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Clinical pharmacy 2024/2025                  Level 2 Pharm D                       Physiology and Pathophysiology (MD303)
                                                              Cardiac Output (C.O) and Venous return

                                  Cardiac Output (CO)                                                        Venous Return (VR)
                       The rate at which blood is pumped from ventricle. /Min      The rate at which blood is returned to the atria/ min.
                       [i.e., CO = the volume of blood pumped/min by each          [The greater the VR  The greater the CO]
           Definition
                       ventricle

           In Steady  COP of left Heart (The systemic blood flow) = Cardiac        VR to right atrium = VR to left atrium = COP from Left ventricle
             State     Output of the right heart (the Pulmonary blood flow)
                       C0 = SV X HR = 70 X 70 = [4900 ml] 5 liter/min              VR   EDV   Ventricular muscle length = stretch   Contractility 

                        SV or  HR   CO                                          SV   CO
                         SV or  HR   C0                                        An  of TPR cause  a  in both CO & VR

                                                                       Distribution of systemic C.O

              Total Systemic Blood flow ➔ Distributed among the Organ systems [25 % of total COP goes to Kidney] BUT the percentage not fixed.
              During Exercise  ➔ ↑   Metabolic need ➔ ↑ Rate of blood flow going to skeletal Muscle.
              Change in blood Flow to Organ can occur through 1-change of distribution of blood flow among the Organ System   2-Change of COP
























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