What’s New in the Pulse Physiology Engine 4.4.0
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Dehydration-Moderate

Moderate Dehydration

Description

Moderately dehydrated patient from excessive sweating.

Segment Validation

Segment 1

Table 1. Data request validation results for Segment 1.
Property Name Validation Engine Value Percent Error Percent Change Notes
Patient-Weight(kg) LessThan 0.95 * Healthy Baseline (73.3) [138] 72.2   -1.55% >5% body weight lost from fluids
BloodVolume(L) LessThan Mild Segment1 (5.14) [262] 4.77   -7.10% Decrease
HeartRate(1/min) GreaterThan Mild Segment1 (87.9) and LessThan 100 [262] [138] 109 9.13% 24.16% and Increase and <100 bpm
RespirationRate(1/min) GreaterThan Healthy Baseline (11.9) [190] 13.0   9.09% Rapid breathing
TidalVolume(mL) GreaterThan Healthy Baseline (508) [190] 558   9.94% Deep breathing
PulsePressure(mmHg) EqualTo Mild Segment1 (31.8) [138] 24.2 -23.88%   No Change
CardiacOutput(L/min) LessThanEqualTo Mild Segment1 (5.29) [138] [262] 4.88   -7.67% No Change or Decrease
CentralVenousPressure(mmHg) LessThan Mild Segment1 (4.09) [262] 3.75   -8.37% Decrease
HeartStrokeVolume(mL) LessThan Mild Segment1 (60.1) [262] 44.7   -25.63% Decrease
CoreTemperature(degC) GreaterThan Mild Segment1 (38.0) [262] 38.9   2.39% Increase
SweatRate(mg/min) LessThan Mild Segment1 (2.82e+03) [262] 2.95e+03 4.53%   Decrease
PlasmaOsmolality(mOsm/kg) GreaterThan Mild Segment1 (258) [262] 268   3.84% Increase
Urinalysis-Color EqualTo "DarkYellow" [190] Yellow Fail   Dark Yellow
ModerateDehydration-ActiveFraction EqualTo 1.0 1.00 0.00%    
ModerateDehydration-FinalState EqualTo True True Pass    


Figure 1. Vitals and ventilator monitors for Segment 1.


Table 2. Data requests for Segment 1.
Property Name Engine Value
Patient-Weight(kg) 72.2
ECG-Lead3ElectricPotential(mV) -0.0180
HeartRate(1/min) 109
HeartStrokeVolume(mL) 44.7
HeartEjectionFraction 0.426
BloodVolume(L) 4.77
ExtravascularFluidVolume(L) 29.6
ArterialPressure(mmHg) 103
MeanArterialPressure(mmHg) 94.3
SystolicArterialPressure(mmHg) 106
DiastolicArterialPressure(mmHg) 81.8
CardiacOutput(L/min) 4.88
HemoglobinContent(g) 821
CentralVenousPressure(mmHg) 3.75
PulmonaryCapillariesWedgePressure(mmHg) 4.57
TidalVolume(mL) 558
TotalLungVolume(mL) 2.39e+03
RespirationRate(1/min) 13.0
OxygenSaturation 0.966
CarbonDioxideSaturation 0.0256
EndTidalCarbonDioxideFraction 0.0480
EndTidalCarbonDioxidePressure(mmHg) 36.5
TotalAlveolarVentilation(L/min) 5.28
TranspulmonaryPressure(cmH2O) 6.42
CoreTemperature(degC) 38.9
SkinTemperature(degC) 30.8
RespiratoryExchangeRatio 0.808
OxygenConsumptionRate(mL/min) 302
CarbonDioxideProductionRate(mL/min) 244
GlomerularFiltrationRate(mL/min) 56.6
RenalBloodFlow(L/min) 0.592
UrineProductionRate(mL/min) -2.28e-17
LeftAfferentArterioleResistance(mmHg_min/mL) 0.187
RightAfferentArterioleResistance(mmHg_min/mL) 0.187
SystemicVascularResistance(mmHg_s/mL) 1.11
LeftAlveoli-Pressure(cmH2O) 1.03e+03
RightAlveoli-Pressure(cmH2O) 1.03e+03
Pericardium-Volume(mL) 13.0
Pericardium-Pressure(mmHg) 0.980
Trachea-Oxygen-PartialPressure(mmHg) 154
Trachea-CarbonDioxide-PartialPressure(mmHg) 5.29
LeftLungPulmonary-Oxygen-PartialPressure(mmHg) 116
RightLungPulmonary-Oxygen-PartialPressure(mmHg) 114
LeftLungPulmonary-CarbonDioxide-PartialPressure(mmHg) 37.5
RightLungPulmonary-CarbonDioxide-PartialPressure(mmHg) 38.6
LeftAlveoli-Oxygen-PartialPressure(mmHg) 115
LeftAlveoli-CarbonDioxide-PartialPressure(mmHg) 38.1
RightAlveoli-Oxygen-PartialPressure(mmHg) 113
RightAlveoli-CarbonDioxide-PartialPressure(mmHg) 39.2
Aorta-Oxygen-PartialPressure(mmHg) 90.2
Aorta-CarbonDioxide-PartialPressure(mmHg) 38.4
VenaCava-Oxygen-PartialPressure(mmHg) 39.3
VenaCava-CarbonDioxide-PartialPressure(mmHg) 45.4
RightTubules-Sodium-Concentration(g/L) 14.1
LeftTubules-Sodium-Concentration(g/L) 14.1
Oxygen-AlveolarTransfer(mL/min) 346
CarbonDioxide-AlveolarTransfer(mL/min) -290
Epinephrine-BloodConcentration(ug/L) 0.0340
Epinephrine-SystemicMassCleared(ug) 2.16
Norepinephrine-BloodConcentration(ug/L) 0.227
Norepinephrine-SystemicMassCleared(ug) 7.53
Patient-Weight(kg) 72.2
BloodPH 7.40
TotalFluidVolume(L) 34.3
ExtracellularFluidVolume(L) 7.61
IntracellularFluidVolume(L) 21.9
SweatRate(mg/min) 2.95e+03
MeanSkinFlow(L/min) 0.575
PulsePressure(mmHg) 24.2
PlasmaOsmolality(mOsm/kg) 268
PlasmaOsmolarity(mOsm/L) 329
UrineOsmolality(mOsm/kg) 733
UrineOsmolarity(mOsm/L) 760
UrinationRate(mL/s) 0.00
Bladder-Sodium-Concentration(g/L) 4.51
Bladder-Chloride-Concentration(g/L) 4.82
Bladder-Urea-Concentration(g/L) 22.1
Sodium-BloodConcentration(g/dL) 0.373
Sodium-MassInBody(mg) 5.17e+04
Sodium-MassInTissue(mg) 3.39e+04
Sodium-MassInBlood(mg) 1.78e+04
Chloride-BloodConcentration(ug/L) 4.09e+06
Chloride-MassInBody(mg) 6.77e+04
Chloride-MassInBlood(mg) 1.95e+04
Chloride-SystemicMassCleared(mg) nan
Potassium-BloodConcentration(mg/dL) 16.9
Potassium-MassInBody(mg) 9.57e+04
Potassium-MassInTissue(mg) 9.49e+04
Potassium-MassInBlood(mg) 805
Calcium-BloodConcentration(mg/L) 54.4
Calcium-MassInBody(mg) 663
Calcium-MassInTissue(mg) 403
Calcium-MassInBlood(mg) 260
Lactate-BloodConcentration(mg/L) 181
Lactate-MassInBody(mg) 1.10e+03
Lactate-MassInTissue(mg) 234
Lactate-MassInBlood(mg) 864
Urea-BloodConcentration(mg/dL) 38.0
Urea-MassInBody(mg) 1.16e+04
Urea-MassInTissue(mg) 9.83e+03
Urea-MassInBlood(mg) 1.81e+03
ConvectiveHeatLoss(W) 29.3
ConvectiveHeatTranferCoefficient(W/m^2_K) 2.59
EvaporativeHeatLoss(W) 122
EvaporativeHeatTranferCoefficient(W/m^2_K) 7.08
RadiativeHeatLoss(W) 47.2
RadiativeHeatTranferCoefficient(W/m^2_K) 4.16
RespirationHeatLoss(W) 9.93
SkinHeatLoss(W) 76.5

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