Hypovolemic shock vs. Cardiogenic

Question 1

Is hypovolemia a hemodynamic disorder?

Answer 1

yes

Question 2

Acute HF has 4 profiles:

Answer 2

1. Profile A…Warm and Dry
2. Profile B…Warm and Wet
3. Profile C…Cold and Wet
4. Profile L…Cold and Dry

Question 3

Profile A

Answer 3

Warm and Dry

Question 4

Profile B

Answer 4

Warm and Wet

Question 5

Profile C

Answer 5

Cold and Wet

Question 6

Profile L

Answer 6

Cold and Dry

Question 7

Acute HF profiles: Warm and cold refers to…

Answer 7

extremeties

Question 8

Acute HF profiles: Warm

Answer 8

extremities are adequately perfused (or abnormally perfused w/ peripheral vasodilation as in SEPSIS)

Question 9

Acute HF profiles: Cold

Answer 9

extremities are inadequately perfused and manifest peripheral vasoconstriction in response

Question 10

Acute HF profiles: Wet and dry refers to…

Answer 10

pt as a whole

Question 11

Acute HF profiles: Wet

Answer 11

pts have edema, JVD, pulmonary crackles

indicative of volume overload and elevated left ventricular filling pressure

Question 12

Acute HF profiles: Dry

Answer 12

pts LACK edema, JVD, and pulmonary crackles

Question 13

Profile A is most associate w/…

Answer 13

transient myocardial ischemia OR
heart failure from lung disease
(not common)

Question 14

Profile B and Profile C

Answer 14

two ends of spectrum of severity

Question 15

Profile L “low CO” causes

Answer 15

suddenly decompensated low CO, too sudden to have caused fluid retention in response

pt w/ mitral regurgitation and left ventricular dilatation who must suddenly run on foot from a tsunami

***Most commonly, pts w/ profile L have hypovolemia!!

Question 16

diagnostic procedure to help differentiate

Answer 16

measure central venous pressure