Cardiopulmonary: Study Set 5 Flashcards

1
Q

What is the numeric scale of the RPE/Borg scale

A

6-20 or 0-10
6 is very, very light
13 is somewhat hard
17 is very hard
20 is maximal

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2
Q

What number on the RPE scale represents about 70% of HR max during exercise?

A

13

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3
Q

What is considered to be the normal pacemaker of the heart

A

SA node

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4
Q

What structures of the heart make up the cardiac conduction system

A

SA node, AV node, bundle of HIS, left and right branches, Purkinje fibers

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5
Q

What is the bainbridge reflex

A

increase in venous return stretches receptors in the right atrium which increase heart rate

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6
Q

does preload involve venous filling pressure of the left or right ventricle

A

left

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7
Q

what is afterload

A

the forces that impede the flow of blood out of the heart

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8
Q

what is stroke volume

A

refers to the volume of blood ejected by each contraction of the left ventricle

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9
Q

what is normal stroke volume

A

sixty to eighty ml

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10
Q

what is cardiac output and what are the norms

A

the amount of blood pumped from the left or right ventricle per minute. normal is 4.5 for males at rest and slightly lower for women

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11
Q

During exercise, what can cardiac output increase to

A

25 L/min

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12
Q

what is venous return

A

the amount of blood that returns to the right atrium each minute

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13
Q

The veins of the upper and lower extremities are subdivided into superficial and deep. Both types of veins have valves, however are there more veins in the superficial or deep group, and are there more in the UE or in the LE.

A

more veins in the deep LE

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14
Q

What part of the body/heart makes up the pulmonary circulation

A

deoxygenated blood is taken from the heart to the lungs via pulmonary arterial trunk, arteries, arterioles, and capillaries

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15
Q

True or false

Sympathetic innervation of the bronchi and pulmonary blood vessels is via the vagus nerve

A

false, parasympathetic

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16
Q

What part of the brain aids in the control of breathing

  1. Basal ganglia
  2. Cerebellum
  3. Medulla
  4. Pons
A

medulla

17
Q

What is rate pressure product or double product

A

an index of myocardial oxygen consumption and coronary blood flow.

18
Q

What is the equation for finding rate pressure produce or double product

A

RPP = HR x SBP

The answer is written as a multiple of 10^3. for example,
HR = 100, SBP = 120 then
100 x 120 = 12 x 10^3

19
Q

What is the procedure for administering a pulmonary function test

A

The pt will maintain an upright posture and exhale into a spirometer mouth piece as hard and long as they can for 6 seconds.

20
Q

Your pt is taking a pulmonary function test. What is the primary indicator that they have an obstructive airway impairment

A

FEV1/FVC less than 70%

21
Q

What percent of airway obstruction is classified with the following
1. normal variant
2. mild obstruction
3. moderate obstruction
4. moder to severe obstruction
5. severe obstruction

A
  1. normal variant = 100%
  2. mild obstruction = 70-100%
  3. moderate obstruction = 60-70%
  4. moderate to severe obstruction = 50-60%
  5. severe obstruction = less than 50%
22
Q

If your patient has a restrictive airway impairment, what will their pulmonary function test result be

A

eighty percent to normal

23
Q

State whether the following are obstructive or restrictive airway impairments

asthma, emphysema, chronic bronchitis

A

obstructive

24
Q

State whether the following are obstructive or restrictive airway impairments

lung disease, obesity, pregnancy, tumor, respiratory disease

A

restrictive

25
Q

What are normal respiratory rates for the following age groups

  1. Newborn
  2. 1 y/o
  3. 10 y/o
  4. Adult
A
  1. Newborn = 33-45 breaths per min
  2. 1 y/o = 25-35 breaths per min
  3. 10 y/o = 15-20 breaths per min
  4. Adult = 12 - 20 breaths per min
26
Q

What is the normal ratio between inspiration to expiration
What is the ratio for a pt with COPD

A

1:2
1:3-4

27
Q

what is biot’s breathing pattern

A

irregular breathing that causes damage to the medulla

28
Q

what is Cheyne-Stokes breathing pattern

A

decreasing rate and depth of breathing with periods of apnea; can occur due to central nervous system damage

29
Q

What is eupnea

A

normal rate of breathing

30
Q

what is Kussmaul’s berathing pattern

A

deep and fast breathing associated with metabolic acidosis

31
Q

What is paradoxical breathing pattern

A

chest wall moves in with inhalation and out with exhalation due to chest trauma or paralysis of the diaphragm

32
Q
A