Show:
Know your Numbers
Know the Normals
What does the Number Mean: Low , Normal or Elevated
Numbers and Thinking
What Would you Do
100

This calculated as HR x SV

What is CO

100

A normal resting CI is approximately within this range

What is approximately 2.5-4.0 L/min/m2

100

CVP=18mmHg

What is elevated

100

CO 5

CI 2.8

SVR 500

MAP 55

What Distributive shock

100

Patient MAP 58,  HR 125,  CVP 2,  PAWP 5

What is optimize fluid status; Preload

200

This is CO adjusted for body surface area

what is CI

200

A commonly accepted normal CVP

What is 2-6 mmHg

200

PAWP=25

What is Elevated

200

CVP 6

PAWP 8

CI 1.6

SVR 1800

MAP 62

What is Cardiogenic shock

200

Patient: MAP 55,  CI 3.4,  SVR 400

What is give collect Cx, ABX, Fluids, pressors

300

This pressure reflects left sided filling pressure and is obtained by balloon occlusion of the PA branch

What is PAWP

300

A commonly accepted normal PAWP 

What is 6-12mmHg

300

CI 1.6 L/min/m2

What is Low CI

300

CVP 1

PA 10/5

CI 1.2

SVR 2600

Hgb 5  

Lactate 7

What is Hypovolemic shock

300

Patient: CVP 20,  PAWP 30,   CI 1.5, EF 15%

What is reduce afterload and optimize contractility with an Inotropic agent

400

This variable represents resistance to blood flow through the systemic circulation 

SVR

400

A commonly accepted normal SVR

What is 800-1200 dyn-s/cm5

400

SVR=2000 dyn-s/cm5

What is high SVR

400

CVP 18

PA pressure low to normal

CI 1.5

SVR 2000

Distended jugular Veins with a right heart strain on Echo


What is obstructive shock; PE

400

Patient suddenly becomes Tachycardic, Hypotensive, and Hypoxic. CVP rises to 18,  PAWP remains 7,  CI falls to 1.5. What are you thinking and what orders would you expect?

PE, Stabilize ABCs, CT Angio, ECHO, CXR, IR for intervention, Anticoagulation

500

This pressure reflects right side filling pressure

CVP

500

A commonly accepted normal SV

What is 60-100 ml/beat

500

SVO2 48%

What is Low mixed Venous saturation

500

HR 115

90/70  MAP 66

EF 15%

Creatnine 1.2

Lactate 2

AST/ALT Elevated

Poor Cap Refill and Cool extremities

Cardiogenic shock; Blood pressure is a late sign

500

ST Elevation in Leads  V1-V4 with reciprocal changes. Diaphoretic with N/V. What type of MI and coronary artery  are you thinking and what would you expect?

Anteroseptal MI, LAD artery. STEMI Alert, Aspirin, Cath Lab, high risk for shock post angiogram due to MVD