Factors affecting oxygen supply - Answers Ventilation, perfusion, diffusion
Preload - Answers volume of blood in ventricles at end of diastole
Afterload - Answers The force or resistance against which the heart pumps.
Contractility - Answers strength of contraction
Factors affecting preload - Answers -Volume/venous return
-Atrial kick
Factors affecting afterload - Answers -Vessel diameter
-Viscosity
-Valves
Factors affecting contractility - Answers -Starlings law
-SNS stimulation
-Hx
-Meds
Factors affecting oxygen demand - Answers -Temp
-Pain
-Trauma
-Illness
-Infection
-Emotional distress
Ectopic pregnancy - Answers Pregnancy where fertilized egg implants itself outside of endometral cavity
Heterotopic pregnancy - Answers Coexistance of ectopic and intrauterine pregnancy
Hemodynamic shock - Answers acute clinical syndrome initiated by ineffective perfusion, resulting in
severe organ dysfunction
Signs of hemodynamic shock - Answers hypotension, tachycardia, tachypnea, cool and clamy
extremities, oliguria, dysglycemia, delirium
, Types of shock - Answers Hypovolemic, distributive, cardiogenic, obstructive
4 major adenergic receptors - Answers Alpha 1- induces vasoconstriction
Alpha 2- decreases norepinephine
Beta 1- positive chrono-dromo-inotropic properties
(increase AV node conduction, HR, and contractility)
Beta 2- smooth muscle relaxation
(bronchodilator)
Inotropic - Answers increase contractility
Chronotropic - Answers Increase HR
Domotropic - Answers Increase rate of AV node conduction
Lusitropic - Answers Increased relaxation of myocardium during diastole
Epinephrine - Answers Poternt mixed alpha and beta adrenergic agonist (vasoconstrict and increases
rate + contractility)
Norepinephrine - Answers Endogenous catecholamine w/ potent alpha and beta adrenergic effects
(arterial and venous vasoconstriction w/ minimal increase in HR)
Dopamine - Answers Alpha and beta agonist that also stimulates dopaminergic receptors (low dose
vasoconstriction and high dose vasocontriction and increased CO)
Dobutamine - Answers Synthetic catecholamine thats predominenly beta adenergic w/ limited alpha
adenergic effects (increase CO and systemic peripheral vascular resistance)
Phenylephrine - Answers Alpha adrenergic agonist (temporary short acting solution to restore BP via
vasoconstriction)
Vasopressin - Answers Stress hormone released during shock (reverses vasodilation in vasopressor-
resitant shock)
Crystyalloids - Answers Closely mimic extracellular fluid and classified by tonicity (isotonic, hypotonic,
hypertonic) ex. NS, RL
Isotonic fluids - Answers Same tonicity as plasma
Hypotonic fluids - Answers Lower solutes than plasma cause fluid shift into intracellular
Hypertonic fluid - Answers Higher solutes that plasma cause fluid shift into extracellular