Vol 5 ch4

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Author:
medicdice
ID:
291472
Filename:
Vol 5 ch4
Updated:
2014-12-13 20:40:19
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LVAPEC
Folders:
Vol5
Description:
Vol5 Ch4 Hemorhage
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  1. The MIDDLE muscular layer of the blood vessels that control LUMNEN size
    TUNICA MEDIA The MIDDLE muscular layer of the blood vessels that control LUMNEN size
  2. Bleeding from the nose resulting from injury, disease, or environmental factors
    EPISTAXIS
  3. Resistance a CONCTRACTION of the heart must overcome in order to eject blood
    AFTERLOAD
  4. Abnormal Internal or External discharge of blood
    Hemorrhage
  5. Protein fibers that trap Red Blood Cells as part of the clotting process
    FIBRIN
  6. Able to live WITHOUT oxygen
    ANaerobic
  7. Outer fibrous layer of the blood vessels
    Tunica Adventica
  8. The amount of blood ejected by the heart in ONE cardiac contraction.
    Stroke volume
  9. THe bodys response to stop loss of blood
    CLOTTING
  10. A state of inadequate tissue perfusion
    Shock
  11. TO CLUSTER or COME together
    AGGREGATE
  12. An INCREASE in CARDIAC OUTPUT in proportion to the DIASTOLIC STRETCH of the heart
    Frank-Starling
  13. A PROTEIN that spurs Production OF RBC in the BONE MARROW
    ERYTHROPIETIN
  14. The PRESSURE on the Ventriclse at the end of DIASTOLE
    PRELOAD
  15. A blockage in the delivery of oxygenated blood to the cells
    ISCHEMIA
  16. Release of accumulated byproducts inthe the Venous Circulation caused by ACIDOIS
    WASHOUT
  17. The tendency of the body to maintain a Steady, Normal INternal Enviroment
    HOMEOSTASIS
  18. Sense Organ or Sensory Nerve ending that reacts to CHemical Stimuli
    CHEMORECEPTOR
  19. The forcing of blood into the Ventricles byu the COntraction of the Atrium
    Ventricular Filling
  20. Sensory Nerve Ending that is stimulated by changes in pressure
    BAROreceptor
  21. THe population MOST at riskj for trauma & trauma death is the
    Young Adult Male
  22. Sympathetic Nervous System is the Division of the Autonomic Nervous System that
    INCREASES Heart Rate
  23. Stroke Volume is Predicted By
    Preload, Afterload, and Heart Rate
  24. Blood Volume moved by the heart in one minute is
    CARDIAC OUTPUT
  25. STARLINGs LAW of the Heart is
    Process in which an INCREASE IN CARDIAC OUTPUT occurs in PROPORTION to the DIASTOLIC STRETCH Of the heart muscle fibers
  26. The layer of the ARTERY that controls the VESSELS SIZE is the
    Tunica Media
  27. Blood vessels that are called the "capacitance system" are the
    VEINS
  28. Venous Bleeding is usually
    Dark Red and Flowing
  29. Step in the CLOTTING process in which the Smooth Blood Vessel Muscle CONTRACTS, reducing the vessel Lumen, is called the
    VASCULAR PHASE
  30. The 1st step used to control EXTERNAL bleeding is
    DIRECT PRESSURE
  31. Patient has lost aprox 20% of total blood volume, Pt is anxious, restlessness, and has cool clammy skin. Which stage of shock is Pt in?
    Stage 2
  32. Blood Volume of a infant or Young Child is proportionality
    About 20% GREATER than that of an adult
  33. Tension Pneumothorax is what type of shock?
    OBSTRUCTIVE AND RESPIRATORY
  34. The 3rd step in the Glucose breakdown is called
    • Electron Transport chain
    • (releases 34 ATP)
  35. Another name for KREB CYCLE is
    Citric Acid Cycle
  36. Each Normal Breath moves a TIDAL VOLUME of ___mL
    500mL
  37. Alpha-1 receptor stimulation causes
    VASOCONSTRICTION
  38. Beta-1 receptors stimulation causes Increase Cardiac Contractile strength, aka___
    POSITIVE DROMOTROPHY
  39. After Capilary washout, body quickly moves towards
    DEATH
  40. Precipitous drop in BP signals what stage of shock?
    DECOMPENSATED
  41. If A Pt BP decreases when moved from supine to seated position that is known as a
    Orthostatic Hypotension
  42. When using the BP cuff as a tourniquet you should place the cuff
    Proximal to the hemorrhage and inflate to 20-30 mmHg above the systolic blood pressure
  43. The CIRCUALTORY SYSTEM has 3 basic components:
    • Heart
    • blood vessel
    • blood
  44. Stroke Volume is predicated on 3 factors
    • PRELOAD
    • Cardiac CONTRACTILITY
    • AFTERLAOD
  45. Three Phases in the clotting process are
    • Vascular Phase
    • Platelet Phase
    • Coagulation Phase
  46. Strong PROTEIN fibers that forma  clot are
    FIBRIN
  47. During the absence of perfusion,_________,__________,_______ accumulate in stagnant blood
    • Lactic Acid
    • Potassium
    • ANAREOBIC metabolites
  48. During Stage 2 hemorrhage, hat happens
    • Pulse Pressure begins to NARROW
    • Pulse Strength diminshes
  49. What sympathetic agents are secreted by the adrenal medulla
    • Epinephrine
    • Norepinephrine
  50. As shock progresses, the ACIDOSIS caused by the build up of lactic acid and carbon dioxide causes the post-capillary sphincter to relax, creating a condition known as
    CAPILLARY WASHOUT
  51. If a patient becomes dizzy OR has a syncopal episode when moving a SUPINE to Siting OR Standing, this is known as a
    POSITIVE TILT TEST
  52. CUPS acronym, used in triaging patients stand for
    • Critical
    • Unstable
    • Potentially unstable
    • Stable
  53. Parasympathetic Nervous System is the Division of the Autonomic Nervous System that
    DECREASES HEART RATE
  54. STOKE VOLUME is
    Volume of blood Ejected from heart with EACH BEAT
  55. PRELOAD is
    Blood Volume delivered to Atria
  56. Cardiac Contractility is
    Strength the heart contracts
  57. AFTERLAOD is
    resistance of blood flow out of the heart (aka PERIPHERAL RESITANCE)
  58. Caridac Output becomes insufficent
    BELOW 50 BPM
  59. ABOVE 180 BPM, blood returning to heart ________ as does________
    • ABOVE 180 BPM, blood returning to heart DECREASES as does:
    • Ventricular filing
    • Stroke volume
    • Cardiac output
  60. Normal Cardiac Output (blood flow) is
    • 5 l/min
    • 70mL x 70 BPM = 4.9L
  61. Peripheral Vascular Resistance (Afterload) is measured as
    • Mean Arterial Pressure (MAP)
    • MAP= Diastolic Pressure + 1/3 Pulse Pressure
  62. The 2nd most frequent blood cell type is
    • Platelet
    • platelet is a small irregular shaped Cytoplasma fragment important for clotting and blood vessel repair
  63. what is the percent of plasma and RBC <erythrocytes> in BLOOD Volume (hematocrit)?
    • 55% Plasma
    • 45% RBC
  64. What phase of Hemostasis does Smoooth blood vessel muscle contract, reducing the vessel lumen and the flow of blood through it?
    1st phase=VASCULAR PHASE
  65. What phase of Hemostasis do Platelets adhere to blood vessels walls and to each other
    2nd Phase=PLATELET PHASE
  66. What phase of Hemostasis does a Formation of protein called FIBRIN form a network around a wound to stop bleeding, ward off infection, and lay a foundation for healing and repair to the wound?
    3rd Phase=COAGULATION PHASE
  67. the 3 types of hemorahage and description of each are:
    • Capillary = Slow, Even flow, Bright Red Color
    • Venous = Steady, slow flow, Dark Red Color
    • Arterial = Spurting blood, pulsating flow, Bright Red Color
  68. Factors Hindering Clotting Process are
    • Movement of wound site
    • Aggressive fluid therapy
    • low blood temperature
    • medication (aspirin, heparin, warfarin)
  69. Hemoptysis is
    • Coughing up Bright red blood.
    • hemorrhage of lower airway/avelor space
  70. hematemesis is
    vomiting blood
  71. hematochieza
    blood mixed with stool
  72. melena
    black tarry stool
  73. A pregnant woman blood volume is
    50% GRATER than a normal female
  74. Obese Pt blood volume is
    • 7% of Ideal weight
    • a small blood loss may have a serious effect
  75. Infant and young children blood volume
    8-9% body weight
  76. Alchols is a
    • CNS depressant
    • Dilates the Peripheral Vessels

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