Pt's BP 76/55 By Swan-Ganz: RAP high, RVP low, PCWP low, CO decreased, SVR normal. What kind of shock is it ?
janan Forum Newbie
Topics: 0 Posts: 40
06/07/08 - 12:09 AM
#2
Is it dehydration...or may be cardiogenic..More confident on shock due to dehydration...not sure..
peter90036 Forum Elite
Topics: 28 Posts: 315
06/07/08 - 09:11 AM
#3
dehydration shock? ...maybe you mean hypovolemic shock...
CVP = right atrial pressure (RAP) = right-ventricle end-diastolic press (RVEDP) (Right Ventricle Preload) = any neck vein catheter or jugular venous pressure.
so why RAP high...? thats cardiogenic... but PCWP would also be high
SVR normal... maybe the hypovolemia is early?
and what is RVP low with high RAP...
too complex for my understanding...
janan Forum Newbie
Topics: 0 Posts: 40
06/07/08 - 11:49 AM
#4
yer right..it lacks a bit of info...by the way..from dehydration I meant hypovolaemic shock..but ' dehydration' is a term that's mentioned a bit too boldly in UW under this shock classification question.. Anyways..Peter..hasn't your dp cat got horner syndrome?
peter90036 Forum Elite
Topics: 28 Posts: 315
06/07/08 - 12:00 PM
#5
lol
so its got ptosis, anhydrosis i cant say, but definitely not miosis ... so maybe partial horner ?
more likely its just a weakness of levator palpebrae superioris...
Vietnamese Forum Elite
Topics: 12 Posts: 285
06/07/08 - 10:06 PM
#6
Acute right heart failure due to massive PE. Edited by Vietnamese on 06/07/08 - 10:17 PM
___________________ Nothing is impossible.
hero Forum Guru
Topics: 40 Posts: 532
06/08/08 - 12:05 AM
#7
Vietnamese wrote: Acute right heart failure due to massive PE.
right, cardiogenic shock, right heart.
Incr RAP - due to back up blood, poor RV contraction, actually RV MI. In hypovolemic shock SVR would be increased
PE might will have incr RA and RV pressures?
Vietnamese Forum Elite
Topics: 12 Posts: 285
06/09/08 - 09:03 AM
#8
PE sometime can get increased RV pressure, not always like that. ___________________ Nothing is impossible.
... so maybe partial horner ?