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Adult Cardiac Supplemental Content

If the CVP increased by but the cardiac output did not increase, then the patient is on the flat portion of the Starling curve and is not pre-load responsive. Also known as manic-depression is a severe disturbance in affect, manifested by episodes of extreme sadness alternating with episode euphori Practically speaking, one does not always have the luxury of time with patients bleeding significantly and one may have to resort to empiric or "shotgun" therapy. Note that repositioning the patient turning on their side may also cause the drainage of a pre-existing collection of "old" darker blood that had pooled in the thorax. Reassess the patient 4 to 6 hours later to verify that he or she has tolerated the decrease.

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