cardiovascular in health and disease Flashcards

1
Q

what does a loss of blood lead to

A

immediate reduction in MAP

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2
Q

what does the body due to hypotension

A

increase Cardiac output and peripheral resistnance

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3
Q

what happens to the capillaries due to reduced MAP

A

increase absorption and reduces filtration via constriction

= protect blood volume

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4
Q

what does vasocontriction due to pressure drops

A

causes a much greater pressure drop over capillary

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5
Q

does the hemocrit change imediately after hemorrhage

A

No, stays the same

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6
Q

is the hemocrit different after 18 hours of hemorhage

A

it is lower than normal due to the time it takes for RBC to come around, but lots of plasma to make up blood volume

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7
Q

causes of hypotension

A
Hemorrhage
Allergic response 
 - histamine release -> vasodilation
emo stress
decreased CO
fluid loss (salt and water from diarrhea and vomiting)
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8
Q

how can emo stress lead to hypotension

A

Decreased sympa and increased parasymp

= vasovagal sncope

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9
Q

what is the goal of increasing MAP

A

to get blood to the heart and brain, decompensating the rest of the organs

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10
Q

what is shock

A

A situation in which a decrease in blood flow to organs and tissues damages them

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11
Q

what is hypovoemic shock

A

a great decrease in venous return

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12
Q

what are the types of shock

A

Hyopvolemic
Low resistance
Cardiogenic

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13
Q

how does the different ways of resting affect effective circulating blood volume

A

Lying is least
sitting
standing is most

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14
Q

what is the venous pressure at a given point

A

Cardiac generation of pressure +

Press eq to the weight of the column of blood to the point measured

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15
Q

what helps to avoid the build up of extra lymphatic fluid in the body and encourage venous return to heart

A

skeletal muscles pump

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16
Q

how does CO chnage with exercise

A

Inceases from 5L/min to 35L/min

17
Q

how does Total peripheral rsistnace change in exercise

A

Increases

18
Q

how does the veins help with blood flow to the heart during exercise

A

Venoconstriction

19
Q

what does the body do to the baroreceptors during exercise

A

Chemo and mechanoreceptors in cardiovascular center reset the set point to change CO and blood flow distribution

20
Q

what is the max oxygen consumption

A

Vo2 Max

21
Q

what happens at Vo2 max

A

Anaerobic metabolism

22
Q

what limits Vo2 max

A

Cardiac output
respiratory system delivery of O2
Exercising muscle ability to use O2

23
Q

what is the limiting factor of Vo2 max

A

CO (except for highly trained athletes)

24
Q

what is hypertension

A

Chronically increased systemic arterial blood pressure (greater than 140/90)

25
Q

what does Hypertension result from

A

increased CO

increased Total peripheral resistnace

26
Q

what is the hormone response of hypertension

A

Increased renin release in kindeys

increased angiontesnion II release

27
Q

what does hypertension eventually lead to

A

Left ventricular hypertrophy

Stroke

28
Q

what is the main drug to treat heart failure

A

Beta blockers

29
Q

what is heart failure

A

The heart fails to pump an adequate CO

30
Q

what is distolic dysfunction

A

reduced ventricular compliance
increased End diastolic pressure
decreased EDV
decreased Stroke volume

31
Q

what is systolic dysfunction

A

decrase in cardiac contractility

  • lower stroke volume
  • lower end diastolic volume
32
Q

ramifications of heart failure

A
less rapid dischage of afferent barorectpros
increased HR
icnreased TPR
fluid retention
pulmonary edema
33
Q

can you increase stroke volume and increase HR separately

A

No