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
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
