CHP 31: BLEEDING Flashcards

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1
Q

right side of the heart pumps blood to where
left side of heart pumps blood to where

A

right: lungs
left: body

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2
Q

circulatory system requires what three components to keep blood moving

A

pump (heart), pipes (blood vessels), fluid (blood)

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3
Q

what is preload

A

amount of blood returned to heart to be pumped out

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4
Q

what is afterload

A

pressure in aorta against which the left ventricle must pump blood

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5
Q

what is stroke volume

A

amount of blood pumped per contraction

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6
Q

what is cardiac output

A

amount of blood pumped in 1 minute

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7
Q

equation for cardiac output

A

CO = SV x HR

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8
Q

what is ejection fraction

A

heart pumps same percentage of blood returned

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9
Q

what is the Frank-Starling mechanism

A

venous return stretches ventricles which increases cardiac contractility

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10
Q

plasma makes up __% of blood
RBCs make up ___% of blood

A

55
45

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11
Q

what in the blood is responsible for blood clotting

A

platelets

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12
Q

what is perfusion

A

circulation of blood within organ or tissue to meet cell’s needs for oxygen, nutrients, and waste removal

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13
Q

what is hemostasis

A

platelets aggregate at site, sealing injured portions of vessel

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14
Q

3 steps of hemostasis

A

vasoconstriction, platelet aggregation, fibrinogen weaving into clot and forming fibrin

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15
Q

what is hemophilia

A

lacking one or more blood clotting factors

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16
Q

what is shock

A

insufficient perfusion of organs and tissues

17
Q

shock from inadequate blood volume

A

hypovolemic shock

18
Q

two types of hypovolemic shock

A

hemorrhagic: internal/external bleeding
non-hemorrhagic: dehydration from vomiting, diarrhea, sweating

19
Q

how to tell difference between decompensated and compensated shock in field

A

blood pressure

20
Q

what medications interfere with body’s ability to compensate for shock

A

beta blockers, calcium channel blockers, antidysrhythmics, and nitro

21
Q

what is a mass of blood in soft tissues beneath skin

A

hematoma

22
Q

what is hematemesis

A

vomited blood

23
Q

what is hemoptysis

A

coughed up blood

24
Q

what is melena

A

black, tarry stool indicating lower GI bleed

25
Q

what is hematuria

A

blood in urine indicating renal injury

26
Q

what is hematochezia

A

bloody stools indicating hemorrhoids

27
Q

in what class of shock does BP drop

A

class III

28
Q

what is Battle sign and what does it indicate

A

bruising/raccoon eyes indicating skull fracture

29
Q

what is a bull’s-eye target indicate

A

leaking CSF

30
Q

why is 80-90 SBP best for hemorrhagic shock

A

allows blood to clot better and avoids dislodging clots