Hey guys James saying here, so today we're going to talk about the mitral valve area calculation using the Ghrelin formula and then also some of the various formulas that you could face when you take your registry exam or the formulas that you're certainly going to have to know if you're in a cardiovascular technician program and so a little about me my name's James sane I've been a nurse for 30 plus years a lot of years in ice various ICUs a lot of years and various path labs some years in the industry, and I've also been teaching for the past nine or ten years at Polk State College in here in central Florida I teach in the CVT program I teach pharmacology and I teach it's called cbt-2, but it's basically hemodynamics and so let's take a look at some of these formulas and some information okay so for the mitral valve for the golden formula here is the formula that you can use and there 's's two different formulas, so you can either use this is the one that I find easiest to remember cardiac output divided by heart rate times the diastolic filling period times the constant of 37.9 times the square root of the mean gradient okay so a couple of things the cardiac output has to be in milliliters so if you have like a five you have to multiply it by a thousand or six point two you have to multiply it by a thousand six thousand two hundred CCS or five thousand cc's divided by the heart rate, and then you know your recording system will give you the heart rate you need an accurate heart rate it can if you have somebody that's unstable has a run of SVT...
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MVA Form VR-461 is also known as the "Maryland Driver's License Renewal Application for Military Personnel" form. This form is required for military personnel who have been on active duty outside Maryland and need to renew their driver's license. Military personnel who have been on active duty for more than one year are eligible to use this form for license renewal. The form requires the applicant to provide their personal information, including their Military Identification number, current address, and driver's license number. They also need to provide proof of a current vehicle registration and proof of insurance. This form must be submitted in person at a local Maryland Motor Vehicle Administration (MVA) office.
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