The body's response to shock Flashcards
stretch sensitive receptors that continuously measure the pressure inside the aorta and carotid arteries
baroreceptors
The compensatory mechanisms associated with shock are initiated and maintained through 2 major pathways:
- direct sympathetic nerve stimulation and
- the release of hormones
The effects of the sympathetic stimulation which occurs immediately are:
- increase heart rate
- increase force of ventricular contraction
- vasoconstriction
- stimulation of the release of epinephrine & norepinephrine from the adrenal gland
epinephrine stimulates
alpha and beta receptors
norepinephrine stimulates
mostly alpha receptors
Alpha effects
- vascular smooth muscle cause vasoconstriction (pale, cool skin) (narrowing pulse)
- stimulation of sweat glands (clammy skin)
Beta1 effects
stimulates the heart, causing increase in heart rate & force of contraction, speeds up electrical impulse.
Hormones effect
decrease urine output, cause further vasoconstriction, increase heart rate & contractility & increase in glucose
detect decreased blood pressure and trigger corrective responses
Baroreceptors
Beta2 effects
- Bronchial smooth muscle dilation
- Skeletal muscle contractility
Blood Pressure(BP)=
BP= CO x SVR
blood pressure= cardiac output x systemic vascular resistance
Cardiac Output(CO)=
CO=HR x SV
cardiac output= heart rate x stroke volume