perfusion Flashcards

1
Q

what is perfusion?

A

process of delivering oxygenated blood to the tissues.

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2
Q

what is perfusion so important to health?

A

it is vital for cellular function and overall organ health

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3
Q

what is perfusion important for nursing?

A

it does ensure effective organ function and prevents concerns of ischaemia

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4
Q

what does the respiratory system ensure?

A

that there is adequate oxygenation

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5
Q

what does the respiratory system prevent the reduction of?

A

preventing reduced ventilation and/or gas exchange

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6
Q

the respiratory system : what should you consider if oxygenation is not manageable?

A

Consider oxygenation or ventilatory support if oxygenation not manageable via airway/respiratory manoeuvres.

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7
Q

mechanisms of perfusion: what is central perfusion?

A

Involves blood flow from the heart to the major organs. This is driven by cardiac output!!

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8
Q

mechanisms of perfusion: what is the peripheral perfusion?

A

Circulates blood from the arteries to peripheral tissues, ensuring oxygen and nutrient nourishment.

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9
Q

capillary exchange: what is it driven by?

A

filtration

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10
Q

capillary exchange: what is it

A

oxygen, nutrients and waste products between blood and tissues being exchanged with capillaries.

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11
Q

hydrostatic pressure: what is it?

A

“The pressure exerted by a fluid at equilibrium at any point of time due to the force of gravity”.

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12
Q

hydrostatic pressure: what can the fluid pressure be caused by?

A

Thefluid pressurecan be caused by gravity, acceleration or forces when in a closed container.

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13
Q

Oncotic pressure: what is it influenced by?

A

plasma proteins

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14
Q

oncotic pressure: why does it provide a pressure?

A

to prevent too much fluid leaking out of the capillaries

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15
Q

oncotic pressure: what also can produce an oncotic pressure?

A

salt’s and glucose.

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16
Q

why is perfusion so important?

A

effective perfusion relies on:
- having an adequate blood pressure
- having adequate blood volume
- having adequate vascular resistance

17
Q

what can impact perfusion?

A
  • hypoperfusion and shock
  • inadequate oxygenation
  • heart failure
  • peripheral artery disease
18
Q

how should you maintain perfusion?

A
  • maintain adequate hydration
  • consideration for IV fluids if not tolerating oral fluids
  • vasopressor medication to support heart function
  • inotropic medication to support heart contractility
  • ensure effective venous return (preload)
  • manage increasing peripheral resistance (afterload).
19
Q

blood pressure equation?

A

blood pressure (BP) = cardiac output (CO) x vascular resistance (VR).

20
Q

stroke volume (SV) x heart rate = ?

A

cardiac output (CO)