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Ventilation, Perfusion, and Shock

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Term
Definition
pathophysiology   the study of how disease processes affect the function of the body  
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ATP   adenosine triphosphate the cells internally created fuel that powers all of the other cell functions  
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mitochondria   the structures of the cell that are responsible for converting glucose and other nutrients into the form of energy known as ATP  
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Metabolism   the cellular function of converting glucose into ATP (energy)  
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electrolytes   substances that separates into charged particles after dissolving in water  
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aerobic metabolism   when glucose is metabolized with sufficient O2 levels  
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Anaerobic metabolism   when glucose is metabolize with inadequate supply of O2  
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hydrostatic pressure   the pressure that pushes water out of the vessels towards the cells when the heart beats  
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plasma oncotic pressure   the large proteins in the plasma attracting and binding water away from the body cells back into the vessels  
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stretch receptors   sensors in blood vessels that identify internal pressure  
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hypertension   when there is a high level of SVR due to constriction of the peripheral blood vessels  
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SVR   Systemic Vascular Resistance - the pressure inside the blood vessels that the heart has to pump against  
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Loss of Tone   when vessels increase or decrease in diameter, due to injuries in the brain/spinal cord, severe systemic infections, and systemic allergic reactions  
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Excessive Permeability   when capillaries become overly permeable/leaky ie. sepsis, high altitude  
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stroke volume   the volume of blood ejected in one squeeze. Average person is 70mL/contraction  
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Preload   how much blood returns/fills heart before contracting  
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Contractility   the force of contraction/how hard the heart squeezes  
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Afterload   how much pressure the heart has to pump against (SVR). Greater the pressure in the system = lower stroke volume  
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Cardiac Output   Stroke Volume (Avg. 70mL) x heart rate = cardiac output per minute  
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hypoperfusion   inability of body to adequately circulate blood to supply cells with O2 and Nutrients (shock)  
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perfusion   the supply of O2 to and removal of waste from the body's cells and tissues as a result of blood circulation  
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4 Types of Shock   Hypovolemic, distributive, cardiogenic, obstruction  
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Hypovolemic Shock   low blood volume, when blood is lost (severe bleeding)  
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Distributive Shock   loss of tone occurs making smooth muscles of vessels incapable of maintaining a normal diameter ie. anaphylaxis and sepsis  
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Cardiogenic Shock   heart fails in ability to pump, due to conditions such as trauma or myocardial infarction, or an electric issue like dysrhythmia, or mechanical like damage to the heart muscle itself  
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Obstructive Shock   blood physically prevented from flowing to destinations  
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diaphoresis   cool, pale, most/sweaty skin  
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Common Responses to Shock   brain wil signal to sympathetic nervous system to begin fight or flight response; body will release hormones that signal kidneys to stop eliminating fluid and the bone marrow to start producing more red blood cells  
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Compensated Shock   when the body responds to shock accordingly to sustain normal function (at least temporarily)  
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Signs and Symptoms of Compensated Shock   -slight mental status changes (anxiety, feeling of doom) - increased HR - increased RR - delayed capillary refill time - diaphoresis, sweating  
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How much of body is water? 3 spaces where water is found and their percentages?   60% of body, Intracellular (70%), Intravascular (5%), Interstitial (25%)  
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