Nursing 3910A/B Lecture 5: 3910 week 5 readings

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Sv relies on 3 factors: preload, afterload, and contractility. Preload: amt of blood within the ventricle just before systole. increases pressure in ventricle and stretches ventricle wall. The major factor that determines preload is venous return (blood that enters ventricle during diastole) Another factor determining preload is ventricular compliance - this is elasticity or amount of. Afterload: the amt of resistance to ejection of blood from a ventricle. Contractility: the force of ventricular contraction- related to the number and state of myocardial cells. Brous tissue = more ventricular pressure = increased workload on heart = heart failure (hf) Hf is the inability of the heart to pump suf cient blood in order to supply tissues with adequate nutrients and oxygen. Clinical syndrome characterized by s&s: uid overload or inadequate tissue perfusion. These dysfunctions may or may not cause pulmonary or systematic congestion. Hf is usually a progressive disease- modi able by lifestyle changes and medication to prevent acute episodes.

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