Cardiac definitions Flashcards
Beta blockers
- Block adrenaline binding to Beta 1 alpha receptors.
- Encourages Vaso dilatation reducing BP.
- Cant control release of adrenaline but can block the reaction.
Afterload
- Stress on the wall of the left ventricle during ejection
- amount of resistance in arteries heart has to push against
- vasodilators reduce afterload
Anaphylactic shock
- extreme, life threatening reaction to an antigen
- body becomes hypertensive
ACE Inhibitors - Angiotensin Converting Enzyme
- Block conversion of Angiotensin 1 to angiotensin 2
- RAAS
- Reduce vaso constriction
- Vaso dilates to reduce BP
Chronotropes - Positive and Negative
Change heart rate and rhythm
Positive - Increases heart rate and rhythm
Negative - Decreases heart rate and rhythm
Cardiac Shock
- Heart cant pump enough blood to meet body’s requirements
- Decreased CO
- Causes acute MI
Cardiac Temponade
- Pressure on heart when fluid collects in the sacs of the heart
- drops BP, SOB
- heart cant function to full potential
Cardiac Output - CO
Amount of blood pumped by the heart per minute
Cardiac reserve
difference in rate of heart pumping blood and heart pumping blood at maximum capacity
Cardiac Failure
- Heart doesn’t pump blood as well as it should
- Chronic condition
Cor Pulmonale
- Alteration of structure and function of right ventricle
- leads to pulmonary hypertension
Crystalloids
Sodium chloride 0.9%
- closest to bloods concentrate
- given as fluids
Diuretics
- Blocks kidney function to absorb sodium
- increases urine out put and sodium loss
Hypovolemic Shock
- Loss of circulating blood volume
- can be due to serious bleed or fluid shift/ inflammation ie burns pt
Inotrope - Positive and negative
Alters force/energy of muscular contractions
Positive - increase
negative - decrease
Left sided heart failure
- Blood backs up in the left atrium into the pulmonary veins from lungs
- results in pulmonary congestion/ Pulmonary oedema
Neurogenic Shock
interruption of blood to autonomic nerve supply from CNC
Preload
- disole pressure/ stretch
- blood in heart ready to be pumped into body
Pulmonary oedema
Pooling of blood in pulmonary veins or lungs
Peripheral Vascular Disease
PVD
narrowing of blood vessels reducing blood supply to limbs
Right sided heart failure
- Backs up through right atrium
- doesn’t pump properly to lungs
- cases peripheral oedema
Septic Shock
infection causing organ failure
Vasoactive drugs
- increases vaso constriction
- adrenaline
- inotrope positive
Aneurysm
- swelling and bulging of artery
- has potential to erupt making it life threatening