RHC Form Calculator
New line placement or IN/OUT RHC? (Select it if you are (re)placing a new line or this is an IN/OUT RHC)
Access Site:
R IJ
L IJ
R Femoral
L Femoral
Access Size (French):
Height:
Centimeters
or
Feet
Inches
Weight (kg):
Dobutamine dose (mcg/kg/min):
Milrinone dose (mcg/kg/min):
Epinephrine dose (mcg/min):
Norepinephrine dose (mcg/min):
Vasopressin dose (units/min):
Dopamine dose (mcg/kg/min):
Mechanical support:
None
IABP
Impella
ECMO
LVAD
Impella Power Level:
Impella Motor Current (mA):
Impella Flow (L/min):
Purge Flow (mL/hr):
Purge Pressure (mmHg):
ECMO Flow (L/min):
Blender Flow (L/min):
ECMO Speed (rpm):
Pre-membrane pressure (mmHg):
Post-membrane pressure (mmHg):
LVAD Speed (rpm):
LVAD Flow (L/min):
Pulsatility Index:
LVAD Power (W):
Systolic BP (SBP):
Diastolic BP (DBP):
Heart Rate (HR):
RA Pressure (RA):
RV Systolic BP (RVSP):
RV End Diastolic BP (RVEDP):
Systolic PA (PAS):
Diastolic PA (PAD):
Wedge Pressure (Wedge):
PA O₂ Saturation (PASAT %):
Pulse O₂ Saturation (PulseSAT %):
Hemoglobin (Hb, g/dL):
PA CO₂ Pressure (mmHg):
Arterial CO₂ Pressure (mmHg):
Thermo Cardiac Output:
Biopsy
Number of samples
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