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CCRN review > hemodynamic effects > Flashcards

hemodynamic effects Flashcards

1
Q

low dose dopamine

A

NO CHANGE

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2
Q

medium dose dopamine (4-10 mcg/kg/min)

A

~ / ^ BP
~ / ^ PAP
~ / ^ PAOP
^^ CO/CI
^ SV/SI
^ HR

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3
Q

high dose dopamine (10 - 20 mcg/kg/min)

A

^ BP
~ / ^ CVP *
^ PAP
^ PAOP
^ CO/CI *
^ SV/SI
^ SVR *
^ PVR *
^^ HR *

  • note difference between medium and high dose dopamine
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4
Q

norepinephrine (levophed)

A

^ BP
~ / ^ CVP
^ PAP
^ PAOP
^ CO/CI
^ SV/SI
^^ SVR
~ / ^ PVR
~ HR

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5
Q

phenylepinephrine (neo-synephrine)

A

^ BP
~ CVP
~ PAP
~ / ^ PAOP
~ / ^ CO/CI
^ SV/SI
^ SVR
~ PVR
~ HR

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6
Q

epinephrine

A

^ BP
~ / ^ CVP
^ PAP
^ PAOP
^ CO/CI
^ SV/SI
^^ SVR
~ / ^ PVR
^ HR

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7
Q

crystalloid and colloids increase…

A

increase preload

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8
Q

pressors increase…

A

increase preload

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9
Q

diuretics decrease…

A

decrease preload

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10
Q

dilators decrease…

A

decrease preload (ex: nitrates, nitroprusside, nesiritide)

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11
Q

morphine decreases…

A

decreases preload

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12
Q

norepinephrine increases….

A

increases afterload

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13
Q

phenylephrine increases….

A

increases afterload

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14
Q

high dose dopamine (11-20 mcg/kg/min) increases…

A

increase afterload

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15
Q

epinephrine gtt increases

A

increases afterload

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16
Q

nitroprusside decreases

A

decreases afterload

17
Q

ACE inhibitors decrease

A

decrease afterload

18
Q

Hydralazine decreases

A

decreases afterload

19
Q

CCB decrease

A

decrease afterload

20
Q

IABP

A

decrease afterload

21
Q

Nitroglycerine at high doses

A

decreases afterload

22
Q

dobutamine increases

A

increases contractility (positive inotrope)

23
Q

dopamine 5-10 mcg/kg/min increases

A

increases contractility (positive inotrope)

24
Q

primacor increases

A

increases contractility (positive inotrope)

25
Q

epinephrine gtt increases

A

increases contractility (positive inotrope)

26
Q

Beta blockers decrease

A

decrease contractility (negative inotrope)

27
Q

CCB

A

decrease contractility (negative inotrope)

28
Q

metabolic acidosis decreases

A

decrease contractility

29
Q

endotoxins of sepsis decrease

A

decrease contractility

30
Q

septic shock has what impact on SV02

A

increases SVO2

31
Q

hypothermia has what impact on SV02

A

increases SVO2

32
Q

paralysis has what impact on SV02

A

increases SVO2

33
Q

low cardiac output has what impact on SV02

A

decreases SVO2

34
Q

decreased PaO2 has what impact on SV02

A

decreases SVO2

35
Q

increased O2 demand has what impact on SV02

A

decreases SvO2. Increased O2 demands (fever, shivering, seizures, increased WOB)

CCRN review (2 decks)

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