Question

In: Nursing

A 29-year-old female develops sepsis and, as a consequence, she experiences profound vasodilation. a) What effect...

A 29-year-old female develops sepsis and, as a consequence, she experiences profound vasodilation. a) What effect does vasodilation have on the afterload? Explain why. b) What effect does vasodilation have on blood pressure? Explain why. How will her body try to bring her blood pressure back to homeostasis?

Solutions

Expert Solution

a)Afterload

- The tension or stress developed in the wall of the LV during ejection. The 'load' against which the heart MUST contract to eject blood.

- Pathology of afterload:

Increasing left ventricular afterload include elevated BP & aortic valve disease

Vasodilators (alpha blockers, ACEi, ARBS, BBs, CCBs, nitrodilators, ganglionic blockers, PDE III inhibitors) reduces afterload as they reduce arterial pressure by decreasing systemic vascular resistance.

b) A patient taking a vasodilator relaxes smooth muscles in veins thus causes decrease in blood pressure

- Postural hypotension occurs when moving from a supine or seated position to an upright position. It is caused by relaxation of smooth muscle in veins, which allows blood to pool in veins and decreases venous return of blood to the heart. Patients taking such drugs should avoid abrupt transitions to prevent falls. Prolonged use of vasodilators can lead to expansion of blood volume and fluid overload. Tachycardia can occur when the blood pressure drops as a result of the baroreceptor reflex.

Homeostasis: The regulation of a relatively constant environment within the body

Examples of homeostasis

Control of body temperature, blood sugar level, hormone level and water balance

- The body maintain homeostasis by implementing feed back systems i.e positive and negative system.

Nightingale answered 2 years ago
Next > < Previous

Related Solutions

A 29-year-old female develops sepsis and, as a consequence, she experiences profound vasodilation. a) What effect...
A 29-year-old female develops sepsis and, as a consequence, she experiences profound vasodilation. a) What effect does vasodilation have on the afterload? Explain why. b) What effect does vasodilation have on blood pressure? Explain why. How will her body try to bring her blood pressure back to homeostasis? Be detailed in your explanation APA FORMAT PLEASE.
A 29-year-old female develops sepsis and, as a consequence, she experiences profound vasodilation. a) What effect...
A 29-year-old female develops sepsis and, as a consequence, she experiences profound vasodilation. a) What effect does vasodilation have on the afterload? Explain why. b) What effect does vasodilation have on blood pressure? Explain why. How will her body try to bring her blood pressure back to homeostasis?
My patient is a 82 year old female with a diagnosis of Sepsis. She is confused...
My patient is a 82 year old female with a diagnosis of Sepsis. She is confused and her baseline is orientated x3. She is extremely weak and fatigued. She has HTN and diabetes 2. We are waiting on blood and urine labs but she has classic symptoms of UTI. Relevant VS T. 101.8 (oral), HR 110, BP 102/50, RR 24, Pain: Dull ache, (R) flank, 5/10, elevated creatinine 1.5, lactate 3.2. Dr. has ordered IV NS 0.9% NS 1000 mL...
Keisha is a 42-year-old black female with a BMI of 29. She was recently diagnosed with...
Keisha is a 42-year-old black female with a BMI of 29. She was recently diagnosed with diabetes and hypertension. Her mother and two sisters also have type 2 diabetes. She is the mother of three children and had gestational diabetes with her last two pregnancies. Although she knows she should exercise, she doesn't have time in her busy schedule. The doctor gave her a 1500-calorie diet and told her if her glucose does not improve, she will have to go...
The client is a 29-year old female who stated that she has had crying spells, felt...
The client is a 29-year old female who stated that she has had crying spells, felt sad "all the time," had trouble sleeping at night, and was having trouble concentrating. She reported that she had difficulty falling asleep, and that she spent time awake "thinking" and "worrying." She reports worrying that she is a bad mom and a bad wife. She stated that over the last few months, she has felt "always down." She reports being fatigued, feeling unmotivated, and...
Lois, a 32-year old unmarried female business executive develops amenorrhea. She has not recently lost weight...
Lois, a 32-year old unmarried female business executive develops amenorrhea. She has not recently lost weight but states that her job is very stressful. Laboratory evaluation reveals the following results: PARAMETER VALUE NORMAL RANGE Serum estradiol 14pg/ml 23-145 LH 1.2mIU/ml 2-15 FSH 1.5mIU/ml 2-20 Prolactin 6.2ng/ml 2-25 TSH 1.2µU/ml 0.5-5.0 A serum pregnancy test is negative and an MRI scan of her pituitary gland is normal. What is the probable diagnosis? Explain. [6 marks]
A 29-year-old female patient who is 8-months pregnant is having an emergency appendectomy. She will have...
A 29-year-old female patient who is 8-months pregnant is having an emergency appendectomy. She will have to receive general anesthesia for the procedure. 1. What anatomical changes have taken place in the patient that must be taken into account for this case? 2. How might the patient’s laboratory tests be changed by her being pregnant? 3. What additional emergency procedure should the CST be prepared to quickly set up and assist the surgeon? 4. What postoperative symptoms should be closely...
: A 73-year-old female admitted to hospital with aspiration pneumonia and sepsis. Past medical history of...
: A 73-year-old female admitted to hospital with aspiration pneumonia and sepsis. Past medical history of multiple CVA’s, PEG tube feeding, multiple pressure ulcers. Patient able to open eyes but not able to follow any commands or respond verbally. Patient came to hospital from home with her wife. On admission, the wife was adamant that the patient be a full code. Wife seemed to be unclear regarding patient’s current medical/functional condition, and the health care team felt that due to...
Sepsis and MODS Patient Profile W.A. is a 70-year-old female who presented to the emergency department...
Sepsis and MODS Patient Profile W.A. is a 70-year-old female who presented to the emergency department with fever, severe nausea, vomiting, and diarrhea. She is admitted to the intensive care unit (ICU) with a diagnosis of kidney failure and septicemia. Her previous medical history includes glaucoma, chronic kidney failure, hypertension, and insulin-dependent diabetes. She had a left above-the-knee amputation 1 year ago. Subjective Data W.A.’s daughter states she was able to do her daily chores at home independently, but for...
Sepsis and MODS Patient Profile W.A. is a 70-year-old female who presented to the emergency department...
Sepsis and MODS Patient Profile W.A. is a 70-year-old female who presented to the emergency department with fever, severe nausea, vomiting, and diarrhea. She is admitted to the intensive care unit (ICU) with a diagnosis of kidney failure and septicemia. Her previous medical history includes glaucoma, chronic kidney failure, hypertension, and insulin-dependent diabetes. She had a left above-the-knee amputation 1 year ago. Subjective Data W.A.’s daughter states she was able to do her daily chores at home independently, but for...
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT