raised to perform portable chest x-ray. With elevation of bed, will CVP (choose one)

1. Fall
2. Rise
3. No change


Answer:
Will rise

CVP transducer and intravascular volume at "zero" point acts as a balance set of fluids. If transducer goes down below zero point (like with elevation of bed) CVP will rise.



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