Question

In: Nursing

Create a matrix of hemodynamic values including systemic blood pressure, central venous pressure, pulmonary artery pressure,...

Create a matrix of hemodynamic values including systemic blood pressure, central venous pressure, pulmonary artery pressure, pulmonary wedge pressure, mean arterial pressure, right atrial pressure, right ventricular pressure, left atrial pressure, stroke volume, cardiac output, systemic vascular resistance, and pulmonary vascular resistance, indicating for each the following data: normal values, causes of increased values, and causes of decreased values.

Solutions

Expert Solution

parameters normal value high value causes for increased value low value causes of decreased value

1-blood pressure-

systolic bp

<120mmHg <130

-obesity

heart valve problem

-diabetes

-hyperthyroidism

<90

-pregnancy

-blood loss

-dehydration

-infection

-anaphylaxis

diastolic BP <80 >85

-obesity

-lack of physical activity

-high sodium diet-alcohol

<60

-Parkinsons disease

-infection

-anemia

-allergic reaction

central venous pressure-CVP 2-6mmHg >6

-overhydration

-positive pressure breathing

-decreased contractility

-valve abnormalities

<2

-hypovolemia

-negative pressure breathing

-

pulmonary artery systolic pressure, 15-25mmHg >25mmHg

-idiopathic pulmonary arterial hypertension

-genetic mutation-drugs or illegal drugs

-HIV

-congestive heart failure

Congestive heart failure

<15mmHg

large cross-sectional area of the pulmonary circulation

-anaphylaxis

pulmonary artery diastolic pressure, 8-15mmHg 15>mmHg

-pulmonary artery diastolic pressur

-flow is abolished

<8mmHg

hypovolemia

-shock

-sepsis

pulmonary wedge pressure 4 to 12 mm Hg >12 mm Hg

-left ventricular failure

-mitral or aortic valve disease.

-cardiac insufficiency

-post hemorrhage

<4 mm Hg

-copd

-pulmonary venous obstruction

-atrial myxoma

mean arterial pressure

70 and 100 mmHg >100 mmHg

-

heart attack

-kidney failure

-heart failure

<70 mmHg

-

sepsis

-stroke

-internal bleeding

stroke volume 50 to 100 ml >100 ml

-An increase in the volume

-the speed of venous return will increase preload

>50 ml -Decreased venous return
cardiac output 5 to 6 liters >6 liters
  • Obesity.
  • Liver disease.
  • Anemia.
  • Hyperthyroidism.
  • Pregnancy.
  • Lung disease.
  • Septic shock.
  • Paget's disease
<5liters

myocardial infarction

-hypertension

- valvular heart disease

- congenital heart disease

cardiomyopathy

-heart failure

-pulmonary disease,

pulmonary vascular resistance

100 – 200 dynes/sec/cm-5. >200 dynes/seconds/cm-5
  • Vasoconstricting drugs.
  • Hypoxemia.
  • Acidemia.
  • Hypercapnia (high partial pressure of arterial carbon dioxide [PaCO2])
  • Atelectasis
<100 dynes/seconds/cm-5

low SVR

-septic shock

systemic vascular resistance 700 to 1,500 dynes/seconds/cm-5. >1,500 dynes/seconds/cm-5
  • Hypothermia
  • Hypovolemia
  • Cardiogenic shock
  • Stress response
  • Syndromes of low cardiac output
<700 dynes/seconds/cm-5
  • Anaphylactic and neurogenic shock
  • Anemia
  • Cirrhosis
  • Vasodilation

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