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PRINCIPLES II PLANCENTER CIRCULATION

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Question
Answer
UTERINE BLOOD FLOW IS AT WHAT RATE   500 - 700 ML/MIN  
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IS UBF AUTOREGULATED   NO IT IS NOT AUTOREGULATED  
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UBF   IS DIRECTLY PROPORTIONAL TO MEAN PERFUSION PRESSURE ACCROSS THE UTERUS AND INVERSELY PROPORTIONAL TO UTERINE VASCULAR RESISTANCE  
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WHAT DOES HYPOTENSION DO TO UBF   IT DECREASES UBF  
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WHAT DOES EPIDURAL OR SPINAL ANESTHESIA DO TO UBF   IT DOES NOT ALTERED UBF IF MATERNAL HYPOTENSION IS AVOIDED.  
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WHAT DOES UTERINE VASCUCLAR RESISTANCE (UVR) DO TO UTERINE   UVR CAUSES UTERINE CONTRACTIONS AND IT DECREASE UTERINE BLOOD FLOW. IT ALSO CAUSES ENDOGENOUS RELEASE OF CATECHOLAMINES R/T MATERNAL STRESS & PAIN  
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WHAT IS ANESTHESIA CONSIDERATION   EPHEDRINE IS NOT ASSOCIATED WITH SIGNIFICANT DECREASES IN UBF  
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PLACENTAL EXCHANGE OCCURS   PRIMARILY BY DIFFUSION  
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WHAT DOES THE DIFFUSION DEPEND ON   THE DIFFUSION DEPENDS ON MATERNAL-TO-FETAL CONCENTRATION GRADIENTS, MATERNAL PROTEIN BINDING, MOLECULAR WEIGHT, LIPID SOLUBILITY, AND DEGRESS OF IONIZATION OF SPECIFIC SUBSTANCE  
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WHAT DRUGS DO NOT CROSSES THE PLANCENTA   BARBS, OPIATE, LA, DO NOT READILY CROSSES THE PLACENTA BECAUSE THEY ARE (LOW MW). NDNM AGENT ARE (HIGH MW, POORLY LIPOID SOLUBLE) AND SUCC (HIGHLY IONIZED) DON NOT READILY CROSS THE PLANCENTA  
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DUCTUS VENOSUS   SHUNTS BLOOD FROM THE UMBILICAL VEIN TO THE INFERIOR VC (BYPASSING THE LIVER)  
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FORAMEN OVALE   SHUNTS BLOOD FROM THE RA TO LA  
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DUCTUS ARTERIOSUS   SHUNTS BLOOD FROM THE PULMONARY ARTERY TO DESCENDING AORTA (BYPASSING LUNGS). BRAIN AND UPPER BODY RECEIVE WELL OXYGENATED BLOOD ABDOMEN AND LOWER BODY RECEIVE LESS WELL OXYGENATED BLOOD  
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HOW DOES THE FETUS GET OXYGENATED BLOOD   WELL OXYGENATED BLOOD ENTERS THE FETUS FROM THE PLANCENTA VIA THE UMBILICAL VEIN  
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HOW MANY SOURCES DOES IVC HAS   IT HAS THRESS SOURCES  
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BLOOD ENTERS THE RA FROM THE IVC; BETTER SATURATED BLOOD ENTERS THE LA VIA THE FORAMEN OVALE (SHUNT BETWEEN RIGHT AND LEFT ATRIA) (TRUE OR FALSE)   TRUE  
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FROM WHEN DOES THE BLOOD ENTER THE ASCENDING AORTA.   BLOOD ENTER THE LV AND IS EJECTED INTO THE ASCENDING AORTA  
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BLOOD RETURNS TO THE HEART VIA WHAT?   BLOOD RETURNS TO THE HEART VIA THE SVC AND COMBINES WITH BLOOD IN THE RA  
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FROM THE RA WHEN DOES THE BLOOD GOES TO   IT ENTERS THE RV AND IS EJECTED INTO THE PULMONARY ARTERY; SMALL AMOUNT GOES TO THELUNGS REMAINDER SHUNTED ACROSS THE DUCTUS ARTERIOUSUS (PULM ARTERY TO AORTA)  
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