Hemodynamics Flashcards
Cardiogenic shock results from _____ and/or to generate an adequate blood pressure to perfuse distal tissues.
failure of the heart to pump an adequate amount of blood
Infarcts are areas of tissue death (necrosis) caused by _____.
ischemia
A red infarct includes a _____, a _____, and ____ tissue that permits movement of blood from adjacent areas into the necrotic area.
venous occlusion; a dual blood supply; loose
Heart failure, fluid overload, venous obstruction or compression, or arteriolar dilation can all cause ____.
increased hydrostatic pressure
______ in the arterial system most commonly occurs due to endothelial injury and turbulent blood flow, often associated with atherosclerosis.
Thrombosis
Thrombosis in the arterial system most commonly occurs due to ______ and _____, often associated with atherosclerosis.
endothelial injury; turbulent blood flow
What can cause abnormal blood flow?
stasis (a-fib, bed rest), turbulence (atherosclerosis)
Hydrostatic pressure “pushes” fluid from the capillary into the interstitial space on the _____.
arterial end
What is an active increase in blood flow due to arteriolar dilation called?
hyperemia
What is a thromboemboli?
an emboli that was a thrombus or part of one
____ often presents clinically with anemia, respiratory insufficiency, convulsions, acute renal failure, and shock.
DIC
______ most commonly occur in the coronary, cerebral, and femoral arteries.
Arterial thrombi
Patients with hypovolemic and cardiogenic shock typically present with ____, _____, and _____.
coolness and pallor of their skin, tachycardia, and decreased urine output
Where do transudates typically occur?
in intact vessel walls under increased pressure
As the thrombus propagates, additional layers of platelets, red cells and fibrin added to the thrombus become less stable and are prone to fragmentation, forming _______.
thromboemboli
Hypovolemic shock occurs when _____, and the cardiac output decreases because there is low blood return to the heart.
there is not enough blood volume to widely perfuse all tissues
_____ occurs when there is not enough blood volume to widely perfuse all tissues, and the cardiac output decreases because there is low blood return to the heart.
Hypovolemic shock
What happens when a clot lodges in the brain?
stroke
Shock occurs when the circulating blood volume or blood pressure is ____.
not adequate to perfuse body tissues
____ occurs when the circulating blood volume or blood pressure is not adequate to perfuse body tissues.
Shock
Name 2 ways fluid inappropriately accumulates in the tissues.
1) damage to capillary walls 2) inadequate lymphatic drainage
_____ typically initially presents with warm, flushed skin and fever.
Septic shock
What is DIC?
hemorrhage and thrombosis occurring simultaneously and systemically
The _____ can be caused by any underlying condition that results in release of procoagulants.
systemic activation of thrombin
Fluid movement into the body cavity is called ____.
effusion
Damage to capillary walls or inadequate lymphatic drainage can cause _____.
fluid to inappropriately accumulate
Emboli in the _____ most commonly lodge in the lungs.
venous/right sided system
_____ results from failure of the heart to pump an adequate amount of blood and/or to generate an adequate blood pressure to perfuse distal tissues.
Cardiogenic shock
_____ is a subtype of shock due to systemic inflammation (SIRS), occurring when microbial infections cause high levels of inflammatory mediators in the blood leading to widespread arterial vasodilation, vascular leakage, and venous blood pooling.
Septic shock
What can cause fluid overload?
infusions or renal failure
What is hyperemia?
an active increase in blood flow due to arteriolar dilation
What happens when a clot lodges in the kidney?
acute kidney injury
Emboli in the venous/right sided system most commonly lodge in the ____.
lungs