Perfusion Principles and Vascular Diseases

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Questions and Answers

Which component contributes to the strength of heart contractions?

  • Heart Rate
  • Afterload
  • Contractility (correct)
  • Preload

What is the normal range for cardiac output in liters per minute?

  • 12 - 16 L/min
  • 4 - 8 L/min (correct)
  • 8 - 12 L/min
  • 2 - 4 L/min

What is a common treatment for Peripheral Vascular Disease?

  • Angioplasty (correct)
  • Increased sodium intake
  • Regular exercise
  • Medications for hypertension

Which risk factor is considered non-modifiable in altered perfusion?

<p>Older age (D)</p> Signup and view all the answers

What does afterload refer to in the context of cardiac function?

<p>The pressure the left ventricle has to pump against (A)</p> Signup and view all the answers

Which of the following is a modifiable risk factor for altered perfusion?

<p>Diabetes (C)</p> Signup and view all the answers

Which laboratory test is typically assessed to determine an individual’s gas exchange status?

<p>Arterial blood gas analysis (A)</p> Signup and view all the answers

What can cause pooling of oxygenated blood in the extremities?

<p>Peripheral Vascular Disease (C)</p> Signup and view all the answers

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Study Notes

Perfusion Principles

  • Perfusion relies on blood vessel size, cardiac output, and blood pressure.
  • Cardiac output (CO) is the volume of blood pumped by the heart per minute: CO = Heart Rate (HR) x Stroke Volume (SV).
  • Stroke volume is influenced by contractility (force of contraction), preload (blood returning to the heart), and afterload (ventricular pressure against which the heart pumps).
  • Normal cardiac output is 4-8 L/min.

Hypertension

  • Elevated blood pressure.

Peripheral Vascular Disease (PVD)

  • Impaired return of deoxygenated blood to the heart.
  • Oxygenated blood pools in extremities causing edema (swelling), but not gangrene (tissue death).
  • Risk factors include smoking, diabetes, high cholesterol, and hypertension.
  • Treatment may involve elevation of veins, medications (aspirin, clopidogrel, statins), and surgeries (angioplasty, bypass surgery, endarterectomy).

Eclampsia and Preeclampsia (including HELLP Syndrome)

  • Eclampsia and preeclampsia are pregnancy-related hypertensive disorders. (Note: detailed descriptions of these conditions aren't provided in the original text).
  • HELLP syndrome is a life-threatening complication associated with preeclampsia. (Note: detailed descriptions of HELLP are not provided).

Risk Factors for Altered Perfusion

  • Modifiable: Hypertension, smoking, diabetes, high cholesterol, obesity, sedentary lifestyle, poor diet (high cholesterol, fat, sodium, potassium, alcohol, and sugar), stress.
  • Non-Modifiable: Family history, older age, male sex, Black race.

Prevention Strategies for Altered Perfusion

  • (Note: The original text does not include specific prevention strategies).

Assessment Data for Gas Exchange

  • (Note: The original text does not specify assessment data or diagnostic/laboratory tests for gas exchange).

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