hemodynamic numbers slower Flashcards
SV
50 - 100 ml / beat
SI
25-45 ml / beat
PAP
20 - 30 / 8 - 15 (<20)
MAP
70 - 100
CO
4 - 8
SvO2
(mixed venous oxygen saturation)
60 - 75%
CI
2.5 - 4 L / min/m2
HR
60-100
BP
90-130 / 60-90
CVP / RAP
2-6
PAOP/PAWP
8-12
SVR
800-1200
PVR
50 - 250 dynes/s/cm3
CAPP
(Coronary Artery Perfusion Pressure)
60-80 mmHg
measures of preload
CVP & PAOP/PAWP
CVP & PAOP/PAWP are measures of ___________
preload
measures of afterload
PVR & SVR
PVR & SVR are measures of ____________
Afterload
medications to increase preload
crystalloids (0.9% ns/LR/5% Dextrose)
Colloids (albumin)
vasopressors (LEVO/NEO)
medications to DECREASE preload
vasodilators (HYDRALIZINE / NITROPRUSSIDE0
diuretics (LASIX / BUMEX)
To increase Afterload
EPI
NOREPINEPHRINE
PHENYLEPHRINE
DOPAMINE (>10 mcg/kg/min)
To DECREASE Afterload
Nitroprusside
Nitroglycerin
ACE Inhibitors
CCB
Hydralizine
IABP
To INCREASE contractility
+ inotropes
Epi
Dobutamine
Dopamine (5-10mcg/kg/min)
Milrinone
To DECREASE Contractility
Negative inotropes
BB
CCB
Calcium normal levels
8.5 - 10.5 mg/dl
Symptoms of hypercalcemia
Lethargy
MS change
Decreases DTR
Muscle weakneas
Etiology of hypercalcemia
Renal disease
Hyperparathyroidism
Cancer
Treatment of hypercalcemia
IVF -0.9% NS
diuresis - lasix
Calcitonin
Symptoms if HYPOcalcemia
Irritability
Seizures
Torsades
+Chvostek sign
+Trosseau sign
Etiology of HYPOcalcemia
Renal disease
Acute pancreatitis
HYPOparathyroidim
Alcoholism is the cause of:
HYPOphosphatemia
HYPOkalemia
HYPOmagnesemia
HYPO: P K M
Tylenol overdose
n-acetylcystein
alcohol overdose
gastric lavage
IVF
thiamine
benzodiazepine overdose
ROMAZICON
support airway
BB overdose
EPI
SODIUM BICARB
carbon monoxide poisoning
100% O2
cocaine overdose
BENZODIAZEPINES
vasodilators
cyclic antidepressants overdose
ACTIVATED CHARCOAL
ethylene glycol overdose
ETHANOL
dialysis
opioid overdose
Narcan
support airway
aspirin overdose
CHARCOAL
dialysis