A 55-year-old woman on ICU is monitored with a LiDCO (lithium dilution cardiac output) device. Her cardiac index is 3.8 L/min/m2, SVR is 600 dyn·s/cm5...

Question

A 55-year-old woman on ICU is monitored with a LiDCO (lithium dilution cardiac output) device. Her cardiac index is 3.8 L/min/m2, SVR is 600 dyn·s/cm5, and MAP is 58 mmHg on noradrenaline 0.2 mcg/kg/min. Lactate is 4.2 mmol/L. What haemodynamic pattern does this represent?

Accepted Answer

Distributive (vasodilatory) shock

Answer

Cardiogenic shock

Answer

Hypovolaemic shock

Answer

Obstructive shock

Answer

Normal haemodynamics

uk-fficm MCQ (SBA): Distributive Shock

A 55-year-old woman on ICU is monitored with a LiDCO (lithium dilution cardiac output) device. Her cardiac index is 3.8 L/min/m2, SVR is 600 dyn·s/cm5, and MAP is 58 mmHg on noradrenaline 0.2 mcg/kg/min. Lactate is 4.2 mmol/L. What haemodynamic pattern does this represent?