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Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... ↓ CO, ↑ SVR, ↓ PCWP ... ↓ CO, ↑ SVR, ↑ PCWP ... findings based on cause ... uw_IMresidency #Shock #Differential
Right Heart Cath - Normal Cardiac Pressures Right Atrial Pressure (RAP) or Central Venous Pressure (CVP) •
Normal Cardiac Pressures ... Right Atrial Pressure ... Central Venous Pressure ... Right Ventricular Pressure ... (PCWP): • 8-12
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms Direct measurements ● Central venous pressure
Interpretation of Pressures ... Central venous pressure ... (PCWP) ● Cardiac ... x [mean PAp – PCWP ... LVSWI = [MAP – PCWP
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
Pulmonary Artery Pressures ... TRANSMURAL FILLING PRESSURE ... Reflects the pressure ... or pericardial pressure ... #calculations #pressures
Approach to Nausea / Vomiting - Differential Diagnosis Framework • Gastrointestinal -
Approach to Nausea ... / Vomiting - Differential ... Increased Intracranial Pressure ... Disorders • Other Causes ... #Vomiting #Differential
Pulmonary Artery Catheter Pressures Normal: RA 0-8, RV 15-25/0-8, Mean PAP <25, PCWP 8-12, Cardiac Index 2.6-4.2 HFrEF,
Artery Catheter Pressures ... Mean PAP <25, PCWP ... Artery #Catheter #Pressures
Pitting vs Non-Pitting Edema: Differential Diagnosis For pitting edema: there's generally an issue with : ↑
Non-Pitting Edema: Differential ... ↑ Hydrostatic pressure ... Plasma oncotic pressure ... edema is usually caused ... #Diagnosis #causes
Balloon Visualization - Mechanical Ventilation Pressures - PIP, PPlat, PEEP Peak Inspiratory Pressure (PIP): Dynamic pressure needed
Peak Inspiratory Pressure ... (PIP): Dynamic pressure ... ) Inspiratory Pause ... Plateau Pressure ... (Static pressure
Differentiating PAH from PVH - Echocardiography Pulmonary Artery Hypertension (PAH): • RV size - Enlarged • LA
<8 • Aortic pressure ... Normal/Low • PCWP ... mmHg • PADP-PCWP ... 10 • Aortic pressure ... mmHg • PADP-PCWP
Pulmonary Arterial Catheterization – Use and Interpretation: -Pulmonary arterial catheterization (PAC) has never been shown to improve
capillary wedge pressure ... -right atrial pressure ... #NormalValues #Differential ... Chambers #Wedge #PCWP ... #Pressures #SVR
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