CO and CI normal range?
Co-4-8
Ci2.5-4
Preload includes
CVP- r ventricular
PAOP-l ventricular
After load includes
PVR-r ventricle
SVR-left ventricle
If after load increases then co and sv
Decrease
Map normal range
Bp direct management
Sv normal management
SI strike index
70-110
90/60-140/90
Sv-50-100 ml
25-45 ml
CVP Normal range
2-6 mmhg
3-8 cm h20
PAP/PAOP normal range
Pap-20/8-30/15
Mean below 20
PAOP- 8-13 mmhg
How to calculate MAP
Systolic + 2(dbp)/3
SVR
PVR
CAPP
800-1200
PVR-50-250
Coronary artery perfusion pressure-60-80
Mixed venous oxygen saturation
(Svo2)
Central venous oxygen saturation (Scvo2)
60-75%
Over 70%
1.Arterial oxygen content
2.Oxygen delivery
3.Oxygen consumption
12-16
900-1100
250-350
Preload increased by
Fluids
Pressers
Preload decreases by
Diuretics
Dilators (nitrates, notroprusside
Morphine
After load increases by
Epi
Levo
Neo
High dose dopamine 11-20 mcg
After load decreases by
Nitroprusside
Ace inhibitors
Hydrazine
Ccb
IABP
NItroglycerin in high doses
SvO2 decreased by… and increased by…
Increased by septic shock,hypothermia, paralysis
Decreased by LOW CO, decreased PaO2, increased oxygen demands-shivering, fever, seizure, WOB
Assess for hypotension, hemoglobin, hypovolemia, arrhythmia, fever, hypoxemia, increased wob
If you giant v waves in pa catheter what is it
Mitral valve insufficiency
Over dampened waveform
Falsely decreased sys bp, and falsely high diastolic bp maybe d/t- loose connections, loss of air in pressure bag, kinking, blood clot, air
Under dampened means
Falsely high systolic pressure and possibly falsely low diastolic pressure may be due to air bubbles in the system. add on tubing or defective transducer.
Cardiogenic shock
Increased:
Bp, CVP,PAP,PAOP,SVR,PVR(or no change)
Decreased
Co/CO,SV/SVI,SvO2
Hypovolemic shock
Decreased: BP, CVP, PAP, PAOP, CO/CI,SV/SI, SVO2
Increased: SVR
PVR no change
Septic shock (early)
Increased: SvO2, CO/CI, SV/SI
Decreased:d: BP, CVP, PAP, PAOP, svr
PVR no change
Septic shock (Late)
Increased: SVR
Decreased: CO/CI, SV/SI, BP, CVP, PAP, , svO2
PVR no change or PAOP or increase
Cardiogenic pulmonary edema (L ventricular failure)
Decreased: CO/CI, SV/SI, SVO2
Increased: BP, CVP, PAP, PAOP
NO change svr, pvr or increase
