Shock & Haemodynamic monitoring Flashcards

1
Q

what are the consequences of a high SVR ?

A
  • High MAP
  • Low CO
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2
Q

What is MAP ?

A

CO x SVR

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3
Q

What are the causes of low BP?

A
  • Low CO
  • Loss of peripheral vascular resistance
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4
Q

What is CO?

A

SV x HR

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5
Q

Tachycardia is a compensatory mechanism for what variable

A

SV due to increased diastolic filling

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6
Q
A
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7
Q

Sympathetic effect on beta receptor?

A
  • Increased HR
  • Increased contractility
  • Increased speed of AV conduction
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8
Q
A
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9
Q

Parasympathetic effect on muscarinic receptors?

A
  • Decrease HR
  • Decrease contractility
  • Decrease speed of AV conduction
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10
Q

Sympathetic effect on arterial vasculature?

A
  • Beta = dilation
  • Alpha = Constriction
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11
Q

Pressure difference between the arterial and pulmonary circulation?

A

Pressure in the arterial circulation is 6 times that of the pulmonary circulation

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12
Q

Frank starling curve?

A
  • Increase in preload
  • Increase LVEDV
  • Increase SV

Further increases in LVEDV will not lead to increases in SV

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13
Q

The venous return is always equal to?

A

Cardiac output if no change in circulating volume

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14
Q

Number of ATP produced during aerobic and anaerobic respiration ?

A
  • Aerobic - 34
  • Anaerobic - 2
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15
Q

Types of shock?

A
  • Hypovolaemic
  • Distributive
  • Cardiogenic
  • Obstructive
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16
Q

What are the characteristics of hypovolaemic shock?

A
  • Volume depletion
  • ## Haemorrhage or water loss (e.g diarrhea)
17
Q

Consequences of neurogenic shock on BP & HR?

A

Hypotension and bradycardia

18
Q

What are the characteristics of distributive shock?

A
  • Vasodilation
  • Types: Neurogenic, anaphylactic, septic
19
Q

What are the characteristics of cardiogenic shock?

A
  • ## Pump failure
20
Q

Clinical signs of LV failure?

A
  • High SVR
  • Cold and clammy peripherally
  • Pulmonary oedema
21
Q

Clinical signs of RV failure ?

A
  • Hypoxic
  • High systemic venous pressures
  • Peripheral oedema
  • High CVP
  • Gut oedema
22
Q

Characteristics of obstructive shock?

A
  • Blockage to flow of blood
  • PE/PTX
  • Low BP
23
Q

What is the normal SVO2?

A

75%

24
Q

Important facts about CVS?

A
  • SBP determines LV afterlad
  • MAP determines organ perfusion
  • Diastolic determines coronary perfusion
  • Pulse pressure (SBP-DBP)
25
Q

Benefit of corticosteroid in septic shock?

A

Sensitizes alpha receptors making them more responsive to pressors