Gibson ADHF

Question 1

Warm and dry (compensated) HF class?

Answer 1

I

Question 2

cold and dry HF class?

Answer 2

III

5% normal output

Question 3

Warm and wet HF class?

Answer 3

II

67% normal output

Question 4

Cold and wet HF class?

Answer 4

IV

28% normal output

Question 5

Cold HF range?

Answer 5

0-2.2 L/min/m^2

Question 6

Warm HF range?

Answer 6

2.2-5 L/min/^2

Question 7

Dry HF range?

Answer 7

0-18 mmHg

Question 8

Wet HF range?

Answer 8

18-30 mmHg

Question 9

Normal CO?

Answer 9

4-7L/min

Question 10

ADHF CO?

Answer 10

2-4L/min

Question 11

Normal cardiac index?

Answer 11

2.8-3.6 L/min/m^2

Question 12

ADHF cardiac index?

Answer 12

1.2-2 L/min/m^2

Question 13

Normal PCWP?

Answer 13

8-12 mmHg

Question 14

ADHF PCWP?

Answer 14

18-30 mmHg

Question 15

Normal SVR?

Answer 15

800-1200 dynes/sec/cm^5

Question 16

ADHF SVR?

Answer 16

1500-3000 dynes/sec/cm^5

Question 17

Normal stroke volume?

Answer 17

60-70mL

Question 18

ADHF stroke volume?

Answer 18

25-50 mL

Question 19

Normal MAP?

Answer 19

80-100 mmHg

Question 20

ADHF MAP?

Answer 20

60-80 mmHg

Question 21

Normal central venous pressure?

Answer 21

2-6 mmHg

Question 22

ADHF central venous pressure?

Answer 22

6-15 mmHg

Question 23

Diuretics are used with what PCWP and cardiac index?

Answer 23

PCWP: 18-40
CI: 0-5

Question 24

Nitroglycerin dose?

Answer 24

5mcg/min IV; increase by 5mcg/min up to max of 200mcg/min

typical dose: 25-75mcg/min IV

Question 25

nesiritide (Natrecor) dose?

Answer 25

2mcg/kg IVB
0.01mcg/kg/min IV
omit bolus if concern for HOTN

typical dose: 0.01mcg/kg/min

Question 26

sodium nitroprusside (Nipride) dose?

Answer 26

0.1-0.2mcg/kg/min IV; increase by 0.2-2mcg/kg/min

typical doses: 0.5-1mcg/kg/min IV

Question 27

dobutamine (Dobutrex) dose?

Answer 27

2.5mcg/kg/min; titrate to 20mcg/kg/min

Question 28

milrinone (Primacor) dose?

Answer 28

50mcg/kg IV bolus over 10 mins

0.375-0.75 mcg/kg/min infusion