1 | Acidosis is excess acid | | _____ | controlling blood pressure and fluid balance in the body): video to come later that brings everything together |
2 | Alkalosis is excess base | | _____ | Inhibit sympathetic activation in arterioles, causing vasodilation |
3 | Kidneys and lungs work to remove | | _____ | Severe diarrhea Kidney failure Diabetes mellitus Excess alcohol ingestion Starvation |
4 | RESPIRATORY ORIGINS OF ACIDOSIS | | _____ | remove the underlying condition |
5 | METABOLIC ORIGINS OF ACIDOSIS | | _____ | increase blood pressure |
6 | RESPIRAT ORY ORIGINS OF ALKALOSIS | | _____ | volume of blood pumped per minute (higher CO, higher the BP) Determined by heart rate and stroke volume (amount of blood pumped by a ventricle in 1 contraction |
7 | METABOLIC ORIGINS OF ALKALOSIS | | _____ | Hypoventilation or shallow breathing Airway constriction Damage to respiratory center in medulla |
8 | Metabolic Acidosis | | _____ | CO x SVR |
9 | Respiratory Acidosis | | _____ | total amount of blood in the vascular system (more blood volume will exert additional pressure on the walls of the arteries; thus, increasing blood pressure) |
10 | Acid–Base Agents | | _____ | Act on the early distal tubule to block the reabsorption of Na, CL and H20. Excretion of postassium is increased |
11 | Prototype: sodium bicarbonate | | _____ | : indicates how much pressure your blood is exerting against your artery walls when the heart beats. |
12 | Acid–Base Agents | | _____ | Mechanism of action: to decrease pH of body fluids |
13 | Adverse effect: metabolic alkalosis caused by receiving too much bicarbonate ion and hypokalemia | | _____ | diarrhea, kidney failure, diabetes, excess alcohol, starvation |
14 | Metabolic Alkalosis | | _____ | Prototype: sodium bicarbonate |
15 | Respiratory Alkalosis | | _____ | Decrease heart rate and contractility; blockade beta1-receptors in juxtaglomerular apparatus, which inhibits the secretion of renin |
16 | Metabolic Alkalosis sx | | _____ | increase blood pressure |
17 | Metabolic Acidosis sx | | _____ | Hyperventilation due to asthma, anxiety, high altitude |
18 | Respiratory Alkalosis sx | | _____ | Prevent angiotensin II from reaching its receptors, causing vasodilation |
19 | Respiratory Acidosis sx | | _____ | treatment of acidosis |
20 | Tx Respiratory Alkalosis | | _____ | indicates how much pressure your blood is exerting against your artery walls while the heart is resting between beats |
21 | Tx Respiratory Acidosis | | _____ | pH below 7.35 |
22 | Tx Metabolic Acidosis | | _____ | Goal to quickly reverse effects of excess acid in blood Administration of sodium bicarbonate infusion |
23 | Tx Metabolic Alkalosis | | _____ | Decrease outflow of sympathetic nerve impulses from CNS to heart and arterioles |
24 | Emesis | | _____ | Decrease sympathetic impulses from the CNS to the heart and arterioles causing vasodilation |
25 | Emetogenic potential | | _____ | treat or remove the underlying condition that is causing the blood pressure elevation |
26 | Chronic renal failure | | _____ | Goal to quickly reverse effects of excess acid in blood Administration of sodium bicarbonate infusion |
27 | Osmotic Diuretics | | _____ | hypoventilation, airway constriction, damage to respiratory center |
28 | Loop diuretics | | _____ | Act on the smooth muscle of arterioles, causing vasodilation |
29 | Potassium-Sparing Diuretics | | _____ | Hyperventilation due to asthma, anxiety, or high altitude |
30 | Thiazide Diuretics | | _____ | Slow, shallow respirations in attempt to retain acid |
31 | Carbonic anhydrase inhibitors | | _____ | acton on the acsending limb of the loop of henle to block reabsorption of Na, Cl, and H20. Excreation of K is increased |
32 | SBP | | _____ | Prescribing two antihypertensives results in additive or synergistic blood pressure reduction |
33 | DBP | | _____ | Prolonged constipation, excess sodium bicarbonate, diuretics that cause potassium depletion, severe vomiting |
34 | Blood pressure equals | | _____ | vomiting |
35 | Cardiac output- | | _____ | resulting in heart to fail and lungs fill with fluid, known as heart failure |
36 | Peripheral resistance- | | _____ | Ingestion of excess sodium bicarbonate Diuretics that cause potassium depletion Severe vomiting |
37 | renin-angiotensin-aldosterone system is one of the primary homeostatic mechanisms | | _____ | pH above 7.45 |
38 | Blood volume- | | _____ | Administration of sodium chloride with potassium chloride (mild cases) |
39 | IV fluids will increase blood volume | | _____ | Defense mechanism used by body to rid itself of toxic substances |
40 | Diuretics will cause fluid loss | | _____ | stimulates the secretion of aldosterone |
41 | Chronic HTN: heart must work harder to pump blood to the organs and tissues | | _____ | Decrease the HR and myocardial contractility, reducing cardiac output |
42 | Therapeutic goal for secondary HTN: | | _____ | Increase urine output and decrease fluid volume |
43 | Uncontrolled HTN affects | | _____ | Cause vasodilation by direct relaxation of arterial smooth muscle |
44 | Tx of HTN | | _____ | fluid retention |
45 | First-line drugs: | | _____ | Deep, rapid respirations in attempt to blow off excess acid |
46 | Beta Blockers | | _____ | occurs overs months and years, h/o DM and HTN |
47 | Diuretics | | _____ | Administration of ammonium chloride (severe cases) |
48 | ACE Inhibitors | | _____ | Inhibit reasorption of bicarbonate ion in proximal tubule |
49 | Angiotensin receptor blockers | | _____ | Block formation of angiotensin II, causing vasodilation and blocking aldosterone secretion, decreasing fluid volume |
50 | CCBs | | _____ | Nervousness, hyperactive reflexes, convulsions |
51 | Direct Vasodilators | | _____ | Block sympathetic receptors in arterioles leading to vasodilation |
52 | Alpha1 Blockers | | _____ | Lethargy, confusion, coma |
53 | Alpha 2 Agonists | | _____ | Block calcium ion channels in arterial smooth muscle, causing vasodilation |
54 | Angiotensin II | | _____ | HTN and other cardiovascular diseases |
55 | Increased sodium reabsorption causes | | _____ | excess metabolic acid |
56 | CCBs are used to treat | | _____ | Heart, brain, kidneys and retina |
57 | Beta-Adrenergic Blockers | | _____ | Act on the late distal tubule and collecting ducts to block the reabsorption of sodium and reduce the secretion of K. Excretion of K is not increased. |
58 | Alpha1-Adrenergic Blockers | | _____ | Act on the proximal tubule and the loop of henle to create osmotic force that pulls water into the nephron and increases the excretion of nearl all ellectrolytes |
59 | Alpha2-Adrenergic Blockers | | _____ | Acid–Base Agents |
60 | Direct Vasodilators | | _____ | friction in the arteries (vasoconstriction: smaller diameter of artery) |