BARKLEY AGACNP SHOCK STATES DIAGNOSIS & MANAGEMENT

BARKLEY AGACNP SHOCK STATES
DIAGNOSIS & MANAGEMENT


Central Venous Pressure (CVP)
A measure of the pressure exerted by fluid in the right atrium; indicative of right-
sided heart function


Normal= 2-8 mm Hg


>10 = fluid overload, cardiogenic shock, HF, high PEEP on Vent
<0= dehydration, distributive shock




Mean Arterial Pressure (MAP)
SBP + 2(DBP)/3
Goal >65


Indicates average driving force in the arterial system throughout the cardiac cycle;
when available, the MAP should be used in hemodynamic assessment and decision
making




Pulmonary Artery Pressure (PAP)

, A measure of the systolic and diastolic pressures in the pulmonary artery


Normal=15-25/6-12




Pulmonary Artery Opening Pressure (PAOP)/Pulmonary Capillary Wedge Pressure
(PCWP)
Measure of the pressure in the Left ventricular at the end-diastole; indicative of left-
sided heart function


Normal =5-12


>12=volume overload, HFrEF, Pericardial Tamponade


<5=Hypovolemia




Cardiac Output (CO)
Volume of blood pumped per minute into systemic ciculation


Normal=4-8 LPM


>8=Fever, Hypervolemia, inotropy