Hemodynamics Test

Question 1

What pressures do you look at when evaluating the right heart?

Answer 1

CVP (RA) 2-6
PAP S/D 20-30/6-15
MAP 10-20

Question 2

What resistance do you look at when evaluating the right heart?

Answer 2

PVR 100-250

Question 3

What pressures do you look at when evaluating the left heart?

Answer 3

PCWP 4-12
BP S/D 120/80
MAP 80-100

Question 4

What resistance do you look at when evaluating the left heart?

Answer 4

SVR 900-1400

Question 5

What other measurements do you look at when evaluating the left heart?

Answer 5

CO 4-8
CI 2.5-4
SV 60-130
LVSWI 40-75

Question 6

What other measurements do you look at when evaluating the right heart?

Answer 6

RVSWI 4-8

Question 7

What are right heart problems?

Answer 7

• tricuspid stenosis or regurgitation
• right sided MI
• cardiac tamponade
• ruptured septum
• any condition that affects the RV from ejecting blood into the PA

Question 8

What are lung problems?

Answer 8

• non-cardiogenic pulmonary edema (aspiration, gram (-) sepsis, ARDS)
• excessive PEEP level
• pulmonary emboli
• alveolar hypoxia leading to COPD
• general pulmonary hypertension
• shunt

Question 9

What are left heart problems?

Answer 9

• cardiogenic pulmonary edema
• mitral stenosis or regurgitation
• aortic stenosis
• left sided MI
• constrictive pericarditis
• patent ductus arteriosus
• ateriosclerotic heart disease

Question 10

What is the treatment for patients for landing in subset I (normal, septic shock)?

Answer 10

• treat tachycardia and dysrrhythmia
• nitroglyceride
• beta blockade
• fluid administration

Question 11

What is the treatment for patients for landing in subset II (fluid overload)?

Answer 11

• IV vasodilators
• ACE inhibitors
• diuretics

Question 12

What is the treatment for patients for landing in subset III (hypovolemia, dehydration)?

Answer 12

• aggressive fluid therapy
• vasopressors if decreased contractility after volume
• chronotropic drugs with caution

Question 13

What is the treatment for patients for landing in subset IV (acute left heart failure)?

Answer 13

• vasodilators
• vasopressors
• diuretics
• IABP
• thrombolitic therapy