Chapter 20- ❤️ Failure & Circulatory Shock Flashcards Preview

Pathophysiology Exam 2 > Chapter 20- ❤️ Failure & Circulatory Shock > Flashcards

Flashcards in Chapter 20- ❤️ Failure & Circulatory Shock Deck (54)
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1

Functions of the heart



The heart moves __________________ blood from the venous system through the __________ ___________ into the ______________ circulation.

- deoxygenated
- right heart
- pulmonary

2

The heart moves ______________ blood from the pulmonary circulation through the ________ heart into the _______ system.

- oxygenated
- left heart
- arterial

3

Preload?

Amount of blood coming back to the heart

4

Afterload?

Amount of blood going out of each ventricle

5

Acute heart failure develops __________?

Rapidly

*immediately life threatening

6

Chronic Heart Failure is a condition associated with what?

The heart undergoing adaptive responses

* adaptive responses can make heart failure worse*

* most common today

7

Patients with cardiomyopathy ultimately need what?

A ❤️ transplant

8

Frank - Starling mechanism serves to do what?

To match the output of both ventricles

9

Frank - Sterling mechanism operates through what?

Increase preload

10

Frank-Starling mechanism can lead to what?

Ventricular wall tension


- results in
- increase in myocardial oxygen requirements leading to ischemia of the heart and further damage

11

Sympathetic reflexes are “_____ or _____”

Fight or flight

12

Sympathetic reflexes do what?

- increase HR
- increase BP

13

What side of the ❤️ is the aortic valve on?

Left side

14

What side of the ❤️ is the mitral valve on?

Left side

15

Causes of left sided heart failure?

- Acute myocardial infarction
- Cardiomyopathy
- Mitral valve regurgitation
- Aortic valve stenosis and regurgitation

**ALL LEFT SIDED**
🤯🤯🤯

16

Signs and symptoms of left sided heart failure?

- SOB
- Dyspnea (due to fluid in the lungs)
- Cyanosis
- Paroxysmal nocturnal Dyspnea
- Cheyne-stokes

17

Left sided heart failure affects the _________?

Lungs

*Left- Lungs*

18

Symptoms of left sided heart failure?

- cough
- crackles
- wheezes
- blood tinged sputum
- Tachypnea
- restlessness
- confusion
- orthopnea
- tachycardia
- exertional Dyspnea
- fatigue
- cyanosis

19

Why does left sided heart failure affect the lungs?

Backing up into VENTRICLES
(Ventricles can’t contain)

Flows into ATRIA
(Atria can’t contain)

Backflows into the lungs

20

What sound does fluid in the lungs produce?

Crackles

21

In patients with CHF
- sleeping flat= _______
- sleeping with multiple pillows/ in recliner = ______

Sleeping flat = Good
Sleeping w/multiple pillows/recliner = Bad

22

Right sided Heart Failure Signs and Symptoms?

- Fluid retention and edema
- Fatigue and limited exercise tolerance
- cachexia and malnutrition
eat or breathe? —> patients would rather breath!
- distention of the jugular veins in right sided HF
- Diaphoresis and tachycardia

23

Increased peripheral venous pressure is seen in what type of CHF?

Right sided heart failure

24

Ascites?

Fluid in abdomen

25

Ascites is seen in what type of CHF?

Right sided heart failure

26

Enlarged liver and spleen is seen in what type of CHF?

Right sided CHF

27

Distended jugular veins = _____________ CHF?

Right sided

28

Anorexia and complaints of GI distress are seen with what type of CHF?

Right sided

29

Swelling in hands and feet is associated with what type of CHF?

Right sided

30

Dependent edema is seen in patients with what type of CHF?

Right sided CHF