Congestion and Oedema Flashcards
Blood flow equation
darcy’s
flow = change in pressure over resistance
congestion
relative excess of blood in vessels of a tissue or organ
local acute congestion examples
deep vein thrombosis
local chronic congestion
hepatic cirrhosis
generalised acute congestion
congestive cardiac failure
DVT blocks veins in the leg causing
localised acute congestion
DVT gives a …. pressure gradient and …… flow
reduced
decreased
Hepatic Cirrhosis results from serious damage to the
liver
alcohol, HBV
Hepatic cirrhosis pathology
regenerating liver forms nodules of hepatocytes with intervening fibrosis
loss of architecture (blood flow blocked in portal system)
Hepatic cirrhosis causes a risk of
haemorrhage
Congestive cardiac failure
heart is unable to clear blood (RV and LV)
congestive heart failure leads to a reduced ….. and …..
CO
glomerular filtration rate
(increase in fluids )
Congestive heart failures effects
back pressure - blood blocked
pulmonary oedema
central venous congestion in liver
3 components that affect net flux and filtration
hydrostatic pressure
oncotic pressure
permeability characteristics and area of the endothelium
Oedema
accumulation of abnormal amounts of fluid in the extravascular compartment
peripheral oedema
increased interstitial fluid in body cavities
oedema transudate
alterations in the forces acting across the capillary wall
oedema exudate
part of the inflammatory process
pathophysiology of pulmonary oedema
left vent failure
right vent failure
blood retained in systemic veins
congestive heart failure
ALL ABOUT HYDROSTATIC PRESSURE
left ventricular failure in pulmonary oedema would lead to
increased arterial pressure
increased pulmonary vascular pressure
increased pulmonary blood pressure
increase pulmonary blood volume
Lymphatic obstruction is the result of
hydrostatic pressure upset
lymphatic drainage is required for normal flow - so if the system is blocked = lymphoma
upsetting of any of the starling forces can lead to
oedema