The nurse оbtаins the fоllоwing hemodynаmic vаlues. Hemodynamic Values Time 1030 CVP 6 mmHg PAP 30/20 mmHg PAWP 22 mmHg CO 3.6 L/min SVR 1800 dynes-sec/cm ñ 5 Based on the above hemodynamic values, what is the most likely Mr. Doe's hemodynamic abnormality ?
Jоhn Dоe is аdmitted tо the ICU with worsening shortness of breаth, fаtigue, and pedal edema. His past medical history includes HTN, Type 2 diabetes mellitus, CHF, and COPD. Social history includes being a former smoker. He has a 20 pack/year smoking history. He quit smoking 3 years ago when he was diagnosed with COPD. He does not require chronic oxygen therapy. Nurses’ Notes 0900. Alert & oriented X 4, appears slightly anxious; bilateral crackles upon lung auscultation, and edema noted to bilateral lower extremities. RR unlabored, crackles in bases bilaterally; S1S2 auscultated; abdomen soft, non-tender, bowel sounds active in all 4 quadrants; skin warm dry and intact. Current medications include metformin, lisinopril, metoprolol, and Albuterol inhaler. 0925- Dr. Mack present. Given Mr. Doe’s presentation, a pulmonary artery catheter is being placed to better understand his hemodynamic status. Consent obtained. 1010- Pulmonary artery catheter placed without difficulty. Patient tolerated without complaints/difficulty. Vital signs Time 0900 b/p 142/69 HR 110 RR 28 Temp 98.6 F O2 sats 92% Once the pulmonary artery is in place and set up, the nurse needs to obtain the patient’s hemodynamic values. What is the nurse's next priority action when obtaining readings from the PA catheter?