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6th ED

ICU-card

«ICU, Formulas & Drugs»

HEMODYNAMIC PATTERNS

Condition

SAP

CVP



PAP PCWP



CO C(a-v)02 PVR



SVR

Hypovolemic shock

↓

↓

↓

↓

↓

↑

↑

↑

Cardiogenic shock

↓

1

↑

1



1

↑



Septic shock

↓

↓

↓

↓

↑

↓

↓

↓

Cardiac Tamponade

.

↑

↑

1

↓



→

↑

RV Infarction



↑

→

→

↓



→

→↑

Pulmonary Embolism

↓

↑

↑

→↑

↓



↑

↑

Airways Obstruction



→↑→↑

↑



→→↑



↑

→

HEMODYNAMICS

HEMODYNAMICS

4.25-6.12

L/min

Cardiac Output

CI

2.5-3.6

L/min/m2

HR*SV

VO2/Ca-vO2 (fick)

CO/BSA

Cardiac Index

EF

55-78

%

SI/EDV

Ejection Fraction

HR

60-90

bpm

CO/SV

Heart Rate

SV

69-87

mL/beat

CO/HR

Stroke Volume

SI

41-60

mL/beat/m?

Stroke Volume Index

CI/HR

BFVR

0.9-1.4

ratio

CI/BVI

Blood Flow:Volume Ratio

BV

3-5.1

L

PV/(1-Hct)

Blood Volume

PRESSURES

MAP

70-105

mmHg

(SP+2DP)/3

Mean Arterial Pressure

MPAP

9-17

mmHg

(PSP+2PDP)/3

Mean Pulmonary Arterial Pressure

PP

20-70

mmHg

SP-DP

Pulse Pressure

RPP

6000-12000 mmHg*bpm

HR*SP

Rate Pressure Product

CPP

60-80

mmHg

DP-PCWP

Coronary Perfusion Pressure

COP

23-29

mmHg

(glob*1.4)+(alb*5.5)

Colloid-Oncotic Pressure

RESISTANCES

SVR

770-1500

dyn*s/cm5

(MAP-CVP)*79.92//CO

Systemic Vascular Resistance

SVRI

1970-2390 dyn*s/cm5*m2 ((MAP-CVP)*79.92/CI

PVR

Systemic Vascular Resistance Index

20-120

dyn*s/cm5

((MPAP-WP)*79.92)/CO

Pulmonary Vascular Resistance

PVRI

30-240

dyn*s/cm5*m2

(MPAP-WP)*79.92)/CI

Pulmonary Vascular Resistance Index

CARDIAC WORK

LCWI

3.4-4.2

kg*m/m2

CI*MAP*0.0144

RCWI

Cardiac Work Index, Left

540-660

9*m/m2

CI*MPAP*0.0144

Cardiac Work Index, Right

LVSWI 50-62

g*m/m2

SI*MAP*0.0144

Ventricular Stroke Work Index, Left

RVSWI 7.9-9.7

9*m/m2

SI*MPAP*0.0144

Ventricular Stroke Work Index, Right

ELECTROCARDIOGRAPHY

Q-T_c 0.34-0.42

Q-T interval correction

(QT)(sqrtRR)

0.42-1.2

RR interval

RR

abbrev ni values

units

equation

CONVERSION

•Celsius

=(°F - 32)/1.8

•Farenheit =(°C × 1.8) +32

French Units: 1 french unit = 1 mm x 3.14

mmHg & cmH2O:

1 mmHg = 1.36 cmH20

PULMONARY

RR

VT

10-16

resp/min

400-600 mL

Respiratory Rate

Wt*VT

Tidal Volume

VE

4.0-8.0

L/min

VT*RR

Minute Ventilation

VD

80-300

mL

(VT*(PaCO2-PECO2))/PaCO2

Dead Space (physiologic)

FVC

FEV1

>4.0

L

Forced Vital Capacity

>3.0

L

FEV1/FVC = >60%

Forced Espiratory volume 1s

Qs/Qt

0.0-7.0

%

Shunt, physiologic

((CcapO2-CaO2)/(Ccap02-CvOz))*(100) |

A-a GRADIENT

PA-aO2

5-25

mmHg

A-a Gradient

(((FIO)*(PB-PH20))-(PaCO2/R))-(Pa02)

PA-a02 c 5-25

mmHg

2.5+(0.25*age)

A-a Gradient, age-corrected

PAO2

95-105

mmHg

Alveolar Oxygen Tension

((FIO)*(PB-PH2O))-(PaCO2/R) |

Pa02

80-100

mmHg

arterial Oxygen Tension

Measured. [estimated=100-(0.33*age)]

PIO2

100-150 mmHg

(FIO2)*(PB-PH2O)

Inspired Oxygen Tension

PB

0-760

mmHg

Barometric Pressure

FIO2

29.92* (<(1)-(6.87535*alt*10^-6))^5.2561)

19-21

%

Fraction of inspired O2

PH2O

47

R

0.7-1

mmHg

Water vapor (partial press.)

ratio

Respiratory Quotient

OXYGEN CONTENT

CaOz

17-20

mL/dL

arterial Oxygen Content

((Hb*1.36)*(SaO2))+(Pa02*0.0031)

CcapO2 21-21

mL/dL

capillary Oxygen Content

((Hb*1.36)*(ScapO2))+(Pa2*0.0031)

CvO2

12-15

mL/dL

mixed venous O2 Content

((Hb*1.36)*(SvO2))+(PvO2*0.0031)|

Ca-vO2

4-5

mL/dL

(CaO2)-(CvO2)

Pa02

Oxygen Content Difference, arterial-venous

SaO2

80-100

mmHg

arterial Oxygen Tension

96-99

#ICUcard

PvO2

35-45

%

arterial Oxygen Saturation

mmHg

mixed venous O2 Tension

Sv02

60-80

PaCO2

35-45

%

mixed venous O2 Saturation

mmHg

arterial CO2 Tension

PACO2

35-45

mmHg

Alveolar CO2 Tension

PvCO2

40-50

mmHg

mixed venous CO2 Tension

PECO2

25-35

mmHg

Expired CO2 Tension

OXYGEN TRANSPORT

02 ext

20-30

%

Ca-vO2/CaO2

Oxygen Extraction Rate

DO2

750-1200

mL/min

CO*Ca02*10

Oxygen Delivery

DO2 |

550-650

mL/min/m2

C|*Ca02*10

VO2

Oxygen Delivery Index

200-280

mL/min

CO*Ca-vO2

Oxygen Consumption

VO2 l

115-165

mL/min/m2

CI*Ca-vO2

Oxygen Consumption Index

VCO2

120-320

mL/min

Wt*VCO2

Carbon dioxide Production