198014
Forester Hemodynamic Subsets and
Therapy
- Subset I
- Normal
- Warm and Dry
- Optimize Oral medications
- PCWP 15-18 and CI >2.2
- Optimize Oral medications
- Warm and Dry
- Normal
- Subset II
- Congestion
- Warm and Wet
- Pulmonary/Peripheral Congestion
- PCWP >18 AND CI >2.2
- IV diuretics
- IV vasodilators
- IV vasodilators
- IV diuretics
- PCWP >18 AND CI >2.2
- Pulmonary/Peripheral Congestion
- Warm and Wet
- Congestion
- Subset III
- Hypoperfused
- Cold and Dry
- PCWP 15-18 and CI>2.2
- IF PCWP <15 --IVF until 15-18
- IF PCWP >/=15 & MAP <50 ---iv DOPAMINE
- IF PCWP>/=15 & MAP >/=50
- Compelling Reason--INOTROPE
- NO Compelling reason--IV Vasodilator (arterial)
- Compelling Reason--INOTROPE
- IF PCWP>/=15 & MAP >/=50
- IF PCWP >/=15 & MAP <50 ---iv DOPAMINE
- IF PCWP <15 --IVF until 15-18
- PCWP 15-18 and CI>2.2
- Cold and Dry
- Hypoperfused
- Subset IV
- Congestion and Hypoperfusion
- Cold and Wet
- PCWP >18 & CI <2.2
- IV diuretics AND
- IF MAP <50--IV Dopamine
- if MAP >/=50
- NO compelling reason--IV Vasodilator
- Compelling Reason--Inotrope
- NO compelling reason--IV Vasodilator
- if MAP >/=50
- IF MAP <50--IV Dopamine
- IV diuretics AND
- Pulmonary/Peripheral Congestion & Hypoperfusion
- PCWP >18 & CI <2.2
- Cold and Wet
- Congestion and Hypoperfusion
- CI 2.2
- PCWP 18
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