Shared Flashcard Set

Details

hemodynamics and fluid disorders
Physical Therapy focus
29
Science
Graduate
10/09/2015

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Cards

Term
body fluids accounts for what percent of body weight?
Definition
60%
Term
What amount of fluid is intracellular?
Definition
2/3
Term
what amount of fluid is interstitial?
Definition
1/3
Term
hydrostatic pressure
Definition
the pressure exerted by a fluid at a given point within the fluid, due to the force of gravity
Term
oncotic pressure
Definition
the pressure exerted by the concentration of proteins, particularly albumin
Term
In the arterials, which is higher, the osmotic pressure or the hydrostatic pressure and what is the purpose of this?
Definition
The hydrostatic pressure is higher, which drives fluid into the interstitium. (ultrafiltration)
Term
In the venules, which is higher, the osmotic pressure or the hydrostatic pressure and what is the purpose of this?
Definition
The osmotic pressure is higher, which drives fluid inward into the vessel. (reabsorption)
Term
Where does excess fluid in the interstitium get drained to?
Definition
The lymphatic system
Term
what is edema?
Definition
excessive fluid within interstitial space or joint cavity
Term
what are two types of edema?
Definition
Generalized i.e. anasarca
localized i.e. pulmonary, cerebral
Term
What are the two reasons edema is harmful?
Definition
increases the interstitial pressure.
Increases diffusion distance for O2/nutrients as well as removal of byproducts/waste
Term
What are four mechanisms that lead to edema?
Definition
1. Increased intravascular hydrostatic pressure
2. Decreased plasma osmotic pressure
3. increased permeability
4. impaired lymphatic pump
Term
Anasarca
Definition
Generalized edema throughout the body
Term
Dependent Edema
Definition
Swelling of the lower extremeties
Term
Peri-orbital Edema
Definition
Swelling around the eyes
Term
Pitting Edema
Definition
Pit or depression forms after pressure is applied
Term
Mechanical Edema
Definition
caused by tight socks, stockings, undergarments, or pressure of a pregnant uterus on pelvic veins
Term
What are the numbers on the scale for Pitting Edema, and what do the numbers correspond to in cm?
Definition
Numbers are 0-4, and each number corresponds to cm multipled by 2, so a 4 would be 8 cm.
Term
Lymphedema
Definition
Caused by obstruction of lymph channels
Term
hypervolemic
Definition
due to retention of sodium and/or water, often associated with renal disease
Term
What are three disease commonly associated with Edema?
Definition
HTN, Renal failure, Congestive Heart Failure
Term
Thrombosis
Definition
The process of stemming blood flow via fibrin meshwork that binds blood cells into solid or semi-solid plugs
Term
What are 5 types of pathologic thrombi?
Definition
Intramural (Within heart chambers)
Valvular (within heart valves)
Arterial (common with atherosclerosis)
Microvascular (within small vessels)
Venous (stasis)
Term
Virchow's Triad
Definition
Endothelial injury, hemodynamic changes (i.e. Stasis=like long plane ride), hypercoagulability
Term
embolus
Definition
freely moving mass within the vasculature, which can occlude blood supply
Term
venous thromboemboli
Definition
vein>vena cava>Right heart>pulmonary artery>lodged in diminished sized pulmonary arteries
Term
What percentage of hospital deaths are caused by venous thromboemboli?
Definition
15%
Term
arteriol thromboemboli
Definition
originate in the left chamber/valves or from atherosclerotic plaques
Term
what size arteries do arterial thromboemboli tend to lodge in?
Definition
medium size arteries (Middle cerebral artery>stroke)
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