Hemodynamics Normals Flashcards
CO
HR•SV
4-8L/min
CI
2.5-4L/min
SV
50-100mL/beat
MAP
70-110
CVP
2-6
PAP
20/8-30/15 mean <20
PAOP
8-12
SVR
800-1200
PVR
50-250
CAPP
60-80
SvO2
60-75%
ScvO2
> 70%
CaO2
O2 content
16-18 mL/dL
DO2
900-1100mL/min
VO2
Consumption
250-350mL/min
Cardiogenic shock
BP⬇️ CVP ⬆️ PAP⬆️ PAOP⬆️ CO⬇️ SVR⬆️ PVR⬆️ SVO2⬇️
Hypovolemic
Increased contractility BP⬇️ CVP⬇️ PAP⬇️ PAOP⬇️ CO⬇️ SVR⬆️ PVR↔️ SVO2⬇️
Early sepsis
BP⬇️ CVP⬇️ PAP⬇️ PAOP⬇️ CO⬆️ SVR⬆️ PVR↔️ SVO2⬆️
Late sepsis
BP⬇️ CVP⬇️ PAP⬇️ PAOP↔️ CO⬇️ SVR⬆️ PVR↔️ SVO2⬇️
LV failure pulm edema
BP↔️ CVP⬆️ PAP⬆️ PAOP⬆️ CO⬇️ SVR↔️ PVR↔️⬆️ SVO2⬇️
ARDS pulm edema
BP↔️ CVP↔️ PAP⬆️ PAOP↔️ CO↔️⬇️ SVR↔️ PVR⬆️ SVO2↔️⬇️
Pulm HTN (PE, COPD, hypoxia)
BP↔️ CVP⬆️ PAP⬆️ PAOP↔️ CO↔️ SVR↔️ PVR⬆️ SVO2⬇️
Tamponadek
BP⬇️ CVP⬆️ PAP⬆️ PAOP⬆️ CO⬇️ SVR⬆️ PVR↔️⬆️ SVO2⬇️
Dopamine 4-10mcg/kg/min
+Inotrope
BP↔️⬆️
HR⬆️
CO⬆️⬆️
PAP↔️⬆️
PAOP↔️⬆️
Dopamine 11-20mcg/kg/min
Increases everything but mainly vasoconstriction and + afterload
Levophed
Inc everything except HR
⬆️⬆️SVR
Neosynephrine
BP⬆️
SVR⬆️
Epi
+ Inotrope
Inc everything
⬆️⬆️SVR
Neseritide/Natrecor
Reduces everything, both preload and afterload
Nipride
Decrease everything , both preload and afterload
⏬BP
⏬PAOP
⏬SVR
NTG 0-1mcg/kg
Dec everything
⏬CVP
NTG >1mcg/kg
Decrease all, may Inc hr
Ace inhibitors
Decrease everything except HR, CO, SVR
for preload
Morphine
Decrease everything except HR, CO, SVR
for preload
Labetalol
– Inotrope
Reduces contractility BP⬇️ PAOP⬇️ CO↔️⬇️ HR⬇️
Dobutamine
+ Inotrope
PAOP⬇️
CO⬆️
SVR↔️⬇️
HR⬆️
Milrinone
+Inotrope
BP↔️⬇️ CVP↔️⬇️ PAP↔️⬇️ PAOP⬇️ CO⬆️ SVR⬇️
