Parameter Summary (yellow=things to know)
PARAMETER
HR
BP
MAP
CO (cardiac output)
CI (cardiac index)
SV (stroke volume or
amount of blood
ejected in 1 beat)
CONTRACTILITY
RAP or CVP (right
atrial pressure)
PRELOAD
PAP (pulmonary artery
pressure)
PCWP (pulmonary
capillary wedge
pressure)PRELOAD
SVR (systemic vascular
resistance)AFTERLOAD
PVR (pulmonary
vascular
resistance)AFTERLOAD
CAPP (coronary artery
perfusion pressure)
EF (ejection fraction)
NORMAL
60-100
beats/minute
90/60-140/90 mm
Hg
FORMULA
N/A
What to do?
Assess EKG
N/A
60-80 mm Hg altho
some say 60-100
mm Hg is a better
measure
4-8 L/min
SBP + 2DBP/3 or
SBP-DBP/3 + DBP
Assess pt. and treat cause
Inc.=anti HTN
Dec.=vasopressors
Assess pt. and treat cause
Inc.=anti HTN
Dec.=vasopressors
2.5-4L/min/m2
60-100 ml/beat
CO/BSA
CO/HR x 1000
3-8 mm Hg altho 4-8
is generally the
acceptable range
15/4-30/12
N/A
Dec=fluid and dysrhythmia control
Inc.=diuretics and dilators
N/A
Dec.=fluid
HR x SV/1000
Assess pt.
Dec=vasopressors, IABP, VAD
Dec.=positive inotropes
Inc.=Beta blockers, Ca channel blockers
800-1200
dynes/sec/cm
50-250
dynes.sec.cm
Inc.> 30=pulm. edema or heart failure
diuretics and dilators
N/A
Dec.=fluid
Inc.>20=pulm edema or heart failuretreat appropriately
MAP-CVP/CO x 80 Dec.=pressors, IABP
Inc.=dilators, IABP
MPAP-PCWP/CO x Dec.=pressors, IABP
80
Inc.=dilators, IABP
60-80 mm Hg
DBP- PCWP
67%
SV/EDV
6-12 mm Hg altho 215 has been cited
SvO2 (mixed venous
60-80%
N/A
oxygen saturation)
SaO2 (arterial oxygen
95-99% on RA
N/A
saturation)
Dilators=NTG, nitroprusside, milrinone, Ca channel blockers
Diuretics=furosemide, mannitol
Fluids=colloids, crystalloids, blood
Positive inotropes=dobutamine, dopamine, milrinone, digoxin
Pressors=epinephrine, norepinephrine, dopamine, neosynephrine
Assess pt.
Dec.=treat cause, ?IABP
Assess pt.
Dec.=Apply O2