• NRS 225 Perfusion Shock, Cardiomyopathy, DIC
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•	 NRS 225 Perfusion- Shock, Cardiomyopathy, DIC
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---18March 20232022/2023
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NRS 225 Perfusion- Shock, Cardiomyopathy, DIC 
Perfusion 
•	Normal Perfusion 
o	3 Layers: epicardium (outer most); myocardium; endocardium (inner most) 
o	4 Chambers: 2 atria; 2 ventricles 
o	 Pump- Heart; Tubing- Blood Vessels; Fluid- Blood 
o	Systole: ventricular contraction // Diastole: ventricular relaxation: “lub-dub” 
o	Circulation 
▪	Pulmonary: right side of heart lungs 
▪	Systemic: left side of heart body 
▪	Coronary: supplies heart 
o	Cardiac Cycle: contractio...
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