Fluid and Hemodynamics Flashcards
What is Edema? What is Edema a pointer to?
Accumulation of interstitial fluid within tissues; Cardiac failure (Right) or Renal failure
Total Body Mass
40% Solid, 60% Water - 2/3 Intracellular Fluid, 1/3 - Extracellular Fluid - 80% Interstitial Fluid and 20% Plasma
Pulmonary Edema
Left Ventricular Heart Failure
Inflammatory VS Non-Inflammatory Edema
Inflammatory - Increased vascular permeability, Exudate; Non-Inflammatory - Hemodynamic cause, Transudate
Increased Hydrostatic Pressure Cause
Impaired Venous Return - CHF, Thrombosis (DVT); Arteriolar Dilation - Heat, Neurohumoral dysregulation
Reduced Plasma Osmotic Pressure
Decreased synthesis - Hypoproteinemia, Cirrhosis (Ascites), Protein malnutrition; Increase loss - Nephrotic syndrome, Protein losing glomerulopathy/gastroenteropathy
Lymphatic Obstruction
Inflammation, Neoplasm (Orange Peel), Axillary node resection, Node scarring, Microorganisms
Sodium Retention
Renal hypoperfusion, RAAS
Hyperemia VS Congestion
Hyperemia - Active, Excess blood supplying organ, Active, Erythema, Red tissue, O2; Congestion - Passive, Abnormal accumulation of fluid (blood), Passive, Cyanosis,
Lung Congestion
Acute - Engorged alveolar capillaries, Pulmonary edema; Chronic - Macrophages fill with Hemosiderin, Fibrotic and thick septa
Liver Congestion
Acute - Distended central vein and sinusoids, Peripheral cells better oxygenated; Chronic Passive - Central regions are red/brown and less cellular or necrotic (Right side failure, Shock)
Hemorrhage
Escape of blood from vessels into tissue
Inherit - Hemophilia, von Willebrand Disease
Acquired - Warfarin therapy, Liver failure, Vit K deficiency, DIC
Petechiae
1-2mm, Focal hemorrhage, Non-raised
Purpura
3-5mm, Focal hemorrhage, Flat or Raised
Ecchymosis
1-2cm, Widespread Petechiae
Hematoma
Localized collection of blood in tissue, organ or space
Hemopericardium
Blood in pericardium, Rupture of aorta, heart
Hemothorax
Blood in pleural cavity, Trauma or Aortic rupture
Hemoperitoneum
Blood in peritoneal cavity, Rupture of aorta, spleen, liver
Hemoarthrosis
Blood in joint space, Bleeding disorder, Trauma
Hemorrhage Color
Early = Hemoglobin (Black and Blue)
1st Day = Bilirubin (Blue and Red)
1-2 Days = Biliverdin (Blue and Green)
3-4 Days = Biliflavin/Hemosiderin (Yellow/Brown)