A pregnant woman at 38 weeks of gestation has severe preeclampsia with refractory oliguria.A pulmonary artery catheter is inserted,and the following hemodynamic profile is obtained: CVP,2 mm Hg;PAP,17/4 mm Hg;PCWP,4 mm Hg;CO,5.1 L/min.One hour after treatment the hemodynamic profile changes to the following: CVP,2 mm Hg;PAP,25/7 mm Hg;PCWP,7 mm Hg;CO,6.4 L/min.The nurse evaluates the woman's condition as:

Question

Quizplus · Accepted Answer

These hemodynamic values are all normal.The PCWP reflects volume changes;this is in the normal range.The CVP (which reflects preload)is unchanged but was normal in both scenarios.Furthermore,all other hemodynamic values have improved.There is no indication of pulmonary edema.All values are within normal limits.

A Pregnant Woman at 38 Weeks of Gestation Has Severe