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WorksheetsHemodynamics
Total questions: 10
Worksheet time: 6mins
Your patient has the following hemodynamic values:
SVR = 780
BP = 88/42
CVP = 2
PA = 18/4
SVV = 22%
Based on these values, your patient is probably
Experiencing an acute MI
Fluid overloaded
Significantly vasoconstricted
Hypovolemic
Your patient was admitted with metastatic lung cancer, is taking chemotherapy, has low urine output, temp - 102.4, BP = 88/46, platelet count = 14,000, lactic acid 9.8, and altered mental status. After assessment, you recognize that the patient needs which of the following?
IV fluid resuscitation with 30 mL/kg
Blood cultures after first dose of dual therapy antibiotics
Stat CT of the head without contrast
Dobutamine infusion to increase perfusion
The first line drug for refractory hypotension with septic shock is . . .
Dopamine
Norepinephrine
Epinephrine
Primacor
Which of the following pressures are normal?
PAP = 34/24; PCWP = 12
PAP = 30/20; PCWP = 10
PAP = 28/18; PCWP = 20
PAP = 24/14; PCWP = 12
Your patient with an inferior wall MI also has RV infarction. He soon develops RV failure. Which of the following data obtained would support this?
PAP 23/8; PCWP = 19; CVP = 20
PAP = 54/28; PCWP = 14; CVP = 14
PAP = 28/19; PCWP = 10; CVP = 20
A normal wedge pressure, increased pulmonary artery pressures, and evidence of right ventricular failure would most likely indicate . . .
Cardiac tamponade
Left ventricular failure
Pulmonary embolism
Myocardial infarction
Which one of these is NOT a determinant of cardiac output?
Preload
Afterload
Body surface area (BSA)
Heart rate
Contractility
A patient in the warm hyperdynamic phase of sepsis will have decreased afterload. Knowing this, infusions that might increase afterload and help with tissue perfusion are all of the following EXCEPT
Milrinone (Primacor)
Dopamine
Norepinephrine (Levophed)
Epinephrine
Phenylephrine (Neo-synephrine)
All of the following decrease afterload EXCEPT
Nitroprusside (Nipride)
Clevidipine (Cleviprex)
Hydralazine (Apresoline)
Milrinone (Primacor)
Norepinephrine (Levophed)
You have a septic patient with HR = 120, BP = 88/42, Cardiac index = 5.3, oliguria, altered mentation, warm extremities and Cardiac output = 9.2. To improve the patient's blood pressure, the best choice would be:
Dobutamine
Phenylephrine (Neo-Syneprhine)
Epineprhine
Dopamine
