BKAT Critical Care Practice Exam 2025 – The All-In-One Guide to Mastering Critical Care Proficiency!

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What is a key indicator that suggests possible right heart failure?

A low cardiac output

A low cardiac output is a key indicator that suggests possible right heart failure because it reflects the heart's impaired ability to pump blood effectively. In right heart failure, the right ventricle struggles to generate enough force to move blood into the pulmonary circulation, leading to a decrease in the amount of blood that is circulated. This is often accompanied by symptoms such as venous congestion, peripheral edema, or ascites as the system becomes overloaded.

In the context of heart function, cardiac output is a crucial measurement, as it quantifies the volume of blood the heart pumps in a given time frame. When this output is reduced, it signals that the heart may not be fulfilling its circulatory responsibilities adequately, which is characteristic of heart failure.

High systemic vascular resistance is typically more associated with left heart failure and does not directly indicate right heart failure. Normal cardiac output would not suggest heart failure at all, as it indicates adequate heart function. Elevated pulmonary compliance is often found in conditions leading to lung disease rather than heart failure, and it does not directly indicate the performance of the right heart. Thus, recognizing low cardiac output helps in identifying the dysfunction associated with right heart failure effectively.

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Normal cardiac output

High systemic vascular resistance

Elevated pulmonary compliance

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