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Multiple Choice
The central venous pressure (CVP) reading in hypovolemic shock is typically which of the following?
A
Low
B
Normal
C
High
D
Variable
Verified step by step guidance
1
Understand the concept of central venous pressure (CVP): CVP is the pressure within the thoracic vena cava, near the right atrium of the heart. It reflects the amount of blood returning to the heart and the ability of the heart to pump the blood into the arterial system.
Recognize the condition of hypovolemic shock: Hypovolemic shock occurs when there is a significant loss of blood or fluid, leading to decreased blood volume. This can result from severe bleeding, dehydration, or burns.
Analyze the relationship between blood volume and CVP: In hypovolemic shock, the blood volume is reduced, which typically leads to a decrease in CVP. This is because there is less blood returning to the heart, resulting in lower pressure in the vena cava.
Consider the physiological response: The body may attempt to compensate for the low blood volume by increasing heart rate and constricting blood vessels, but these mechanisms do not directly increase CVP in the context of hypovolemic shock.
Conclude the expected CVP reading: Given the reduced blood volume in hypovolemic shock, the CVP is typically low, as there is less blood returning to the heart, leading to decreased pressure in the central veins.