blood pressure Flashcards

(62 cards)

1
Q

blood flows from the ____ into the right atrium through the _____ valve to the left atrium

A

superior and inferior cava
tricuspid valve

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2
Q

the right ventricle ejects the blood through _____ into the ____ during ventricle systole

A

pulmonic valve, pulmonary artery

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3
Q

blood enters the ______ system where it exchanges the CO2 for O2

A

pulmonary capillary

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4
Q

the oxygenated blood leaves the lungs via the ____ and returns to the ____

A

pulmonary veins, left atrium

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5
Q

the ____pumps blood into the systemic circulation through the ____ to supply all the tissues of the body with O2

A

left ventricle
aorta

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6
Q

from the systemic circulation, blood return to the heart through the

A

superior and inferior vena cava

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7
Q

blood pressure

A

force that drives blood through the circulatory system

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8
Q

blood pressure influenced by

A

cardiac output, total peripheral resistance

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9
Q

BP= pressure in an artery at

A

peak of LV systole (SBP) and diastole (DBP)

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10
Q

the 40-year risk for developing HTN is ____% for African Americans, ___% for hispanics __% for whites

A

93, 93, 86

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11
Q

HTN leads to increased risk for

A

CVD, angina, MI, heart failure, stroke, PAD

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12
Q

HTN is a major cause of

A

death and disability

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13
Q

HTN is associated with increased risk of

A

DM and kidney disease

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14
Q

risk for health related to CVD increases in a strong fashion with

A

increased BP

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15
Q

hypotension <___ SBP, <___ DBP

A

80, 60

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16
Q

normal BP

A

<120, <80

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17
Q

high-normal/elevated/pre-hypertensive BP

A

120-129, <80

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18
Q

stage 1 hypertension

A

130-139, 80-89

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19
Q

stage 2 hypertension

A

> 140, >90

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20
Q

hypertensive crisis

A

> 180, >120

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21
Q

BP cuff size important: bladder length ___%, width ___%

A

80, 40

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22
Q

if cuff is too short or too narrow, BP reading will be

A

erroneously high

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23
Q

if cuff is too wide or too long, BP will be

A

erroneously low

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24
Q

when a cuff is too small for the upper arm and a larger cuff is not available, or if the arm is so large or its shape cant accommodate a proper fitting cuff, BP should be obtained by

A

cuff placed on forearm with the auscultation over the radial artery in the wrist

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25
BP measurements are usually taken on the ___ arm
left
26
20% of individuals have differences of >___mmHg between UE
10
27
if there is a difference >5 mmHg between the two readings, record and monitor the ___ BP
higher
28
do not take BP over medical devices like
IV or arterial line, AV shunt
29
do not take BP on the same side as
mastectomy with axillary lymph node dissection
30
korotkoff sounds are created by
pulsatile blood flow through compressed artery
31
kortotkoff phase 1 sound
clear tapping sound
32
kortotkoff phase 1 significance
initial flow of blood through the artery as the constriction of the artery is released systolic BP
33
kortotkoff phase 2 sound
softer, swishing or murmur
34
kortotkoff phase 2 significance
none
35
kortotkoff phase 3 sound
louder and more crisp
36
kortotkoff phase 3 significance
none
37
kortotkoff phase 4 sound
changes from crisp to muffled
38
kortotkoff phase 4 significance
first diastolic, useful when phase 5 is not detectable
39
kortotkoff phase 5 sound
cessation of sound
40
kortotkoff phase 5 significance
diastolic
41
rolling up sleeves created constriction and ___ BP
confounds
42
avoid ____ 30 mins before BP assessed
caffeine, tobacco
43
wrap cuff around upper arm leaving ___ in clearance above antecubital fossa
1
44
position cuff arrow over
brachial artery
45
position pressure gauge at
eye level
46
avoid keeping cuff inflated >60 sec because
discomfort from prolonged inflation may cause bp to rise
47
inappropriate cuff size
can over or underestimate BP
48
BP error: tested arm unsupported
muscle contraction can increase BP
49
BP error: legs crossed
increase systolic by 2-8
50
BP error: unsupported sitting
increase diastolic by 6
51
BP error: arm that is not level with heart
appear falsely high when below when above, falsely low
52
BP error: rapid deflation of the cuff before korotokoff 5
underestimate systolic BP and overestimate diastolic
53
BP error: equipment malfunction
various errors
54
BP error: auditory errors caused by placement of stethoscope, external noise, internal noise, operator error
inability to assess BP or overestimate or underestimate actual BP
55
low blood volume causes ___ BP
low
56
high blood viscosity causes ___ BP
high
57
low vessel size causes ____BP
high
58
low blood vessel compliance cause ___ BP
high
59
which race has a higher risk of high BP
African Americans
60
normally SBP____ with exercise
steadily increase 10+2
61
normally DBP ____ with exercise
remains the same, or + - 10
62