Hemodynamic Profiles for Select AbNL Conditions

Question 1

Condition

Answer 1

BP:
RAP/CVP:
PAP:
PAOP:
CO/CI:
SV/SI: *
SVR:
PVR:
SvO2: **
Comments:
* May decrease before CO/CI or BP if compensation is adequate (ex: increase in HR)
** May decrease or increase before CO/CI or BP change since it represents change at the tissue level

Question 2

Cardiogenic Shock

Answer 2

BP: ↓
RAP/CVP: ↑
PAP: ↑
PAOP: ↑
CO/CI: ↓
SV/SI: ↓
SVR: ↑
PVR: ~ or ↑
SvO2: ↓
Comments: n/a

Question 3

Hypovolemic Shock

Answer 3

BP: ↓
RAP/CVP: ↓
PAP: ↓
PAOP: ↓
CO/CI: ↓
SV/SI: ↓
SVR: ↑
PVR: ~
SvO2: ↓
Comments: n/a

Question 4

Septic Shock (early)

Answer 4

BP: ↓
RAP/CVP: ↓
PAP: ↓
PAOP: ↓
CO/CI: ↑
SV/SI: ↑
SVR: ↓
PVR: ~
SvO2: ↑
Comments: Lactate may ↑ before BP ↓

Question 5

Septic Shock (late)

Answer 5

BP: ↓
RAP/CVP: ↓
PAP: ↓
PAOP: ~ or ↑
CO/CI: ↓
SV/SI: ↓
SVR: ↑
PVR: ~
SvO2: ↓
Comments: n/a

Question 6

Cardiogenic Pulmonary Edema (LV Failure)

Answer 6

BP: ~ or ↑
RAP/CVP: ↑
PAP: ↑
PAOP: ↑
CO/CI: ↓
SV/SI: ↓
SVR: ~
PVR: ~ or ↑
SvO2: ↓
Comments: n/a

Question 7

Noncardiogenic Pulmonary Edema (ARDS)

Answer 7

BP: ~ or ↓
RAP/CVP: ~ or ↓ or ↑
PAP: ↑
PAOP: ~ or ↓
CO/CI: ~
SV/SI: ~
SVR: ~
PVR: ↑
SvO2: ~ or ↓
Comments: PAP ↑ d/t hypoxemia

Question 8

Pulmonary Hypertension (PE, COPD, Hypoxemia)

Answer 8

BP: ~
RAP/CVP: ↑
PAP: ↑
PAOP: ~
CO/CI: ~
SV/SI: ~
SVR: ~
PVR: ↑
SvO2: ↓
Comments: BP, CO may ↓ if PE

Question 9

Cardiac Tamponade

Answer 9

BP: ↓
RAP/CVP: ↑
PAP: ↑
PAOP: ↑
CO/CI: ↓
SV/SI: ↓
SVR: ↑
PVR: ~ or ↑
SvO2: ↓
Comments: Pressures equalize