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22 Cards in this Set

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What are the Murmurs that are heard during systole?
Mitral regurgitation
Aortic Stenosis
Interventricular septal defect
Patent ductus arteriosus
Tetralogy of Fallot
What are the murmurs that are heard during systole?
Mitral stenosis
Aortic Regurgitation
Tricuspid valve stenosis
Patent ductus arteriosus
Events that occur during progressive shock
Increase Capillary permeability
Vasomotor center failure
Peripheral circulatory failure
decreased cellular mitochondrial activity
Acidosis
Urine output decreases
When to administer a sympathomimetic drug to prevent shock?
To counter act HTN (as a vasoconstrictor)
1. Spinal cord injury
2. very deep anesthesia
3. Anaphylactic shock
When to give a balanced electrolyte solution as a treatment for shock?
Excess vomiting
Hemorrhage
Overuse of diuretics
Diarrhea
What is the first heart sound caused by?
Closing of the atrioventricular valves
What is the second heart sound caused by?
Closing of Pulmonary and Aortic valves
What is the 3rd heart sound associated with?
Inrushing of blood into the ventricles in the early to middle part of diastole
What is the 4th heart sound associated with?
Inrushing of blood into the ventricles caused by atrial contraction occurs @ end of diastolic period

"Kick" that increase output by 25-30%
Aortic valve regurgitation associated with?
Increased Pulse pressure
Decreased diastolic pressure
Compensated hemorrhagic shock
How is progression prevented?
Increased heart rate
stress-relaxation -> constrict veins
Increase ADH -> water retention
CNS- Ischemic response (which increase sympathetic output, increase absorption, increase volume in the vasoculature)
How do the following affect hypertrophy in the ventricles?
1. Pulmonary valve regurgitation
2. Aortic stenosis
3. Mitral stenosis
4. Tricuspid stenosis
1. Pulmonary valve regurgitation -> RT ventricle hypertrophy
2. Aortic stenosis-> LF ventricle hypertrophy
3. Mitral stenosis-> Ventricles stay normal
4. Tricuspid stenosis-> Ventricles stay normal
Patient received influenza inoculation and went into shock...what is the treatment?
Sympathomimetic drug
Overdose of furosemide.. What is the treatment?
Replace volume lost in the urine by infusion of a balanced electrolyte
What can cause increase in left atrial pressure?
Mitral stenosis
Aortic regurgitation
Mitral regurgitation
What can cause increase in Right Atrial pressure?
Tricuspid stenosis and regurgitation
what is a shock that causes increase in cardiac output?
Septic shock
What can cause left side of heart to enlarge?
Aortic stenosis
Aortic regurgitation (increased in pulse pressure)
In intestinal obstruction what is the treatment?
due to severe reduction in plasma volume-> treat with replacing plasma
Progressive shock
-Acidosis
-Blood agglutination
-Vessels blocked
-Necrosis of liver
-Mitrochondrial activity decreases
- Increased capillary permeability
- Increased release of hydrolases by the lysosomes
- decreased in cellular metabolism of glucose
Progressive HEMORRHAGIC shock
-decrease in cardiac contractility
- vasomotor center is depressed
-Acidosis
-Endotoxin release
-Increased capillary permeability
-Active transport of Na/K decreases
Burned patients.. Treatment?
Treat with Plasma infusion