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According to Guyton (2011), 'Blood pressure is the force that blood exerts on the walls of vessels and is governed by three factors: the force of t...

According to Guyton (2011), 'Blood pressure is the force that blood exerts on the walls of vessels and is governed by three factors: the force of the heart, the diameter of the vessel, and the volume of circulating blood. Any changes in one of these factors may alter the value of blood pressure.' Based on the text and your knowledge about shock, we can conclude that:

a. In cardiogenic shock, the tendency is for blood pressure to increase due to the heart's increased force.
b. In neurogenic shock, the tendency is for blood pressure to decrease due to the dilation of blood vessels.
c. In anaphylactic shock, the tendency is for blood pressure to increase due to the release of histamine.
d. In hypovolemic shock, the tendency is for blood pressure to decrease due to the compromised circulating volume in shock.
e. In septic shock, the tendency is for blood pressure to increase due to the release of endotoxins.
a) a and b are correct.
b) b and c are correct.
c) c and d are correct.
d) d and e are correct.
e) only d is correct.

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A alternativa correta é a letra d) d e e estão corretas. Em choque hipovolêmico, a tendência é que a pressão arterial diminua devido ao volume circulante comprometido no choque. Em choque séptico, a tendência é que a pressão arterial diminua devido à vasodilatação periférica e à diminuição da resistência vascular sistêmica, causadas pela liberação de endotoxinas.

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