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02 Hypotension and syncope
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Published
06/26/2023
{{c1::Preload}} - Filling / stretching of the heart during diastole ({{c1::Pressure after ventricles are full}}{{c2::Afterload}} - pressure required t…
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Description of syncope:Reversible locShort durationSpontaneous recovery Fast onsetTypes of syncope:{{c1::Reflex / neural}} mediated → (vaso…
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Cardiogenic Hypotension / shockMAP = <{{c1::60}}Systolic = <{{c1::90}}Lactate / lactic acid >{{c2::4}}- released due to anaerobic metabolism
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Causes of cardiogenic hypotension / shock: Causes{{c1::Valvular}} problems{{c1::Arrhythmias}}{{c1::Stiffness}} in the walls
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Cardiogenic hypotension / shock - causes continued:Mi / heart attackDecreased {{c1::contractility}}{{c1::Great vessel}} defect
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Cardiogenic Hypotension / shock → SxPulmonary congestion- blood backing up into the lungs → {{c1::crackles}} on pe, {{c1::sob}}, s3 gallop (…
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Diagnosing Cardiogenic Hypotension / shock:Serum l{{c1::actate }}ABG{{c1::Troponin}}CXREKGPulm capillary weadge pressure (PCWP)Cardiac Output{{c1…
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Cardiogenic Hypotension / Shock: tx- {{c1::O2}}! {{c1::the tissues have less o2 so supplement!!}}- CV support-increased {{c1::systemic vascular resist…
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Orthostatic Hypotension / Syncope:Atypical drop in blood pressure from standing from sitting / lying downSystolic drop in bp >20mmHg and diastolic …
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Treatment of orthostatic Hypotension / syncope:{{c1::Underlying causes}} - med changes, fluid replacement {{c1::Lifestyle}} changesAvoid vasodila…
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