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57 Cards in this Set
- Front
- Back
pathology
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the study of disease and its causes
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pathophysiology
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the physiology of disorded function
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In Shock
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many physiological changes occur before the classic signs, hypotension and rapid pulse, become evident. Therefore, you must treat for shock promtly based on the mechanism of injury and early, subtle signs and symptoms, without waiting for classic signs to appear
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types of cellular adaption
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atrophy
hypertrophy hyperplasia metaplasia dysplasia |
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Atrophy
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decrease in cell size resulting from decrease in work load
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hypertrophy
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increase in cell size resulting from increase in workload
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dilation
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enlargment, in reference to the heart, an abnormal enlargment resuulting from pathology
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hyperplasia
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in increase in the number of cells resulting from cell division caused by an increase in workload
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mitosis
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cell division with the division on the nucleus
is the process by which the body grows |
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metaplasia
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replacment by one type of cell with another type of cell that is not normal for that tissue
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dysplasia
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a change in cell size, shape, and appearance cause by external stressor
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forms of cellular injury
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hypoxia
chemicals infectious agents inflammatory reations physical agents nutritional factors genetic factors |
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hypoxia
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oxygen deficiency
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ischemia
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a blockage in the delivery of oxygenated blood to the cells
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pathogen
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a microorganism capable of producing infectious disease
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pathogen vs body possible outcomes
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pathogens wins
pathogen and body battle to a draw body defeats pathogen |
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anabolism
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the constructive phase of metabolism in which cells convert nonliving substances into living substances
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catabolism
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the destructive phase of metabolism in which cells break down complex substances in simpler substances with release of energy
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cellular swelling
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swelling of a cell caused by injury to or change in permiability of the cell membrane with resulting inability to maintain stable intra and extra cellular fluid in electrolyte levels
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fatty change
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a result of cellular injury and swelling in which lipids(fat vesicles) invade the area of injury; occurs most commonly in fever
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apoptosis
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a response in which an injured cell releases enzymes that engulf and destroy itself; on way the body rids itself of damaged and dead cells
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necrosis
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cell death; a pathological cell change(usually normal)
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gangrenous necrosis
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refers to tissue death over a wide area(always pathological)
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edema
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excess fluid in the interstitial space
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erythrocytes
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red blood cells
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leukocytes
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white blood cells
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thrombocytes
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platlets
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hemoglobin
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an iron based compound that binds with oxygen and transports it to the cell
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hemacrit
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the percentage of blood occupied by erythrocytes
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if you see signs and symptoms of transfusion reaction you should
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stop the transfusion immediatly
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hemoglobin based oxygen carrying solutions
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intravenous fluids with the ability to transpot oxygen
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colloids
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substances, such as proteins or starches, consisting of alrge molecules or molecule aggregates that disperse evenly within a liquid without forming a true solution
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albumin
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a protein commonly present in plant and animal tissue. In blood albumin works to maintain blood volume and blood presure and provides colloid osmotic presure, which prevents plasma from leaving the capillaries
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crystalloids
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substances capable of crystalization. In solution,unlike colloids, they can diffuse through a membrane, such as a capillary wall.
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tonicity
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solute concentration or osmotic pressure releative to the blood plasma or body cells
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Acid based derangments
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respiratory acidosis
respiratory alkalosis metabolic acidosis metabolic alkalosis |
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respiratory acidosis
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acidity caused by abnormal retention of carbon dioxide resulting from impaired ventilation
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respiratory alkalosis
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alkalinty cause by excessive elimination of carbon dioxide resulting from increase respiration
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metabolic acidosis
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acidity caused by an increase in acid, often because of increase production of acids during metabolism or from causes such as vomiting, diarrhea, dizbetes, or medication
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metabolic alkalosis
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alkalinty caused by an increase in plasma bibarbonate resulting from causes including diuresis, vomiting, or ingestion of too much sodium bicarobnate
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diuretic
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an agent that increase urine secreation and elimination of body water
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hypoperfusion
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inadequate perfusion of the body tissues, resulting in an inadequate supply of oxygen and nutrients to the body tissues. Also called shock
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aerobic metabolism
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the second stage of metabolism requiring the presence of oxygen, in which the breakdown of glucose(in a process called the krebs cycle) yields a high amout of energy
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anaerobic metabolism
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the first stage of metabolism which does not require oxygen, in which the breakdown of glucose(in a process called glycolysis) produces pyvuric acid and yields very little energy. means without oxygen
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stages of shock
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compensated shock
decompensated shock (progressive) irreversible |
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compensated shock
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early stage of shock in which the body's compensatory mechanisms are able to maintain normal perfusion
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decompensated shock
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advanced stages of shock when the body's compensatory mechanisms are no longer able to maintain normal perfusion; also called progressive
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irreversible shock
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shock that progressed so far that no medical intervention can reverse the condition and death in ineviatable
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Types of shock
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cardiogenic
hypovolemic neurogenic anaphylatic septic |
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cardiogenic shock
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shock caused by insufficient cardia output; the inability of the heart to pump enough blood to perfuse all parts of the body
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hypovolemic shock
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shock caused by loss of intravascular fluid volume
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osmotic diuresis
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greatly increase urination and dehydration due to high levels of glucose that cannot be reabsorbed into the blood form the kidney tubules, causing a loss of water into the urine
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neurogenic shock
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shock resulting form the brain ro spinal cord injury that causes an interuption or nerve impulses to the arteries with loss of arterial tone, dilation, and relative hypovolemia
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anaphylaxis
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a life threating alergic reation
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septic shock
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shock that develops as the result of infection carried by the bloodstream, eventually causing dysfunction of multiple organ systems
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multiple organ dysfuntion syndrome
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progressive impairment of 2 or more organ systems resulting from an uncrontrolled inflammatory response to a severe illness or injury
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progression of MODS
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infection
sepsis septic shock MODS Death in not corrected early |