CHF in Children Flashcards
1
Q
CO = HR x SV
What is SV? What factors affect it?
A
SV - volume of blood pumped out of LV per contraction
Depends on:
Preload
Contractility
Afterload
2
Q
Compensatory mechanisms of heart failure
A
Increased preload
Increased cardiac rate
Increased afterload
Myocardial hypertrophy and/or LR remodeling
3
Q
Physiological compensations: neurohormonal activation
A
SNS
RAAS
AVP/ADH
4
Q
Hallmarks of heart failure
A
Easy fatigability –> shock (extreme) –> death
5
Q
Hallmark: Easy fatigability
A
Intermittency of feeding
Gets tired faster than peers or playmates
6
Q
Hallmark: Shock
A
Altered sensorium (irritability due to insufficient oxygen supply to the brain)
Decreased urine output
Tachycardia
Cold extremities
Hypotension