CCU Rounding App

Swan Numbers

	Rm	SaO2	Hgb	Ht	Wt	Age	MAP	SvO2	CVP	PASP	PADP

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Pt is a 24 M with recent URI presenting for SOB and leg swelling S/p RHC + swan c/w cardiogenic shock CI 1.4 S/p steroids C/b AHRF s/b intubation

*IABP placed *worsening lactates fever, infectious workup sent

= tmax 100.6 on zosyn = tachy 120s afib on tele = MAPS 60s

CVP 15 PA 40/20/25 W 20

SVO2 52% CO/CI 3.2/16 SVR 1123 PAPI 1.3 on norepi 0.08 milrinone 0.33

= I/O 1300 - 200 = 1700

on bumex 4 BID

- lactates 3.2 from 2.9 - WBC 15 from 12

# Mixed Shock [ ] bumex to 4 TID # Leukocytosis [ ] broaden abx