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15 Cards in this Set
- Front
- Back
Normal CVP |
= 0-6 |
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Pulm Artery Pressure |
In the pulm arteries 15-25/ 5-15 |
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Pulm. capillary wedge pressure |
= pressure in L ventricle at end of diastole = 6-12 |
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CO |
4-8 L/ min |
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Cardiac index |
Output for body surface area Norm= 2.5-4 L/min |
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Systemic Vasc. resistance |
L ventricle must pump against 800-1200 |
|
# 1 tx of all shock |
IVF |
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Grid on shock |
|
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3 types of distributive shock |
Septic Anaphylactic Neurogenic |
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Definition of distributive Shock |
Vasodilation, decreased intravascular volume, reduced peripheral vascular resistance, loss capillary integrity |
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Cardiogenic shock |
Loss of contractile fxn impaired CO, 02 delivery |
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Obstructive shock |
Low CO d /t impaired vent. filling (PE, tension pneumo etc) |
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Dobutamine MOA |
Incr. HR and contractility. used in acute HF. Incr CO. Not used in septic shock as it lowers PVR some. |
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Dopamine MOA |
Used, in septic or cardiogenic shock. Incr. CO and Contractility and at higher doses causes vasoconstriction |
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Norepinephrine aka Levophed MOA |
First line in septic shock and Cardiac shock due to vasoconstriction with little effect on HR or stroke volume |