Term
PA values:
CVP:↓ PaP: ↓ PVR: wnl
PCWP:↓ ABP:↓ SVR:wnl
CO:↓ LVSWI:wnl HR:↑
what diagnosis would you expect, what interventions should you be preped for? |
|
Definition
hypovolemia
prep to hang IV fluid
assess HTC/HGB
Assess for s/s of bleeding (internal and external) |
|
|
Term
PA values:
CVP:↓ PaP: ↓ PVR: wnl
PCWP:↓ ABP:↓ SVR:↓
CO:↑ LVSWI:↑ HR:wnl
what diagnosis would you expect, what interventions should you be preped for? |
|
Definition
septic shock (hyperdynamic)
fluid deficit bi preload decreased, R afterload normal,
L afterload decreased, contractility increased
hang fluids, antibiotices |
|
|
Term
PA values:
CVP:wnl PaP:↑ PVR: wnl
PCWP:↑ ABP:↑ SVR:↑
CO:↓ LVSWI:↓ HR:↑
what diagnosis would you expect, what interventions should you be preped for? |
|
Definition
MI (poor L ventricle)
fluid excess
R preload normal, L preload high,
R afterload normal, L afterload increased,
contractility decreased
prep: MONA, EKG, LABS- (CK-MB, TRIP, PTT, PT) Thrombolytics
|
|
|
Term
PA values:
CVP:↑ PaP:↑ PVR: wnl
PCWP:↑ ABP:↑ SVR:↑
CO:↓ LVSWI:↓ HR:↑
what diagnosis would you expect, what interventions should you be preped for? |
|
Definition
L ventricular failure (MI, Cardiomyopathy, etc.)
fluid excess
preload increased, R afterload normal,
L afterload increased, contractility decreased
prep: oxygen, morphine, lasix, dig, pacmaker
|
|
|
Term
PA values:
CVP:↑ PaP:↑ PVR: wnl
PCWP:wnl ABP:↓ SVR:↑
CO:↓ LVSWI:wnl HR:↑
what diagnosis would you expect, what interventions should you be preped for? |
|
Definition
pulmonary hypertension
R fluid excess, L fluid normal
R preload increased, L preload normal,
afterload increased (R > L), contractility normal
Prep: lasix, Ca blockers, vasodialaters, oxygen
|
|
|
Term
PA values:
CVP:↑ PaP:↑slight PVR: wnl
PCWP:↑ ABP:↓ SVR:↑
CO:↓ LVSWI:↓ HR:↑
what diagnosis would you expect, what interventions should you be preped for? |
|
Definition
congestive heart failure
fluid overload
preload increased, L afterload increased ,
R afterload normal, contractility decreased
Prep: meds ( Ace inbh., Beta blk, dig, inotropes)
surg (ballon pump, bi-vad, transplant) |
|
|
Term
PA values:
CVP:↑ PaP:wnl PVR:↑
PCWP:wnl ABP:wnl SVR:wnl
CO:wnl LVSWI:wnl HR:↑
what diagnosis would you expect, what interventions should you be preped for? |
|
Definition
cor pulmonale (R failure)
R preload increased, L preload normal
R afterload increased, L afterload normal
contractility normal
Prep: meds: lasix, cal blockers, dig,
surg: pacer, R-vad
|
|
|
Term
PA values:
CVP:wnl PaP:↓ PVR:wnl
PCWP:↓ ABP:↓ SVR:↑
CO:↓ LVSWI:wnl HR:↑
what diagnosis would you expect, what interventions should you be preped for? |
|
Definition
hypovolemia, L ventricular failure
R fluid normal, L fluid deficit
preload normal R, preload decreased L,
afterload normal, contractility decreased
|
|
|
Term
PA values:
CVP:↑ PaP:↑ PVR: ↓
PCWP:wnl ABP:wnl SVR:wnl
CO:wnl LVSWI:wnl HR:↑
what diagnosis would you expect, what interventions should you be preped for? |
|
Definition
COPD, pulmonary hypertension
R fluid normal, L fluid decreased
R preload normal, L preload decreased,
R afterload increased, L afterload normal
contractility norm
Prep: treat copd
treat PHTN: lasix, Ca blockers, vasodialaters
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