Case 1 – New data set: ABP = 90/60 mm Hg, HR 145 Beats/min, cardiac output = 3 l/min, CVP = 0 mm Hg, PAP = 30/10 mm Hg, PCWP = 2 mm Hg. Calculate the SV and fill in the table below and answer the question below.
Mean arterial pressure (MAP) |
mmHg |
Systemic vascular resistance (SVR) |
dynes |
Mean pulmonary artery pressure (PA mean) |
mmHg |
Pulmonary vascular resistance (PVR) |
dynes |
Stroke volume (SV) |
ml |
Regarding Case 1. The cardiac output is lower than normal primarily because:
afterload is increased
preload is decreased
contractility is decreased
rate is increased
Answer:- Given that, Case-1
ABP = 90/60 mm Hg, HR 145 Beats/min, cardiac output = 3 l/min, CVP = 0 mm Hg, PAP = 30/10 mm Hg, PCWP = 2 mm Hg,
Mean arterial pressure (MAP) = (2×diastolic+systolic) / 3
Pulmonary vascular resistance (PVR) = 80(PAP-PCWP)/cardiac output
Systemic vascular resistance (SVR) = 80(MAP-CVP)/cardiac output
Stroke volume (SV) = Heart rate * cardiac output
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Case 1 – New data set: ABP = 90/60 mm Hg, HR 145 Beats/min, cardiac output...
Case 1 – New data set: ABP = 90/60 mm Hg, HR 145 Beats/min, cardiac output = 3 l/min, CVP = 0 mm Hg, PAP = 30/10 mm Hg, PCWP = 2 mm Hg. Calculate the SV and fill in the table below and answer the question below. Mean arterial pressure (MAP) mmHg Systemic vascular resistance (SVR) dynes Mean pulmonary artery pressure (PA mean) mmHg Pulmonary vascular resistance (PVR) dynes Stroke volume (SV) ml Regarding Case 1. The best treatment...
Case 1- New data set: ABP: 90/60 mm Hg, HR 145 beats/min, cardiac output=3 l/min, CVP=0 mm Hg, PAP=30/10 mm Hg, PCWP=2 mm Hg. I calculated that MAP=70 mm Hg, SVR=1866.7 dynes, PA mea=16.7 mm HG, PVR=139.2 dynes, and SV=20.1 ml. I just need help with the conceptual questions: A. How would SV normally respond if venous return increases? (increase, decrease, or nothing) B. What would be the best treatment for the patient? (diuretics, aortic balloon pump, intravenous fluid admin,...
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