Saturday 1 May 2010

SHOCK!

In a state of Hypovolemia (mostly Hypovolemia, but I'd like to think Hypoperfusion due to any cause), perfusion to organs is maintained by 4 mechanisms:

(Life) SA-VER

(1) Sympatho-Adrenal System

(2) Vasopressin

(3) Endogenous digitalis-like factor

(4) Renin-Angiotensin system.


When I originally heard of this mnemonic, it also included for A: Atrial Natriuretic peptide. I didnt think that appropriate, because ANP is secreted in response to Hypervolemia, and acts by decreasing cardiac output. That's hardly going to save any lives.

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