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A pulmonary artery catheter shows a pulmonary artery wedge pressure (PAWP) of 4 mmHg, CVP 1 mmHg, cardiac index 1.8 L/min/m2, and SVR 1900 dynes/sec/cm-5 in a hypotensive trauma patient. This pattern is MOST consistent with which type of shock?
Ccrn Cardiovascular
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Hypovolemic shock hemodynamic profile
Cardiovascular
Flashcard
A septic patient has cardiac index 5.5 L/min/m2, SVR 450 dynes/sec/cm-5, PAWP 8 mmHg, and MAP 55 mmHg despite 30 mL/kg crystalloid. Per the Surviving Sepsis Campaign, which vasopressor is the recommended FIRST-line agent?
Small mesh tube used to hold open a weak or narrowed blood vessel, such as a coronary artery.
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Cheat sheet
A patient in septic shock remains hypotensive on escalating norepinephrine. The provider wants to add a second agent to reduce catecholamine requirements. Which is the recommended add-on per the Surviving Sepsis Campaign?
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Cardiogenic shock hemodynamic profile
During septic shock resuscitation, the target mean arterial pressure (MAP) recommended by the Surviving Sepsis Campaign for patients on vasopressors is:
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Chest pain or discomfort caused when part of the heart muscle does not get enough oxygen-rich blood.
A patient with an acute anterior STEMI develops cardiogenic shock: cardiac index 1.6 L/min/m2, PAWP 26 mmHg, SVR 1800 dynes/sec/cm-5, BP 78/50. After establishing adequate MAP, which agent is MOST appropriate to improve contractility and cardiac output?
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Distributive shock hemodynamic profile
A monitored patient suddenly develops a wide-complex tachycardia at 180/min and becomes unresponsive with no pulse. What is the immediate priority intervention?
Swelling from fluid trapped in body tissues, usually in the feet, ankles and legs; heart failure is one cause.
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A patient with rapid atrial fibrillation (rate 165) has a BP of 80/48, chest pain, and altered mentation. What is the MOST appropriate immediate intervention?
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Term Match
Obstructive shock causes
A patient develops symptomatic bradycardia (rate 38, BP 82/50, diaphoresis, confusion). According to ACLS, the first-line drug is:
Serious lung condition with fluid in the tiny air sacs and low blood oxygen, usually in someone already ill from another disease or injury.
Gas exchange
A patient on a heparin infusion for ACS develops a platelet count drop from 250,000 to 80,000 on day 6 with a new arterial thrombus. The MOST likely diagnosis and immediate action are:
Pulmonary artery wedge pressure (PAWP)
A patient with an intra-aortic balloon pump (IABP) is timed correctly when balloon inflation occurs:
___ positioning: turning a patient face down to help the lungs take in more oxygen as part of ARDS care.
Cardiovascular I — Hemodynamics & Shock
2.1 Hemodynamic Monitoring & Values
A patient has CVP 18 mmHg, jugular venous distention, clear lung sounds, hypotension, and muffled heart tones after central line placement. This triad MOST suggests:
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Term Pairs
Cardiac index vs cardiac output
In a patient with right ventricular (RV) infarction and hypotension, the MOST appropriate initial management is:
To ___: slowly lower ventilator support until the patient can breathe without the machine.
A patient with chest pain has ST-segment elevation in leads II, III, and aVF. This pattern localizes the infarct to the:
Systemic vascular resistance (SVR)
A nurse titrating a norepinephrine infusion notices the arterial line waveform is dampened and the displayed MAP dropped sharply, but the patient is awake, warm, and conversant. The FIRST action is to:
Life-threatening complication seen most often in type 1 patients, with very high blood sugar, fast deep breathing and fruity-smelling breath.
Endocrine, hematology, renal
2.2 Shock States
A patient develops torsades de pointes. In addition to defibrillation if pulseless, the specific drug of choice is:
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Intra-aortic balloon pump (IABP) counterpulsation
During a cardiac arrest with a shockable rhythm, ACLS recommends giving the first dose of epinephrine:
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