Please enable JavaScript.
Coggle requires JavaScript to display documents.
Haemodynamic support - Coggle Diagram
Haemodynamic support
Echocardiography
Cardiac output
Pulmonary pressures
Shunts
Congenital heart disease
Cardiac function
Handling
Training
Interobserver agreement
Blood pressure
Systolic
Cardiac output
Heart rate
Stroke volume
Contractility
Dobutamine
B receptor agonist
Increased contractility
Increases rate
Preload
Hypovolaemia
PRBC
Oxygen carrying capacity
Oncotically neutral
Polycthaemia
Delays in administering
Transfusion reactions
Access
Normal Saline
Hypertonic (154mmol / litre)
Aciditic
Low oncotic
Albumin
4% Albumin
Slightly higher oncotic pressure
20% Albumin
Raise oncotic pressure
Nitric
Afterload
Milrinone
Increased contractility
Vasolidation
Diastolic
Filling
Peripheral vascular resistance
Noradrenaline
Increased PVR
A+++ / B
Increases afterload
Adrenaline
A+ / B +
Increases contractility
increases afterload
Tachycardia / lactic acidosis
Vasopressin
Physiological dose
Distal convoluted tubules
Supraphysiological
Vasopressin receptors
Peripheral vasoconstriction
Pulmonary vasodilation
Mean
Gestational age (72 hours)
Dopamine
Low dose (renal) - Dopamine receptors
Middle dose - Beta receptors
High dose - Alpha
Hydrocortisone
Glucorticoid / mineralocorticoid
Vascular tone
Upregulated receptor expression
Clinical findings
SCR
Immature babies flushed, plethoric
Urine output
DIscoupled from cardiac output
Peripheral perfusion
Fontanelle
Non pharmacological
Warm
Sugars
iCA / k / mg
Mechanical ventilation
Blood gas
Lactate
Sampling
Antenatally skewed
Acid / base status