Cardiac Flashcards

(56 cards)

1
Q

Arteries & veins =

A

closed circuit

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2
Q

arteries

A

take blood away from ♡

“a-away”

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3
Q

Arteries bring

A

oxygen & nutrients to all of our cells of body

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4
Q

Veins take

A

blood to the ♡

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5
Q

4 chambers

A

ventricles on bottom

atrium on top

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6
Q

Veins that bring blood back to body

A

Superior vena cava & inferior vena cava

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7
Q

SV & IV cava both

A

going into R atrium
R ventricle
to lungs thru pulmonary artery

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8
Q

blood thru pulmonary arteries are going to

A

get oxygenated then return to pulmonary veins

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9
Q

Blood goes into Left

A

atrium-left ventricle (oxygenated blood)-then back to body thru aorta

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10
Q

♡ is sending

A

blood upwards & downwards

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11
Q

Values of heart

A

tricuspid valve
pulmonary valve
aortic valve

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12
Q

pumping phase, contraction S1

A

Systole

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13
Q

Cardiac cycle events occur in both R & L side of ♡ but

A

same events
occurs slightly later in R side
Pressure in R side is lower

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14
Q

S1 happens when:

A

Ventricle pressure is increasing

mitral valve & tricuspid valve to close

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15
Q

filling phase, relaxation of ventricles S2

A

Diastole

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16
Q

Pressure is always

A

higher in LEFT side

need more pressure to send thru aorta to entire body

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17
Q

When ventricle is empty

A

Pressure is decreased (it got rid of blood)

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18
Q

When ventricle is empty

A
  1. Pulmonary valve & aortic value are going to close
  2. Then S2 the second sound you will hear (dub)
  3. Ventricles are relaxing, blood is going to fill the ventricles
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19
Q

Autonomic nervous system controls

A

rate & strength of each contraction

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20
Q

The atria & ventricles work on electrical impulses”

A

always need electrical impulses to have ♡ work/contract

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21
Q

Increases rate/speed

A

sympathetic (adrenergic)

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22
Q

decreases (electrical impulses)

A

parasympathetic (cholinergic)

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23
Q

APETM

A
  1. Aorta (R sternal border 2nd ICS)
  2. Pulmonary (L sternal border 2nd ICS)
  3. Erb’s Point (L sternal border 3rd ICS)
  4. Tricuspid (L sternal border 4th ICS)
  5. Mitral (L mid clavicular line 5th ICS)
24
Q

Abnormal ♡ sounds

A
  1. Dysrhythmias (called abnormalities)
  2. Extra heart sounds- S3 & S4
  3. Murmurs (grade, pitch, quality)
25
Auscultation using diaphragm
i. Rate & rhythm, identify S1 & S2 separately | ii. Some sounds may flow together
26
good position for apical pulse
L lateral recumbent
27
Auscultation using bell
lower pitched sounds
28
First ♡ sound-LUB occurs with closure of
two atria-ventricular (tricuspid & mitral valves) ventricles contract
29
S1 closure of
AV valves mitral & tricuspid M1 before T1
30
LUB correlates with
carotid pulse
31
S1 is heard loudest at
apex (tricuspid & mitral area)
32
Apex | Base
bottom | top
33
Second ♡ sound: DUB is produced by closure of
aortic & pulmonary valves
34
S2 closure of
Semilunar valves | aortic & pulmonic
35
Erb's point may hear
more than one murmurs | hears closing up all the valves
36
Caused by premature rush of blood into ventricle that is stiff or dilated from heart failure and HTN.
S3-ventricular gallop
37
Caused by an atrial contraction pushing blood against a ventricle not accepting blood because of heart failure or other alterations.
S4-atrial gallop
38
Extra heard sounds are best heard at the
apex of the heart | laying on L side
39
Gentle, blowing, swooshing sound.
murmurs
40
Velocity of blood increases
Exercise, thyrotoxicosis, pregnancy
41
Structural defects in valves or chambers
Narrow valves incompetent (not closing all the way) valves wall defects dilated chambers
42
A valve that does not close efficiently, results in the backflow of blood
insufficiency | regurgitation
43
A valve that does not open wide enough may cause turbulent backflow secondary to obstruction or narrowing
stenosis
44
Assessment position
a. Position client supine | b. Then head elevated at 45 degrees
45
a. Is the location at which the cardiac impulse can be best palpated on the chest wall b. 5th ICS at midclavicular line
PMI point of maximum impulse
46
What you are looking at when measuring JVD 3 things & what side are you standing on?
i. Highest level of pulsation ii. Venous pressure iii. Sternal angle iv. Stand on persons R side
47
i. Measurement of pressure inside the vena cava ii. Indicates how much blood is flowing back into your heart iii. & how well your heart can move that blood into lungs & rest of body
Sign of increased central venous pressure (CVP)
48
Jugular vein moves to direct path to
right atrium
49
Homans sign
a. Assess for DVT | b. Rapidly dorsiflex foot/ ankle
50
Normal resting Ankle-Brachial Index (ABI)
0.9-1.3
51
represents the amount of blood pumped out of the heart (left ventricle) with each beat.
Ejection Fraction (EF)
52
The inability of the heart to circulate blood effectively enough to meet the body's metabolic needs
♡ Failure
53
drawn after something thinks they had a heart attack (12-24 hrs afterwards)
CK or CK-MB
54
clotting problems lab
PT/PTT
55
myocardia infarction usually 3 hours after a heart attack
Troponin I
56
making sure electrical function is working well
EKG