SVR
800-1200
DYNES
CCRN MIND MAP
CVP AFTERLOAD
2-6 SVR
DEAD SPACE = V w/o Q
RV SHUNT = Q w/o V ABG
PAOP PE = POS D-DIMER, PULM
PRELOAD ANGIOGRAM IS GS
PH= 7.35 - 7.45
PAOP DIC:
CO2 = 35 - 45
8-12 DEC - FIBRINOGEN, PLTS, HCO3 = 22 - 26
CVP HEMATOCRIT
PaO2 = 80 - 100
LV PRELOAD INC - F SPLIT PRODUCTS
PT, PTT, INR
CO + CI
PAP
Oxyhemoglobin Dissociation Curve
CO = 4-8 Where is the oxygen?
CI = 2.5 -4 SHIFT SHIFT
PAP nity
LEFT ffi RIGHT
20-30
A
Hemoglobin
Alkalosis Acidosis
8-15 Locks RELEASES
INCREASED
DECREASED
CO2 CO2
TEMP TEMP
DPG DPG
RCA LEADS PAPILLARY MUSCLE RUPTURE
INFERIOR II, III, aVF 3RD DEGREE BLOCK Tissues
NEURO
CARIOGENIC SHOCK
LAD VENTRICULAR SEPTAL PACER CODE Epidural Hematoma - Younger pts, Uncal
V1-V4 A - Atrial herniation
ANTERIOR RUPTURE
1 - PACED = V - Ventricle
2ND DEGREE TYPE II / RBB
2 - SENSED = D - Dual Subdural Hematoma - Elderly + Alcoholics,
Acute Subacute or Chronic
L CIRC
I, AVL, V5, V6 INHIBITS Subarachnoid Hemorrhage - Hunt Hess
LATERAL
3 - RESPONSE = DEMAND Grade I- V, Kernig’s, Rebleed (Worst H/A of
life) + Vasospasm (Nimodipine, avoid
INHIBIT +
hypotension)
RIGHT V1, V2R, V5, TRIGGER
AVOID PRELOAD REDUCERS
VENTRICLE V6R Intracerebral Hemmorage - Trauma or
Stroke
135 145 DI - DRY
SIADH - PUFFY
🔻 ⬆️ Serum Na
Na
Edema, cramps Restless BUN = 10 - 23
Serum Na
⬆️
Specific Gravity seizures Late: 🔻 Specific Gravity CR = 0.6 - 1.1
Give Dilantin, 3% NaCl confused Obtunded Give DDAVP ie vasopressin
BRAIN Correct PRERENAL - PERFUSION
HERNIATION slowly INTRARENAL - TUBULAR DAMAGE
POSTRENAL - BLOCKAGE
3.5 5.0 1.5 2.5
🔻 Reflexes
K Mg 🔻 DTR
Peaked T GCS
Hyperreflexia
Vtach Vfib waves
Torsades Resp Arrest EYES = 1-4
N/V/D, ileus Wide QRS
PEA
🔻Ca, K Phos Brady, Hypotn
VERBAL = 1-5
MOTOR = 1-6
3.0 4.5 8.5 10.5 SOFA
🔻DTR Phos
AMS, Fatigue
ABD Pain
Trousseaus
Chvostek’s
Dissrythmias
Trousseaus
Chvostek’s
Dissrythmias
Ca 🔻DTR
AMS, Lethargy Fatigue
ABD Pain
SYS </= 100
RR >/= 22
GCS < 15
800-1200
DYNES
CCRN MIND MAP
CVP AFTERLOAD
2-6 SVR
DEAD SPACE = V w/o Q
RV SHUNT = Q w/o V ABG
PAOP PE = POS D-DIMER, PULM
PRELOAD ANGIOGRAM IS GS
PH= 7.35 - 7.45
PAOP DIC:
CO2 = 35 - 45
8-12 DEC - FIBRINOGEN, PLTS, HCO3 = 22 - 26
CVP HEMATOCRIT
PaO2 = 80 - 100
LV PRELOAD INC - F SPLIT PRODUCTS
PT, PTT, INR
CO + CI
PAP
Oxyhemoglobin Dissociation Curve
CO = 4-8 Where is the oxygen?
CI = 2.5 -4 SHIFT SHIFT
PAP nity
LEFT ffi RIGHT
20-30
A
Hemoglobin
Alkalosis Acidosis
8-15 Locks RELEASES
INCREASED
DECREASED
CO2 CO2
TEMP TEMP
DPG DPG
RCA LEADS PAPILLARY MUSCLE RUPTURE
INFERIOR II, III, aVF 3RD DEGREE BLOCK Tissues
NEURO
CARIOGENIC SHOCK
LAD VENTRICULAR SEPTAL PACER CODE Epidural Hematoma - Younger pts, Uncal
V1-V4 A - Atrial herniation
ANTERIOR RUPTURE
1 - PACED = V - Ventricle
2ND DEGREE TYPE II / RBB
2 - SENSED = D - Dual Subdural Hematoma - Elderly + Alcoholics,
Acute Subacute or Chronic
L CIRC
I, AVL, V5, V6 INHIBITS Subarachnoid Hemorrhage - Hunt Hess
LATERAL
3 - RESPONSE = DEMAND Grade I- V, Kernig’s, Rebleed (Worst H/A of
life) + Vasospasm (Nimodipine, avoid
INHIBIT +
hypotension)
RIGHT V1, V2R, V5, TRIGGER
AVOID PRELOAD REDUCERS
VENTRICLE V6R Intracerebral Hemmorage - Trauma or
Stroke
135 145 DI - DRY
SIADH - PUFFY
🔻 ⬆️ Serum Na
Na
Edema, cramps Restless BUN = 10 - 23
Serum Na
⬆️
Specific Gravity seizures Late: 🔻 Specific Gravity CR = 0.6 - 1.1
Give Dilantin, 3% NaCl confused Obtunded Give DDAVP ie vasopressin
BRAIN Correct PRERENAL - PERFUSION
HERNIATION slowly INTRARENAL - TUBULAR DAMAGE
POSTRENAL - BLOCKAGE
3.5 5.0 1.5 2.5
🔻 Reflexes
K Mg 🔻 DTR
Peaked T GCS
Hyperreflexia
Vtach Vfib waves
Torsades Resp Arrest EYES = 1-4
N/V/D, ileus Wide QRS
PEA
🔻Ca, K Phos Brady, Hypotn
VERBAL = 1-5
MOTOR = 1-6
3.0 4.5 8.5 10.5 SOFA
🔻DTR Phos
AMS, Fatigue
ABD Pain
Trousseaus
Chvostek’s
Dissrythmias
Trousseaus
Chvostek’s
Dissrythmias
Ca 🔻DTR
AMS, Lethargy Fatigue
ABD Pain
SYS </= 100
RR >/= 22
GCS < 15
