Notes
Slide Show
Outline
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EMP 192
  • Exam 2
  • Review
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Increasing Disease Risk
  • Genetics
    • Cannot be controlled, will affect whoever has those genetics, regardless age
  • Environmental
  • Lifestyle
  • Age
  • Gender
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Cell Structure
  • Cell Membrane
  • Cytoplasm
  • Nucleus
  • Mitochondria
    • BE ABLE TO LIST ALL
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Immunologic Disorder
  • Rheumatic Fever
  • Asthma
  • Allergies
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Age
  • How Does the disease process change as we get older
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Family Links
  • Disease tends to cluster in families primarily due to the fact that they all have the same genetic predisposition.


    • Environment and Lifestyle will play a factor, but can be controlled.
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Dynamic Blood Pressure
  • Preload – amount of blood returning to the heart
      • Can be helped by IV bolus of a crystalloid solution.
  • Cardiac Contractile Force – rubber band theory
      • Increased response with catecholamine's
  • Afterload – the pressure in which the heart must overcome upon contraction
      • Determined by peripheral vascular resistance


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Be Aware of Shock
  • Know primary problem, presentation, and corrections to the main shock types.
    • Cardiogenic
    • Hypovolemic
    • Neurogenic
    • Anaphylactic
    • Septic
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The Body’s Response
  • How does the body respond to volume depletion that is caused by Hypovolemic shock?
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M O D S
  • Primary MODS
    • Injury to organ tissue is due to inadequate perfusion.
  • Secondary MODS
    • Organ death occurs from an exaggerated response from those primed cells.


        • PLEASE UNDER STAND MULTIPLE ORGAN DYSFUNCTION SYNDROME.
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Compensation
  • How will the body compensate for a hypovolemic state.
    • KNOW ALL FACTORS OF COMPENSATION. (Vol. 1 page 212)
    • Angiotensin, ACE, and Renin might be important.
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Since we are talking
SHOCK
  • Compensated


  • Decompensated


  • Irreversible


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Back to MODS
  • Why is interleukin 1 important in MODS.
    • You have learned it.
      • Can be found in MODS section as well as part 3 in the immune/inflammatory areas.
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Compensated Shock
  • How will the body be able to compensate?
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Metabolism
  • Anaerobic phase



  • Aerobic phase


      • How are these different, and what happens in each???
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Nasty Bacteria
  • Must attach to host cells
  • Release exotoxins during growth
    • Examples include-botulism and tetanus
  • Release endotoxins upon death
  • What do they consist of???


    • What is the term for the systemic spread of toxins??
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Viruses
  • Capsid - ?????
  • They consis of strands of - ???
  • The do not attach to the host cell like bacteria, instead they invade and live inside the host cell. Why is this BAD???
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Infectious Agents
  • Bacteria and Viruses are common here.


  • What are the 3 others.


  • One is similar to a virus.  WHY??
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Three Lines of Defense
  • Anatomical Barriers
    • Sebaceous Glands secrete fatty and lactic acid
    • Sweat, Tears and Saliva contain bacteria attacking enzymes.
  • Inflammatory
  • Immune
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Three line of Defense
  • Anatomical
    • External, Non-specific
  • Inflammatory
    • Internal, Non-specific
  • Immune
    • Internal, Specific


        • Why are each classified as internal vs. external and specific vs. non-specific.  Think about location and action.