ANCC Adult Gerontology Acute Care

Cardiac Index SVR/Afterload MAP PA pressure Wedge PCWP pressure Hypovolemic Shock Parameters Types of hypovolemic shock Cardiogenic shock parameters Types of cardiogenic shock Obstructive shock parameters Types of obstructive shock Distributive shock parameters Types of distributive shock CVP Preload Cardiac Output MAP Fractional Excretion of NA <1% Fractional Excretion of NA >2% CPP equation 2-4 800-1200 mean CVx80/CO 15-30 6-12 Preload CVP decreased, SVR afterload increased, CI decreased, Oxygen deliv- ery Decreased, Venous Oxygen saturation increased Hemorrhage, burns, pancreatitis CVP preload increased, SVR afterload increased, CI decreased, oxygen deliv- ery decreased, SV02 decreased Post mi, malignant dysrhythmia, acute myocarditis Preload either, SVR increased, CI de- creased, oxygen delivery decreased, SV02 decreased Tension pneumo, cardiac tamponade, PE Preload CVP decreased, afterload SVR decreased, CI increased, SV02 de- creased, oxygen delivery increased Septic shock, anaphylaxis, neurogenic shock 2-8 4-8 70-90 Prerenal state of kidney dysfunction (i.e. dehydration) ATN (acute tubular necrosis) MAP-ICP