Following direct trauma to the left upper back, a 44-year-old male presents with diaphoresis and restlessness. His blood pressure is 100/50 mm Hg, his pulse rate is 120 beats/min and weak, and his respirations are 24 breaths/min and labored. Your assessment reveals abrasions and contusions over the left scapula. You should:
- apply high-flow oxygen, consider spinal precautions, and transport without delay.
Answer:
B)"Since your heart is not pumping efficiently, the kidneys are getting less blood flow; therefore,the kidneys are holding on to sodium and water."
Explanation:
The Frank-Starling Mechanism, is a cardiology concept, to refer to the heart's ability to adapt to changes in blood volume by modifying its contractility. Thus, when more blood enters (greater preload) the contraction force increases and the amount of blood pumped into the aorta and when less blood enters (less preload) less blood comes out.
This mechanism serves to understand how the heart behaves when more blood enters, for example when saline is introduced, or a water pill, and when less blood enters, for example if the patient is dehydrated or has significant bleeding. For this reason, we may think that the best answer to your question is "Since your heart is not pumping efficiently, your kidneys are receiving less blood flow, so your kidneys are holding sodium and water."
You will die and it will be very painful
