Events

Member biogears::AnesthesiaMachine::CalculateSourceStatus ()

AnesthesiaMachine: Oxygen bottle 1 is exhausted. There is no longer any oxygen to provide via the anesthesia machine.

AnesthesiaMachine: Oxygen bottle 2 is exhausted. There is no longer any oxygen to provide via the anesthesia machine.

Member biogears::AnesthesiaMachine::CheckReliefValve ()

AnesthesiaMachine: Relief Valve is active. The pressure setting has been exceeded.

Member biogears::BloodChemistry::CheckBloodSubstanceLevels ()

Patient: Hypercapnia. The carbon dioxide partial pressure has risen above 60 mmHg. The patient is now hypercapnic.

Patient: End Hypercapnia. The carbon dioxide partial pressure has fallen below 57 mmHg. The patient is no longer considered to be hypercapnic. This event is triggered if the patient was hypercapnic and is now considered to be recovered.

Patient: Hypoxia Event. The oxygen partial pressure has fallen below 65 mmHg, indicating that the patient is hypoxic.

Patient: End Hypoxia Event. The oxygen partial pressure has rise above 68 mmHg. If this occurs when the patient is hypoxic, it will reverse the hypoxic event. The patient is no longer considered to be hypoxic.

Patient: Brain Oxygen Deficit Event. The oxygen partial pressure in the brain has dropped to a dangerously low level.

Patient: Critical Brain Oxygen Deficit Event. The oxygen partial pressure in the brain has dropped to a critically low level.

Patient: End Brain Oxygen Deficit Event. The oxygen partial pressure has risen above 12 mmHg in the brain. If this occurs when the patient has a critical brain oxygen deficit event, it will reverse the event. The brain is not in a critical oxygen deficit.

Patient: End Brain Oxygen Deficit Event. The oxygen partial pressure has risen above 25 mmHg in the brain. If this occurs when the patient has a brain oxygen deficit event, it will reverse the event. The brain is getting oxygen.

Patient: The heart is not receiving enough oxygen. Coronary arteries should dilate to increase blood flow to the heart.

Patient: End Myocardium Oxygen Event. The heart is now receiving enough oxygen. If this occurs when the patient has a heart oxygen deficit event, it will reverse the event. The brain is getting oxygen.

Member biogears::Cardiovascular::CalculateVitalSigns ()

Patient: Hypovolemic Shock: blood volume below 70% of its normal value

Patient: blood loss below 60%, irreversible state enacted

Patient: Cardiogenic Shock: Cardiac Index has fallen below 2.2 L/min-m^2, Systolic Arterial Pressure is below 90 mmHg, and Pulmonary Capillary Wedge Pressure is above 15.0. [69]

Patient: Tachycardia: heart rate exceeds 100 beats per minute. This state is alleviated if it decreases below 90.

Patient: Bradycardia: heart rate falls below 60 beats per minute. This state is alleviated if it increases above 65.

Patient: Asystole: Heart Rate has fallen below minimum value and is being set to 0.

Patient: Irreversible State: heart has been in asystole for over 45 min:

Member biogears::Energy::CalculateVitalSigns ()

Patient: Core temperature has fallen below 35 degrees Celsius. Patient is hypothermic.

Patient: Core temperature has exceeded 38.8 degrees Celsius. Patient is hyperthermic.

The patient is in a state of metabolic acidosis

The patient has exited the state state of metabolic acidosis

The patient is in a state of metabolic alkalosis

The patient has exited the state of metabolic alkalosis

Member biogears::Nervous::CheckNervousStatus ()

Patient: Intracranial Hypertension. The intracranial pressure has risen above 25 mmHg.

Patient: End Intracranial Hypertension. The intracranial pressure has fallen below 24 mmHg.

Patient: Intracranial Hypotension. The intracranial pressure has fallen below 7 mmHg.

Patient: End Intracranial Hypotension. The intracranial pressure has risen above 7.5 mmHg.

Member biogears::Renal::CalculateVitalSigns ()

Patient: Diuresis. Occurs when the urine production rate double to around 2.5 ml/min. [175]

Patient: Ends when the urine production rate falls below 1.0 mL/min (near normal urine production). [175]

Patient: Antidiuresis occurs when urine production rate is less than 0.5 mL/min and the urine osmolarity is hyperosmotic to the plasma [375]

Patient: Antidiuresis. Ends when urine production rate rises back above 0.55 mL/min or the urine osmolarity falls below that of the plasma [375]

Patient: hypoperfusion occurs when renal blood flow decreases below 3 ml/s

Patient: hypoperfusion ends when blood flow recovers above 4 ml/s

Patient: Natriuresis. Occurs when the sodium excretion rate rises above 14.4 mg/min [moss2013hormonal]

Patient: Ends when the sodium excretion rate falls below 14.0 mg/min [moss2013hormonal]

Member biogears::Renal::Urinate ()

Patient: FunctionalIncontinence: The patient's bladder has reached a maximum

Member biogears::Respiratory::CalculateVitalSigns ()

Patient: Start of exhale/inhale

Patient: Severe ARDS: Carrico Index is below 100 mmHg

Patient: Acute Respiratory Distress: Carrico Index is below 200 mmHg

Patient: Acute Lung Injury: Carrico Index is below 300 mmHg

Patient: End ARDS: Carrico Index is above 305 mmHg

Patient: Bradypnea: Respiration rate is below 10 breaths per minute The patient has bradypnea.

Patient: End Bradypnea Event. The respiration rate has risen above 10. The patient is no longer considered to have bradypnea.

Patient: Tachypnea: Respiration rate is above 20 breaths per minute. The patient has tachypnea.

Patient: End Tachypnea Event. The respiration rate has fallen below 19.5. The patient is no longer considered to have tachypnea.

Patient: Respiratory Acidosis: event is triggered when blood pH is below 7.36 The patient has respiratory acidosis.

Patient: arterial blood ph has dropped below 6.5.

Patient: End Respiratory Acidosis Event. The pH value has risen above 7.38. The patient is no longer considered to have respiratory acidosis.

Patient: Respiratory Alkalosis: event is triggered when blood pH is above 7.45 The patient has respiratory alkalosis.

Patient: arterial blood ph has gotten above 8.5.

Patient: End Respiratory Alkalosis Event. The pH value has has fallen below 7.45. The patient is no longer considered to have respiratory alkalosis.

Member biogears::Tissue::CalculateMetabolicConsumptionAndProduction (double time)

Patient: Fatigue - Energy stores are sub-maximal, skip if beginning of cardiac cycle.

Member biogears::Tissue::CalculateVitals ()

Patient: Patient is dehydrated when 3% of body mass is lost due to fluid reduction