circulatory disturbances Flashcards

(28 cards)

1
Q

microcirculation

A

small arteries proximal to a capillary bed

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2
Q

metaarterioles

A

arterial cappilaries

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3
Q

capollaries

A

thin, semipermeable vessels that connect arterioles and venules

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4
Q

post capillary venules

A

small vessels that merge to form veins after collecting blood from a capillary network

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5
Q

what are the roles of vascular endothelium

A
  • role in hemostasis
  • modulates perfusion
  • role in inflammation
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6
Q

nitric oxide causes

A

vasodilation

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7
Q

endothelin causes

A

vasoconstriction

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8
Q

hemostasis

A

arrest bleeding by the physiological properties of vasoconstriction and coagulation or by surgical means

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9
Q

homeostasis

A

a tendency to stability in the normal body state

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10
Q

interstittum

A

space between tissue compartments (microcirculation and the cells)

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11
Q

extracellular matrix

A

composed of structural molecules and ground substances

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12
Q

hydrostatic pressure

A

moves fluid out of the vasculature

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13
Q

osmotic pressure (oncotic pressure)

A

moves fluid into the vasculature

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14
Q

circulatory disturbances consist of

A
  • edema
  • hyperemia and congestion
  • hemostasis
  • hemorrhage
  • thrombosis, Embolism and DIC
  • Infarction
  • shock
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15
Q

edema

A

abnormal accumulation of excess extracellular water in interstitial spaces or in body cavaties

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16
Q

generalized edema makes us think three things:

A
  • cardiac failure
  • liver disease
  • some type of protein loss
17
Q

inflammatory

A
  • increased vascular permeability
  • high protein content
  • high specific gravity
  • increased cells
18
Q

non- inflammatory

A
  • edema of CHF
  • edema of liver failure
  • transudate
  • low protein conten
  • low specific gravity
  • low cellularity
19
Q

pitting edema

A

when pressure is applied to an area of edema a depression or dent results as excessive interstitial fluid is forced to adjacent areas

20
Q

hydrothorax

A

fluid in the thoracic cavity

21
Q

anasarca

A

generalized edema with profuse accumulation of fluid within the subcutaneous tissue

22
Q

chronic pulmonary edema

A
  • most commonly associated with cardiac failure
  • alveolar walls become thickened
  • congestion, micro-hemorrhages
23
Q

hyperemia

A

indicates increase of arteriole-mediated engorgement of the vascular bed. Blood is oxygenated

24
Q

congestion

A

indicates passive, venous engorgement. Blood is not oxygenated

25
pulmonary congestion
usually the result of heart failure and associated with edema
26
subacute to chronic hepatic congestion is usually the result of
right-sided CHF
27
hemorrhage
is defined as the escape of blood from the blood vessels
28
causes of hemorrhage
- trauma - sepsis, viremia, bacteremia, or toxic conditions - abdominal neoplasia may lead to hemoperitoneum - coagulation abnormalities