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CCRN Hemodynamics (IABP & shock states) Questions and Correct Answers | Latest Update

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Cardiogenic shock: A. BP 96/54, CI 1.8, PAP 54/26, PAOP 10 B. BP 84/52, CI 1.9, PAP 32/18, PAOP 12 C. BP 82/48, CI 1.8, PAP 48/28, PAOP 18 D. BP 86/46, CI 2.0, PAP 28/14, PAOP 12 -:- C. BP 82/48, CI 1.8, PAP 48/28, PAOP 18 Following anterior wall MI, pt develops dysfunction of papillary muscle of mitral valve. There are large V waves on PAOP waveform. What is likely the cause? A. aortic regurg B. acute pulmonic regurg C. acute tricuspid regurg D. acute mitral regurg -:- D. acute mitral regurg 2 | P a g e | G r a d e A + | 2 0 2 4 / 2 0 2 5 Excel! 2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Type of shock: cardiogenic CO/CI: Preload (CVP/PAOP) Afterload (SVR) ScvO2: Treatment: -:- Type of shock: cardiogenic CO/CI: decreased Preload (CVP/PAOP): increased Afterload (SVR): increased ScvO2: decreased (delivery issue) Treatment: +inotropes, after load reduction, pressors Type of shock: hypovolemic/hemorrhagic CO/CI: Preload (CVP/PAOP) Afterload (SVR) 3 | P a g e | G r a d e A + | 2 0 2 4 / 2 0 2 5 Excel! 2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain ScvO2: Treatment: -:- Type of shock: hypovolemic/hemorrhagic CO/CI: decreased Preload (CVP/PAOP): decrease

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2024 /2025 | © copyright | This work may not be copied for profit gain Excel!




CCRN Hemodynamics (IABP & shock states)
Questions and Correct Answers | Latest
Update
Cardiogenic shock:


A. BP 96/54, CI 1.8, PAP 54/26, PAOP 10


B. BP 84/52, CI 1.9, PAP 32/18, PAOP 12


C. BP 82/48, CI 1.8, PAP 48/28, PAOP 18


D. BP 86/46, CI 2.0, PAP 28/14, PAOP 12


✓ -:- C. BP 82/48, CI 1.8, PAP 48/28, PAOP 18




Following anterior wall MI, pt develops dysfunction of papillary muscle of mitral valve. There

are large V waves on PAOP waveform. What is likely the cause?


A. aortic regurg


B. acute pulmonic regurg


C. acute tricuspid regurg


D. acute mitral regurg


✓ -:- D. acute mitral regurg




1|P a g e | G r a d e A + | 2 0 2 0 2 5

,2024 /2025 | © copyright | This work may not be copied for profit gain Excel!



Type of shock: cardiogenic


CO/CI:


Preload (CVP/PAOP)


Afterload (SVR)


ScvO2:


Treatment:


✓ -:- Type of shock: cardiogenic

CO/CI: decreased


Preload (CVP/PAOP): increased


Afterload (SVR): increased


ScvO2: decreased (delivery issue)


Treatment: +inotropes, after load reduction, pressors




Type of shock: hypovolemic/hemorrhagic


CO/CI:


Preload (CVP/PAOP)


Afterload (SVR)



2|P a g e | G r a d e A + | 2 0 2 0 2 5

,2024 /2025 | © copyright | This work may not be copied for profit gain Excel!



ScvO2:


Treatment:


✓ -:- Type of shock: hypovolemic/hemorrhagic

CO/CI: decreased


Preload (CVP/PAOP): decreased


Afterload (SVR): increased


ScvO2: decreased


Treatment: fluids




Type of shock: distributive


CO/CI:


Preload (CVP/PAOP)


Afterload (SVR)


ScvO2:


Treatment:


✓ -:- Type of shock: distributive

CO/CI: increased (hyper dynamic)



3|P a g e | G r a d e A + | 2 0 2 0 2 5

, 2024 /2025 | © copyright | This work may not be copied for profit gain Excel!



Preload (CVP/PAOP): decreased


Afterload (SVR): decreased


ScvO2: decreased


Treatment: fluids, pressers, inotropes




Type of shock: obstructive


CO/CI:


Preload (CVP/PAOP)


Afterload (SVR)


ScvO2:


Treatment:


✓ -:- Type of shock: obstructive

CO/CI: decreased


Preload (CVP/PAOP): increased


Afterload (SVR): increased


ScvO2: decreased


Treatment: pericardiocentesis



4|P a g e | G r a d e A + | 2 0 2 0 2 5

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