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valsalva maneuver - loreleiii
#1
Not sure what it does.
=exiration with closed glota
Expiration-decresed output and venous return on the right, and incresed on the left +reflex decrease HR
This is what Valsalva does?So BP is increased?

Sorry guys, I feel kind of stupid and I have my exam in 2 weeks.
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#2
HOPE THIS ELPS...
performed by having the subject conduct a maximal, forced expiration against a closed glottis and holding this for at least 10 seconds. When this is done, contraction of the thoracic cage compresses the lungs and causes a large rise in intrapleural (intrathoracic) pressure (the pressure measured in the space between the lungs and thoracic wall). This rise in intrapleural pressure compresses the vessels within the chest. Aortic compression results in a transient rise in aortic pressure (Phase I), which causes a reflex bradycardia due to baroreceptor activation. Because the thoracic vena cava also becomes compressed, venous return to the heart is compromised, resulting in a large fall in cardiac output. This leads to a secondary fall in aortic pressure (Phase II), and as aortic pressure falls, the baroreceptor reflex increases heart rate. After several seconds, arterial pressure (both mean and pulse pressure) is reduced, and heart rate is elevated. When the subject begins breathing again, the sudden loss of compression on the aorta can cause a small, transient dip in arterial pressure and further reflex increase in heart rate (Phase III). When compression of the vena cava is removed, venous return suddenly increases causing a rapid rise in cardiac output several seconds later which leads to a transient increase in arterial pressure (Phase IV). Arterial pressure overshoots during Phase IV because the systemic vascular resistance is increased due to sympathetic activation that occurred during Phase II. Heart rate reflexively decreases during Phase IV in response to the transient elevation in arterial pressure.
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#3
Thank you, I apreciate the help. Hopefully I won't get any questions on that though.
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#4
Man, this is so complex!
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#5
http://www.usmleforum.com/showthread.php?tid=165377
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#6
Good explaination, thanks saonew!
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#7
thank you, that's exactly what I wanted to know.
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