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

Severe Dehydration

Description

Severely 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 0.9 * Healthy Baseline (69.5) [138] 69.0   -0.73% >10% body weight lost from fluids
BloodVolume(L) LessThan Moderate Segment1 (4.77) [262] 4.30   -9.83% Decrease
HeartRate(1/min) GreaterThan Moderate Segment1 (109) and GreaterThan 100 [262] [138] [225] 148   35.36% and 47.71% Increase and Tachycardia and Fast
RespirationRate(1/min) GreaterThan Moderate Segment1 (13.0) [190] [138] 13.6   4.52% Increase
TidalVolume(mL) GreaterThan Moderate Segment1 (558) [225] 590   5.72% Deep breathing
PulsePressure(mmHg) LessThan Healthy Baseline (40.7) [138] 16.1   -60.42% Narrow
SystolicArterialPressure(mmHg) LessThan Healthy Baseline (114) [190] 99.9   -12.52% Decrease or Low
CardiacOutput(L/min) LessThan Moderate Segment1 (4.88) [138] [262] 4.38   -10.35% Decrease
CentralVenousPressure(mmHg) LessThan Moderate Segment1 (3.75) [262] 3.23   -13.96% Decrease
HeartStrokeVolume(mL) LessThan Moderate Segment1 (44.7) [262] 29.6   -33.76% Decrease
CoreTemperature(degC) GreaterThan Moderate Segment1 (38.9) [262] 39.6   1.65% Increase
SweatRate(mg/min) LessThan Moderate Segment1 (2.95e+03) [262] [138] 1.81e+03   -38.72% Decrease
PlasmaOsmolality(mOsm/kg) GreaterThan Moderate Segment1 (268) [262] 283   5.72% Increase
Urinalysis-Color EqualTo "DarkYellow" or EqualTo "Brown" [190] [138] DarkYellow Pass   Dark Yellow to Brown
SevereDehydration-ActiveFraction EqualTo 1.0 1.00 0.00%    
SevereDehydration-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) 69.0
ECG-Lead3ElectricPotential(mV) 0.668
HeartRate(1/min) 148
HeartStrokeVolume(mL) 29.6
HeartEjectionFraction 0.336
BloodVolume(L) 4.30
ExtravascularFluidVolume(L) 26.7
ArterialPressure(mmHg) 96.9
MeanArterialPressure(mmHg) 91.6
SystolicArterialPressure(mmHg) 99.9
DiastolicArterialPressure(mmHg) 83.8
CardiacOutput(L/min) 4.38
HemoglobinContent(g) 821
CentralVenousPressure(mmHg) 3.23
PulmonaryCapillariesWedgePressure(mmHg) 3.73
TidalVolume(mL) 590
TotalLungVolume(mL) 2.83e+03
RespirationRate(1/min) 13.6
OxygenSaturation 0.960
CarbonDioxideSaturation 0.0253
EndTidalCarbonDioxideFraction 0.0480
EndTidalCarbonDioxidePressure(mmHg) 36.5
TotalAlveolarVentilation(L/min) 5.95
TranspulmonaryPressure(cmH2O) 7.97
CoreTemperature(degC) 39.6
SkinTemperature(degC) 31.4
RespiratoryExchangeRatio 0.801
OxygenConsumptionRate(mL/min) 333
CarbonDioxideProductionRate(mL/min) 267
GlomerularFiltrationRate(mL/min) 58.0
RenalBloodFlow(L/min) 0.547
UrineProductionRate(mL/min) 1.59e-17
LeftAfferentArterioleResistance(mmHg_min/mL) 0.187
RightAfferentArterioleResistance(mmHg_min/mL) 0.187
SystemicVascularResistance(mmHg_s/mL) 1.21
LeftAlveoli-Pressure(cmH2O) 1.03e+03
RightAlveoli-Pressure(cmH2O) 1.03e+03
Pericardium-Volume(mL) 11.7
Pericardium-Pressure(mmHg) 0.967
Trachea-Oxygen-PartialPressure(mmHg) 160
Trachea-CarbonDioxide-PartialPressure(mmHg) 0.304
LeftLungPulmonary-Oxygen-PartialPressure(mmHg) 121
RightLungPulmonary-Oxygen-PartialPressure(mmHg) 119
LeftLungPulmonary-CarbonDioxide-PartialPressure(mmHg) 33.3
RightLungPulmonary-CarbonDioxide-PartialPressure(mmHg) 34.6
LeftAlveoli-Oxygen-PartialPressure(mmHg) 120
LeftAlveoli-CarbonDioxide-PartialPressure(mmHg) 34.0
RightAlveoli-Oxygen-PartialPressure(mmHg) 118
RightAlveoli-CarbonDioxide-PartialPressure(mmHg) 35.4
Aorta-Oxygen-PartialPressure(mmHg) 88.1
Aorta-CarbonDioxide-PartialPressure(mmHg) 38.8
VenaCava-Oxygen-PartialPressure(mmHg) 38.3
VenaCava-CarbonDioxide-PartialPressure(mmHg) 46.0
RightTubules-Sodium-Concentration(g/L) 32.2
LeftTubules-Sodium-Concentration(g/L) 32.2
Oxygen-AlveolarTransfer(mL/min) 345
CarbonDioxide-AlveolarTransfer(mL/min) -302
Epinephrine-BloodConcentration(ug/L) 0.0342
Epinephrine-SystemicMassCleared(ug) 2.06
Norepinephrine-BloodConcentration(ug/L) 0.233
Norepinephrine-SystemicMassCleared(ug) 7.14
Patient-Weight(kg) 69.0
BloodPH 7.40
TotalFluidVolume(L) 31.0
ExtracellularFluidVolume(L) 6.87
IntracellularFluidVolume(L) 19.8
SweatRate(mg/min) 1.81e+03
MeanSkinFlow(L/min) 0.510
PulsePressure(mmHg) 16.1
PlasmaOsmolality(mOsm/kg) 283
PlasmaOsmolarity(mOsm/L) 354
UrineOsmolality(mOsm/kg) 806
UrineOsmolarity(mOsm/L) 838
UrinationRate(mL/s) 0.00
Bladder-Sodium-Concentration(g/L) 4.92
Bladder-Chloride-Concentration(g/L) 5.22
Bladder-Urea-Concentration(g/L) 24.6
Sodium-BloodConcentration(g/dL) 0.410
Sodium-MassInBody(mg) 4.97e+04
Sodium-MassInTissue(mg) 3.21e+04
Sodium-MassInBlood(mg) 1.76e+04
Chloride-BloodConcentration(ug/L) 4.49e+06
Chloride-MassInBody(mg) 6.47e+04
Chloride-MassInBlood(mg) 1.93e+04
Chloride-SystemicMassCleared(mg) nan
Potassium-BloodConcentration(mg/dL) 18.1
Potassium-MassInBody(mg) 9.53e+04
Potassium-MassInTissue(mg) 9.45e+04
Potassium-MassInBlood(mg) 779
Calcium-BloodConcentration(mg/L) 59.8
Calcium-MassInBody(mg) 651
Calcium-MassInTissue(mg) 393
Calcium-MassInBlood(mg) 257
Lactate-BloodConcentration(mg/L) 211
Lactate-MassInBody(mg) 1.12e+03
Lactate-MassInTissue(mg) 215
Lactate-MassInBlood(mg) 907
Urea-BloodConcentration(mg/dL) 42.1
Urea-MassInBody(mg) 1.16e+04
Urea-MassInTissue(mg) 9.82e+03
Urea-MassInBlood(mg) 1.81e+03
ConvectiveHeatLoss(W) 31.4
ConvectiveHeatTranferCoefficient(W/m^2_K) 2.59
EvaporativeHeatLoss(W) 78.9
EvaporativeHeatTranferCoefficient(W/m^2_K) 4.27
RadiativeHeatLoss(W) 50.7
RadiativeHeatTranferCoefficient(W/m^2_K) 4.17
RespirationHeatLoss(W) 11.1
SkinHeatLoss(W) 82.1

Distributed under the Apache License, Version 2.0.

See accompanying NOTICE file for details.