WorksheetsHemodynamics
Total questions: 23
Worksheet time: 15mins
Organize these options into the right categories
Preload
PCWP
Pump Function
CO
Afterload
SCR
Tissue Perfusion
mixed venous oxygen saturation
Preload - decrease
Pump function - decrease
Afterload - Increase
Tissue Perfusion - decrease
Hypovolemic
Cardiogenic
Distributive
Preload - increase
Pump function - decrease
Afterload - Increase
Tissue Perfusion - decrease
Hypovolemic
Cardiogenic
Distributive
Preload - decrease or mixed
Pump function - increase
Afterload - decrease
Tissue Perfusion - increase
Hypovolemic
Cardiogenic
Distributive
Low Cardiac Index
high PCWP
High SVR
Cardiogenic Shock
Hypovolemic Shock
Extracardiac obstructive shock
Distributive Shock
Low Cardiac Index
Low PCWP
High SVR
Cardiogenic Shock
Hypovolemic Shock
Extracardiac obstructive shock
Distributive Shock
Leads to inadequate diastolic filling or decreased systolic function due to increased afterload
Cardiogenic Shock
Hypovolemic Shock
Extracardiac obstructive shock
Distributive Shock
High CI
Low PCWP
Low SVR
Cardiogenic Shock
Hypovolemic Shock
Extracardiac obstructive shock
Distributive Shock
Physiologic Effect: Tachycardia, + inotropy
Hemodynamic Effect: Increased HR, CO, contractility
Beta-1 agonism
Beta-2 agonism
Alpha-1 agonism
DA-agonism
Vasopressin
Physiologic Effect: Vasodilate and increase blood flow GI, kidney, brain
Hemodynamic Effect: Increased urine output
Beta-1 agonism
Beta-2 agonism
Alpha-1 agonism
DA-agonism
Vasopressin
Physiologic Effect: Vasoconstriction, Na, H2O retention, cortisol production
Hemodynamic Effect: Increased urine output, SVR, MAP
Beta-1 agonism
Beta-2 agonism
Alpha-1 agonism
DA-agonism
Vasopressin
Physiologic Effect: Dilates arteries and veins
Hemodynamic Effect: Decreased SVR
Beta-1 agonism
Beta-2 agonism
Alpha-1 agonism
DA-agonism
Vasopressin
Physiologic Effect: Constrict arteries and veins
Hemodynamic Effect: Increased SVR, MAP
Beta-1 agonism
Beta-2 agonism
Alpha-1 agonism
DA-agonism
Vasopressin
Match the agent to the receptor
Beta-1, Beta-2, Alpha-1
Epinephrine
Alpha-1, Beta-1
Norepinephrine
Dopamine, Beta-1, Alpha-1
Dopamine
Alpha-1
Phenylephrine
Match the agent to the effects
Inc CO, Inc BP, Inc HR
Epinephrine
Inc BP, Inc CO
Norepinephrine
Inc CO, Inc BP, Inc HR, Inc RBF(?)
Dopamine
Inc BP, Dec HR, +/- CO
Phenylephrine
Side effects: increased myocardial oxygen demand, ischemia/dysrhythmias, peripheral hypoperfusion, tissue necrosis
Norepinephrine (Levophed)
Vasopressin
Epinephrine (Adrenalin)
Dopamine (intropin)
Dobutamine (Dobutrex)
Side effects: arrhythmias, myocardial/gut/digit/skin ischemia, increased bilirubin
Norepinephrine (Levophed)
Vasopressin
Epinephrine (Adrenalin)
Dopamine (intropin)
Dobutamine (Dobutrex)
Side effects: tachyarrhythmias, ischemia, hyperglycemia, lactic acidosis, extravasation
Norepinephrine (Levophed)
Vasopressin
Epinephrine (Adrenalin)
Dopamine (intropin)
Dobutamine (Dobutrex)
Side effects: tachycardia, tachydysrhythmias, extravasation, contains sulfites
Norepinephrine (Levophed)
Vasopressin
Epinephrine (Adrenalin)
Dopamine (intropin)
Dobutamine (Dobutrex)
Potential for venous and arterial thrombosis, concurrent prophylaxis should be used
ACEIs may increase response
ARBs may reduce response
Angiotensin II (Giapreza)
Vasopressin
Epinephrine (Adrenalin)
Methylene Blue
Dobutamine (Dobutrex)
Side effects: hypertension, serotonin syndrome, hemolytic anemia (in G6PD deficiency)
Angiotensin II (Giapreza)
Vasopressin
Epinephrine (Adrenalin)
Methylene Blue
Dobutamine (Dobutrex)
Side effects: ventricular arrhythmias, tachycardia, hypokalemia, myocardial ischemia, tachyphylaxis
Norepinephrine (Levophed)
Phenylephrine (Neo-Synephrine)
Epinephrine (Adrenalin)
Dopamine (intropin)
Dobutamine (Dobutrex)
Side effects: reflex bradycardia, hypertension, headache, dysrhythmia, mesenteric ischemia
Norepinephrine (Levophed)
Phenylephrine (Neo-Synephrine)
Epinephrine (Adrenalin)
Dopamine (intropin)
Dobutamine (Dobutrex)
