Shock chart-I Every critically ill pts have their own hemodynamic profile and response to treatment based on their characteristic and disease. Use combination of all hemodynamic monitoring available [1.clinical; urine output, consciousness. 2. Macrodynamic; Pressure (MAP, CVP), Flow (Cardiac output, GEDVI, CFI, SVRI, EVLWI) 3. Microdynamic and Tissue Oxygenation; Lactate, CO2 gap, ScvO2) to make a best decision of treatment.
Hemodynamics Cheat Sheet: Cardiac Output/Index, Mean Arterial Pressure (MAP), Pulmonary Arterial Diastolic Pressure (PAD), Pulmonary Arterial Mean Pressure (PAM), Pulmonary Arterial Systolic Pressure (PAS), Pulmonary Artery Wedge Pressure (PAWP), Pulmonary Vascular Resistance (PVR), Right Arterial Pressure (RAP), Stroke Volume/Index (SV/SVI), Systematic Vascular Resistance/Index (SVR/SVRI) | Hemodynamic Monitoring for Critical Care Nursing @iStudentNurse #NurseHacks
Trauma is the result of overloading the emotional circuits in the brain’s control center. Chronic traumatic effects follow overloads that damage the brain, development, wiring, chemistry and structure. Some of this damage is immediate but most of it happens in the 48 hours following the traumatic event when the injured person is not able to return to joy and quiet because they have not developed the capacity due to immaturity or have an underdeveloped nervous system.