Cardiopulm Rongies Flashcards

1
Q

Aorta

A

Body’s largest artery and conduit of blood from the heart to the body.

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2
Q

Superior vena cava

A

Vein that returns venous blood from head, neck and arms to the right atrium

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3
Q

Inferior vena cava

A

vein that returns venous blood from the lower body and viscera to the right atrium

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4
Q

Pulmonary arteries

A

carry deoxygenated blood from right ventricle to the left and right lungs

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5
Q

Pulmonary veins

A

carry oxygenated blood from the right and left lungs to the left atrium

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6
Q

Cardiac Cycle

A

Atrial systole - right and left atria contract

atrial diastole - atria repolarize

ventricular systole - right and left ventricles contract

preload - tension in ventricular wall at end of diastole. reflects the venous filling pressure that fills L ventricle during diastole

afterload - forces that impede the flow of blood out of the heart, primarily pressure in the peripheral vasculature

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7
Q

Stroke volume

A

volume of blood ejected by each contraction of left ventricle

60-80 ml

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8
Q

Cardiac Output

A

amount of blood pumped from left or right ventricle per minute

4.5-5.0 L/min
can be 25 L/min during exercise

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9
Q

Tidal volume

A

total volume of inspired and expired with each breath during quiet breathing. 10% of total lung volume

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10
Q

Total lung capacity

A

volume of air in lungs after max inspiration TLC = RV + VC

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11
Q

Vital capacity

A

volume change that occurs between max inspiration and max expiration. VC = TV + IRV + ERV. approx 75% of total lung volume

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12
Q

ABG values

A
ph 7.4
PaCO2: 40 mm Hg at sea level
PaO2: 97 mm Hg at sea level
HCO3: 24 mEq/L
SaO2: 95-98%
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13
Q

Serum Cholesterol

A

Total: <200 mg/dL = good, >240 = high

LDL: <100 mg/dL = good, >190 = very high

HDL: <40 mg/dL = low, >60 = high

Triglyceride: <150 mg/dL = good, >500 = very high

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14
Q

WBC

A

5-10 *10^9 L

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15
Q

Platelets

A

140-400 k/uL or 165-415 * 10^3/mm3

150k - 400k per microliter

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16
Q

Hemoglobin

A

“Teens” g/dL

critical values = < 5-7 or >20 g/dL

17
Q

Hematocrit

A

“40s”
ciritcal values = < 15-20% or >60%

% of RBC in total blood volume
low = anemia, blood loss and vitamin or mineral deficiencies
high = dehydration, polycythemia (too many RBC)

18
Q

Partial Thromboblastin Time (PTT)

A

26 - 39 seconds

19
Q

Anticoagulant agents

A

Heparin

Coumadin

20
Q

Antihyperlipidemia agents

A

Lipitor
Zocor

breakdown LDLs, decrease trigylcerides and increase HDLs

21
Q

Beta blockers

A

Tenormin
Lopressor
Inderal

decrease O2 demand by decreasing HR and contractility

22
Q

Calcium channel blockers

A

Procardia
Cardizem

decreases O2 demand for the heart, decrease contraction and vasodilation

23
Q

Dieuretic agents

A

Diuril
Lasix

increase excretion of sodium and urine which decrease blood pressure

24
Q

Nitrate agents

A

Nitrostat
Nitroglycerin

decrease ischemia through smooth muscle relaxation and dilation of peripheral vessels

25
Q

Antihistamine

A

Benadryl

Allegra

26
Q

Anti-inflammatory agents

A

Pulmicort
Cromolyn
Sodium

reduces airway edema

27
Q

ABI index

A

checks for peripheral artery disease

>1.3 = rigid arteries
1-1.3 = normal
0.8-0.99 = mild blockage
0.4-0.79 = moderate blockage
<0.4 = severe blockage
28
Q

Normal BP

A

SBP <120

DBP <80

29
Q

Prehypertensive

A

SBP 120-139

DBP 80-89

30
Q

Stage 1 hypertension

A

SBP 140-159

DBP 90-99

31
Q

Stage 2 hypertension

A

SBP >160

DBP >100

32
Q

Heart sounds

A
S1 = ventricular systole
S2 = ventricular diastole
S3 = vibrations of ventricle walls from atria filling of diastole
S4 = vibration of ventricular wall with ventricle filling and atrial contraction
33
Q

Original RPE scale

A

scale is 6-20
13-14 = 70% max HR
11-13 = upper limits

7 very very light
9 very light
11 fairly light
13 somewhat hard
15 hard
17 very hard
19 very very hard
34
Q

Revised RPE

A
scale is 0-10
0 nothing
0.5 very very weak
1 very weak
2 weak
3 moderate
4 somewhat strong
5 strong
6
7 very strong
8
9
10 very, very strong