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2.) A prolonged reduction in blood pressure due to massive loss of blood can lead to "hemorrhagic shock" in which the decreased blood volume lowers mean systemic pressure, venous return and thus, cardiac output. Consequently, arterial blood pressure is also decreased, leading to decreased coronary blood flow, reduction in myocardial oxygenation, loss in the pumping ability of the heart, and therefore, further reduction in cardiac output. The decreased cardiac output also leads to decreased oxygenation of the peripheral tissues, which can increase capillary permeability, thereby allowing fluid to be lost from the blood to the extravascular spaces. This produces further loss of blood volume and mean systemic pressure, and therefore, further reduction in cardiac outp
Prior to analysing or designing a control system, it is useful to define explicitly the major variables and structures involved in the problem. One common way of doing this is toconstruct a block diagram. The block diagram captures in schematic form the relationshipsamong the variables and processes that comprise the control system in question. blockdiagrams thatrepresent open-loop and closed-loop control systems in canonicalform. Consider first the open-loop system Here, the controller component ofthe system translates the input (r) into a controller action (u), which affects the controlledsystem or "plant" thereby influencing the system output (y). At the same time, however,external disturbances (x) also affect plant behavior; thus, any changes in y reflect contributions from both the controller and the external disturbances. If we consider this open-loopsystem in the context of our previous example of the heating system, the heaterwould be the controller and the roomwould represent the plant. Since the function of this control system is to regulate the temperature of the room, it is useful to define a set-point, which correspond to the desired room temperature. In the ideal situation of no fluctuations in external temperature (i.e., x = 0), a particular input voltage setting would place the room temperature exactly at the set-point. This input level may be referred to as the reference input value. In linear control systems analysis, it is useful (and often preferable from a computational viewpoint) to consider the system variables in terms of changes from these reference levels instead of their absolute values. Thus, in our example, the input (r) and controller action (u) would represent the deviation from the reference input value and the corresponding change in heat generated by the heater, respectively, while the output (y) would reflect the resulting change in room temperature. Due to the influence of changes in external temperature (x), r must be adjusted continually to offset the effect of these disturbances on y. As mentioned earlier, we can circumvent this limitation by "closing the loop." Figure
l.lb shows the closed-loop configuration. The change in room
temperature (y) is now measured and transduced into the feedback
signal (z) by means of a feedback sensor, i.e., the thermostat, The
feedback signal is subsequently subtracted from the reference input
and the error signal (e) is used to change the controller output.
If room temperature falls below the set-point (i.e., y becomes
negative), the feedback signal (z) would also be negative. This
feedback signal is subtracted from the reference input setting (r =
0) at the mixing point or comparator (shown as the circular object
in Figure 1.1b), producing the error signal (e), which is used to
adjust the heater setting. Since z is negative, e will be positive.
Thus, the heater setting will be raised, increasing the flow of
heat to the room and consequently raising the room temperature.
Conversely, if room temperature becomes higher than its set-point,
the feedback signal now becomes positive, leading to a negative
error signal which in turn lowers heateroutput. This kindof
closed-loop system is said to have negative feedback, since any
changes in systemoutput are compensated for by changes in
controller action in the opposite direction. Negative feedback is
the key attribute that allows closed-loop control systems to act as
regulators. Whatwould happen if, ratherthanbeingsubtracted, the
feedback signal were to be added to the input? Going back to our
example, if the roomtemperature wereto rise and the feedback
signalwere to be added at the comparator, the errorsignal would
become positive. The heater setting would be raised and the heat
flow into the room would be increased, thereby increasing the room
temperature further. This, in tum, would increase the feedback
signal and the errorsignal, and thus produce evenfurther increases
in room temperature. This kind of situation represents the runaway
effect that can result from positivefeedback. In lay language, one
would refer to this as a vicious cycle of events. Dangerous as it
may seem, positive feedback is actually employed in many
physiological processes. However, in these processes, there are
constraints built in that limitthe extentto whichthe system
variables can change. Nevertheless, there are also many positive
feedback processes (e.g., circulatory shock) that in extreme
circumstances can lead to the shut-down of various system
components, leading eventually to the demise of the
organism.
Please write in computer or write clearly, so I can understand Answer completely, is just one...
B. SHORT QUESTIONS Answer in the booklet provided. Ensure the correct numbering. A 2-lead electrocardiogram (ECG) trace below shows a progressive prolongation of PR interval (more than 0.2 sec) which result in a dropped QRS complex. PR PR PR PR 1. Which pathophysiological condition does the ECG trace above represent? 2. Br-adrenegic receptor blocker reduces blood pressure by inhibiting both the chronotrophic (affecting the heart rate) and inotropic (affecting contractility) effects on the heart however also decrease the release of...
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Body surface Area (Problem 6 Page 249). The body surface area (BSA) in m? of a person (used for determining dosage of medications) can be calculated by the formula (Du Bois formula): BSA = 0.007184 W0.425 H0.75 In which W is the mass in kg and H is the height in cm. Create a GUI to calculate the body surface area (BSA). The...
I need all the questions to answer, please
True or False: Synchronized cardioversion is appropriate for
treating an unknown wide complex tachycardia.
True
False
True or False: A nasopharyngeal airway (NPA) can be used on a
semi-conscious or conscious individual, while an oropharyngeal
airway (OPA) should only be used on an unconscious individual.
True
False
True or False: Any bradycardia less than 60 beats per minute is
a pathologic event.
True
False
True or False: Transcutaneous pacing should be used...
True or False: A respiratory rate consistently less than 10 or greater than 60 breaths per minute in a child of any age is abnormal and suggests the presence of a potentially serious problem. True False True or False: PALS management of respiratory distress/failure is adjusted based on the severity of the current condition. True False True or False: Shock may occur with a normal, increased, or decreased systemic arterial pressure. True False True or False: Respiratory failure or shock...
True or False: Synchronized cardioversion is appropriate for
treating an unknown wide complex tachycardia.
True
False
True or False: A nasopharyngeal airway (NPA) can be used on a
semi-conscious or conscious individual, while an oropharyngeal
airway (OPA) should only be used on an unconscious individual.
True
False
True or False: Any bradycardia less than 60 beats per minute is
a pathologic event.
True
False
True or False: Transcutaneous pacing should be used on an
individual with bradycardia and inadequate perfusion...
please can I have the rationales for the correct answers
324 Quiz 1 Version A 1. Following insertion of a central line, a client begins to have difficulty breathing. The clien, becomes progressively cyanotic and becomes unresponsive. The care team suspects an am embolus that should prompt the nurse to immediately A. Administer a thrombolytic B Place the client on the left side with the clients head down C. Have the client bear down and perform a Valsalva maneuver. D....
1. Oral acetaminophen has been ordered for a young child who has a fever. A liquid form has been obtained by the nurse to increase the chance of problem free administration. Prior to administration, the nurse is going through the rights of medication administration. When confirming the right dose, what term is the most appropriate? a. "160 mg" b. "one teaspoon" c. "one third of a tablespoon d. "SmL 2. A pregnant woman asks why she needs to take a...