Kettering
Cardiology
Clinical Simulation
Review and–Clinical
CardiacDecision-Making
1 Comprehensive
KetteringPractice.pdf
Clinical
Cardiology
Simulation
Review –
and
Cardiac
Clinical
1 Comprehensive
Decision-MakingCardiology
Practice Review and Clinical Decision-Making Practice.pdf
Kettering Clinical
Simulation – Cardiac 1
Comprehensive Cardiology
Review and Clinical
Decision-Making Practice
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Kettering Clinical Simulation – Cardiac 1 Comprehensive
Kettering Cardiology
Clinical Simulation
Review –
andCardiac
Clinical 1Decision-Making
Comprehensive
KetteringPractice.pdf
Cardiology
Clinical Simulation
Review –
andCardiac
Clinical 1Decision-Making
ComprehensivePractice.pdf
Cardiology Review and Clinical Decision-Making Practice.pdf
, Kettering Clinical simulation (Cardiac 1).pdf Kettering Clinical simulation (Cardiac 1) Kettering Clinical simulation (Cardiac 1).pdf
Cardiac - 1 Cardiac Output (Qt)
4.1 L/min.
You are the critical care specialist assigned to the
Intensive Care Unit of a 544 bed medical center. Arterial blood gases
As you arrive in the unit at 07:00 you are On an FIO2 of 0.55, PaO2 68 torr, pH 7.32, PaCO2 44 torr, HCO3- 21
requested to come to the bedside of the patient mEq/liter, SaO2 91%
in room 1119. The medical resident informs you
that the patient was admitted last night and had a CBC
quadruple-lumen, balloon tipped, flow directed, Hb 14.0 g%, Hct 41%, WBC 7700 mm3.
pulmonary artery catheter inserted soon after
admission. The resident asks you to confirm that ECG
the catheter and monitoring system is functioning Sinus tachycardia, spiked T waves, occasional PVC's.
properly. She also asks you to assist her in
interpreting the values currently being measured Chest auscultation
by the catheter. Fine crackles heard on the lower two-thirds of the posterior chest
during inspiration and expiration.
The patient is a 57 year old male with a history of
diabetes and mild "heart failure". Patient is Hemodynamic pressures
conscious, alert, appears to be in some MPAP 33 mmHg, PCWP 25 mmHg, CVP 5 mmHg
respiratory distress and is complaining of
dyspnea. Temperature 37.0oC (98.6oF), pulse Basic metabolic Panel (BMP) would include electrolytes, glucose,
116/min, respirations 22/min, and BP 141/96 mmHg. BUN and creatinine levels and would be appropriate for this patient.
The patient is 158 cm (6 ft. 2 in.) tall, weighs 81kg
(178 lbs.) and his BSA is 2.05 m2 Extremities reveal
Kettering Clinical simulation (Cardiac 1).pdf Kettering Clinical simulation (Cardiac 1).pdf Kettering Clinical simulation (Cardiac 1).pdf