单词 | cpp | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
释义 | CPPCPPcppcppCPPCPPpressure(presh'ur) [L. pressura]airway opening pressurealveolar pressurearterial pressureatmospheric pressurebilevel positive airway pressureAbbreviation: BiPAPbiting pressureblood pressureSee: blood pressurecapillary pressurecentral venous pressureAbbreviation: CVPcerebrospinal pressurecontinuous positive airway pressureAbbreviation: CPAPcoronary perfusion pressureAbbreviation: CPPcricoid pressurecritical pressurecuff pressureCAUTION!To avoid damage to the trachea, the pressure should be carefully monitored and adjusted. Cuff pressure should be sufficient to prevent aspiration of secretions around the cuff.driving pressureeffective osmotic pressureend-diastolic pressureend-expiratory pressureexpiratory pressureexpiratory positive airway pressureAbbreviation: EPAPfilling pressurehydrostatic pressureincreased intracranial pressureinspiratory pressureintra-abdominal pressureintracranial pressureintraocular pressureAbbreviation: IOPintrapleural pressurePleural pressure.intrapulmonic pressureAlveolar pressure.intrathoracic pressurePleural pressure.intraventricular pressurejugular venous pressureAbbreviation: JVPPatient careTo estimate jugular venous pressure, have the patient lie on his or her back with the chest, neck, and head elevated 30 degrees above the horizontal. Measure the vertical height of the fullness seen as the jugular vein fills. In the healthy (and in the dehydrated) little or no blood is seen in the jugular veins, and they appear to be flat. In right-sided heart failure, the column of blood distends the jugular veins to a height of 5 to 6 cm or more. maximum inspiratory pressureMaximum inspiratory force.negative pressureoncotic pressureopening pressureAbbreviation: OPosmotic pressurepartial pressurepartial pressure of exhaled carbon dioxideAbbreviation: PETCO2peak inspiratory pressureplateau pressurepleural pressurepositive pressurepositive end-expiratory pressureAbbreviation: PEEPCAUTION!The patient must be carefully monitored to allow observation for undesired side effects such as pneumomediastinum, subcutaneous emphysema, and pneumothorax.positive end-expiratory pressure, autoAbbreviation: auto-PEEPposterior cricoid pressurepulmonary artery occlusive pressurePulmonary artery wedge pressurepulmonary artery wedge pressureAbbreviation: PAWPPatient careThe nurse prepares and sets up the transducer equipment to monitor pulmonary artery pressure and PAWP according to institutional protocol and the manufacturer's instructions. The transducer is balanced and calibrated as required (every 4 to 8 hr). Hemodynamic status is monitored, and findings are documented, including pulmonary artery pressure (normally 20 to 30 mm Hg systolic and 8 to 12 mm Hg diastolic) every hour as directed. To measure PAWP every 1 to 4 hr as directed, the nurse inflates the balloon with 0.75 to 1.5 cc of air depending on balloon size (the balloon is never inflated with fluid) while watching for change in waveform (indicating wedging) and assessing for balloon rupture (lack of resistance on inflation, with absence of wedging). If this occurs, the wedging procedure is discontinued (because of concern for air embolism), and therapy is managed based on pulmonary artery diastolic pressures. Pulmonary artery wedge pressure is read, documented (normally 4 to 12 mm Hg), and correlated to clinical findings and other hemodynamic values, and any abnormal findings are reported. The nurse then removes the syringe and permits passive deflation of the balloon while observing for reappearance of pulmonary artery pressure waveform. If the balloon remains inflated, the patient is at risk for pulmonary artery necrosis. The patient should be positioned on the right side and encouraged to take deep breaths and to cough as the nurse mobilizes the right arm. If the balloon remains wedged, the physician should be notified. Fluid and diuretic therapy are adjusted based on PAWP and other values as prescribed. Impedance cardiography may be employed as an alternative to invasive monitoring with a pulmonary artery catheter. pulse pressureproduction pressuresolution pressurestatic pressuresystolic pressureSystolic blood pressure.threshold pressureEffective osmotic pressure.transpulmonary pressurevenous pressurewedge pressurePulmonary artery wedge pressure.coronary perfusion pressureAbbreviation: CPPCPP
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