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Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Distributive: • High CO ... Cardiogenic: • Low CO ... Obstructive: • Low CO ... , CVP > 12 • Pulmonary ... Hypovolemic: • Low CO
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms Direct measurements ● Central venous pressure
pressures (RA, RV) ● Pulmonary ... pressure (PAp) ● Pulmonary ... Cardiac output (CO ... pressure – CVP]/CO ... ) ● Pulmonary
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
Catheterization - Pulmonary ... and Calculations PULMONARY ... meanPAP-PCWP) / CO ... [(MAP - RAP) / CO ... (CPO) = (MAP x CO
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Lactate > 1.5 High CO ... Cord Injury Low CO ... • Obstructive: Pulmonary
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Framework MAP = CO ... third-spacing • ↓ CO ... arrhythmia • ↓ CO ... PE, PAH • ↓ CO ... drugs/toxins • ↑ CO
POCUS - Measuring Cardiac Output 1) Calculate LVOT Area 2) Calculate LVOT VTI 3) Calculate Cardiac Output SV = (LVOT
) x (LVOT VTI) CO ... LVOT VTI) X HR CO ... Cardiac #Output #CO
Chronic Obstructive Pulmonary Disease (COPD) • COPD Definition • Role of PFTs • COPD Classification and
Chronic Obstructive Pulmonary ... - Assess for co-morbidities ... #Obstructive #Pulmonary
Oxygen Delivery Equation DO2 = CO x {(1.39 x Hb x sO2) + (PaO2 x 0.03)} DO2 =
Equation DO2 = CO ... delivery in mL/min CO ... Cardiac output (CO ... pathophysiology #pulmonary
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
Increases BP, SVR, CO ... Increases HR, SVR, CO ... contractility, CO ... • Increases CO
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
inadequate blood flow (CO ... Pump Problem (↓ CO ... Cardiac Tamponade, Pulmonary ... may develop low CO
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