Hemodynamic subscts: Possible interventions Below are the treutment options and possible interventions for each clinical subse, Deus saul other factors that affect preluu], ullerioad, contractility, and heart rate are also listed, {— SUBSET I Normal Cl, low te normal PAW Monitor regularly Administer 0, Offer pen paiti medication Sedation as ordered CTihese interventions are usually necessary since ‘most patients aron’t problem free: they may just have normal readin.) SUBSET I Low €1, low to norrital PAWP Administer IV fluids Administer O, Enhance contractility Recrrase atterload (ABP Optirnize heart rate Surgical intervention for # cumeclable cardiae, problem SUBSET Ill Normal él, high PAWE _ ‘Administer O, Decrease preload Offer pm pain medication Seration as ordered Optimize heart rate SUBSET IV Low Cl, high PAWP. Aciminister Os Decrease prelaad Decrease afterload Enhaney contractility Optimize heart rate \ABP ‘Surgical Intervention for a comectable cardiac problem Pao To increase: ‘Dopamine ( inotropin) Vasopressors Norepinephrine (Lavophed) To decrease: Ta decrease: Diuretics ACE inhibitors Fluid restriction Alpha blockers Low.salt diet ‘Amrinone (inocu Positive-end expiratory presse (PFFP) Wenwus vasodilators, Arterial vacodilators, eta blockers Calcium channel blockers IABP Nilrinone {Primecod Morphine Nitrates Nitroprusside (Mipride, Nitropress) PCONTRACTIITY MM HEART RATE | To increasefenhance: To increas Amrinone (Inocor) ‘Atropine Dobutamine (Dobutrexd Cardiac pacing Dopamine (lnotrapin) Epinephrine (Adrenalin) Calcium Isoproterenol (isuprel) Diguxin (Lanoxin) Tod i Epinephrine (Adrenalin Artiershythmics Isopraterenal (Isuprel) Rota hlackers. Minors (hrenecon) Calcium channel blockers jorepinephrine Cardiac pacing (Levophed) Digexin (Lanoxin) To decresse: Beta blockers Caleium channel blockers