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NCLEX-RN
Physiological Integrity

Calculate Systemic Vascular Resistance in HF

Very Hard Physiological Adaptation Hemodynamics

A 75-year-old female patient presents to the emergency department with acute shortness of breath and exhibits elevated jugular venous distension. The nurse notes a blood pressure of 88/60 mmHg and a heart rate of 110 bpm. The patient has a history of congestive heart failure and is currently on a regimen of diuretics and ACE inhibitors. Based on the patient's signs and symptoms, calculate the systemic vascular resistance (SVR) using the following formula:

SVR = (MAP - CVP) / CO

Where MAP is the mean arterial pressure, CVP is the central venous pressure, and CO is the cardiac output. Assume the CO for this patient is 4.0 L/min, and for severe heart failure, CVP is often around 10 mmHg, with a MAP typically calculated as:

MAP = (Systolic BP + 2 x Diastolic BP) / 3

Using the patient's blood pressure measurements, fill in the blank with the calculated value of SVR in dynes·sec/cm5;

SVR = __________.

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