Cardiac Lecture 3 Flashcards

1
Q

Hypereffective/enhanced ventricular pumping will ______ right atrial pressure

A

decrease

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2
Q

To enhance cardiac output, our body chooses to do this by changing _______

A

constricting veins (decrease compliance), increasing systemic filling pressure, increasing venous return, increasing volume

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3
Q

Increased thoracic pressure _______ cardiac output

A

decreases

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4
Q

Drug given to constrict veins

A

phenylephrine

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5
Q

Adding more routes for blood to take will ______ vascular resistance

A

decrease

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6
Q

Reducing routes for blood to take will ________

A

increase

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7
Q

Beriberi is a deficiency of

A

vitamin B1, impacts the way cells use energy. they are less efficient and consume more energy

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8
Q

Cardiac index units

A

L/min/m²

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9
Q

Normal cardiac index

A

3 L/min/m²

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10
Q

normal body surface area (70kg adult)

A

1.7m²

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11
Q

Normal intrapleural pressure is

A

-4mmHg

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12
Q

-4mmHg equivalent is cmH2O is ____

A

-5 cmH2O

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13
Q

Intrapleural pressure on exhalation is _____

A

+2 mmHg

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14
Q

Intrapleural pressure on inhalation is ______

A

-5.5mmHg

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15
Q

increased pleural pressure can be caused by

A

exhalation, positive pressure mechanical ventilation, opening chest cavity

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16
Q

SVR is governed by

A

arterioles right before capillaries

17
Q

A drug class that we can consider an arterial specific vasodilator is ____

A

ACE inhibitors

18
Q

A drug that we can consider a venular-specific vasodilator

A

Nitroglycerin

19
Q

Nitroglycerin is good for MI because it

A

decreases workload of the heart, is a preload reducer

20
Q

What age range is cardiac index increasing?

A

birth to 10 years old

21
Q

ACE inhibitors reduce _______

A

afterload

22
Q

What are the effects of an arterial-specific vasodilator on CO and Psf?

A
  • same Psf
  • decreased RVR → increased CO
23
Q

What are the effects of a venular-specific vasodilator on CO and Psf?

A
  • decreased Psf
  • decreased CO (no change to RVR)
24
Q

_______ is an example of a mixed vasodilator

A

Sodium nitroprusside

25
Q

What are the effects of sodium nitroprusside?

A

both RVR and Psf reduced → drop in CO
- Psf more important

26
Q

Describe the effects of venous vs arterial constriction

A
  • venous constriction = increased systemic filling pressure
  • arterial constriction = reduced slope (increased SVR)
27
Q

What part of the venous return graph does RVR alter?

A

slope of the venous return line