Hemodynamics practical #2

Question 1

Hypovolemia hemodynamics

Answer 1

Decreased:
- PCWP (!)
- C.O
- RAP
- PAP
- BP (or normal)
Increased:
- HR
- SVR

Question 2

Hypervolemia hemodynamics

Answer 2

Increased:
- PCWP (!)
- C.O or normal
- SVR
- B/P
- RAP
- PAP
- HR

Question 3

Vasodilation hemodynamics

Answer 3

Increased:
- C.O
- HR
Decreased:
- PCWP
- SVR (!)
- B/P (or normal)
- RAP
- PAP

Question 4

Vasoconstriction hemodynamics

Answer 4

Increased:
- PCWP
- SVR (!)
- B/P (!!)
- HR
- RAP
- PAP
Decreased:
- C.O

Question 5

LVHF hemodynamics

Answer 5

Increased:
- PCWP
- SVR
- HR
- RAP
- PAP
Decreased:
- C.O
- B/P

Question 6

Hypovolemia primary treatment

Answer 6

Fluid resuscitation (NaCL or blood)

Question 7

Hypervolemia primary treatment

Answer 7

Underlying primary cause (renal, cardiac, hepatic)

Question 8

Hypovolemia secondary treatment

Answer 8

Vasopressors (epinephrine, phenylephrine)

Question 9

Hypervolemia secondary treatment

Answer 9

Diuretics (lasix)
Fluid/salt restriction
Dialysis
Vasodilator (nitroglycerin)

Question 10

Vasodilation primary treatment

Answer 10

Vasopressor (epi, phenyl)

Question 11

Vasodilation secondary treatment

Answer 11

Fluid resuscitation (NaCL or blood)

Question 12

Vasoconstriction primary treatment

Answer 12

Vasodilators (nitroglycerin)
Ace inhibitors (lisinopril)
Calcium channel blockers (cardizene)

Question 13

Vasoconstriction secondary treatment

Answer 13

Beta blockers (metoprolol)

Question 14

LVHF primary treatment

Answer 14

Positive inotropes (dopamine, dubutamine)

Question 15

LVHF secondary treatment

Answer 15

Diuretic (lasix), O2, PEEP, anticoagulant (heparin)

Question 16

Getting PCWP

Answer 16

1) turn valve off
2) take of syringe and pull back 1.5mL of air
3) Put syringe back on
4) open valve
5) slowly push in air, look for PCWP on monitor
6) take syringe off immediately
7) wait for waveform to turn back and then close valve

Question 17

Getting C.O

Answer 17

1) find the line
2) make stopcocks kiss
3) pull out 10mL CO
4) move stopcocks
5) push in CO and watch for CO value
6) close CO stopcock

Question 18

Getting RAP/CVP

Answer 18

1) find dopamine and close
2) switch stopcock open to RAP CVP
3) get your value
4) close dopamine first
5) then switch back over to PA