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Flashcards in Cardiovascular Deck (60):
0

Accelerated hypertension

Diastolic bp >120
Associated w/retinal hemmorhaging

1

Malignant hypertension

Diastolic bp >140
Associated w/ retinal hemmorhaging and papilledema

2

Hypertensive crisis 3 types

Essential
Accelerated
Malignant

3

Treatment of hypertensive crisis

Vasodilator and sympathetic blocking agents

4

Cardiomyopathy 3 types

Dilated
Hypertrophic
Restrictive cardiomyopathy

5

Hypertrophic cardiomyopathy aka

Hypertrophic obstructed cardiomyopathy

Idiopathic hypertrophic subaortic stenosis

6

Ihss has a big

Fat vent. Septum

7

Hypertrophic cardiomyopathy treated w/

Beta or ca channel blockers

8

In hcm or Ihss don't give

Digoxin nitrates dope amine isuprel morphine

9

Systolic pap high

Pulm htn
Pulm hypoxia
Copd
Pe
Ards

10

Dias pap high in

Cardiac tamponade
Left. Vent failure
Mitral valve dx

11

Pa systolic

20-30

12

Pa diast

6-12

13

Pad closely corresponds

Left vent end dp

14

Pad corresponds w/ lvdp except

Rbbb
Mitral valve dx
Pulm htn
Low left vent compliance
Aortic insufficiency
Pulm insufficiency

15

Pawp range

4-12

16

Pawp indicates

Left atrial pressure/lvedp

17

Pawp made of____waves

A atrial contract
C m valve closing
V. Atrial filling

18

A wave occurs after

Qrs

19

V wave occur after

T wave

20

Accurate wedge based on avg of

A waves

21

Pawp elevated in

Left sided heart dysfunction

22

Pad correlates w/

Lvedp and pawp

23

Pawp correlates w/

Lvedp and pad

24

The pawp shouldn't be____than pad

Higher

25

Pa catheters must be in zone ___to be accurate

3

26

How do I know pa cath is in zone I or II?

Pawp>pad
Pawp>pad
Absence of a&tv waves
Marked resp variations

27

Any peep >____effects pawp reading

10

28

Peep>10. Calc true pawp

Peep/1.36. /2. Then subtract result from pawp

29

2 causes of murmurs

Forward flow blood stenoic open valves
Back flow blood through incompletely closed valves

30

Aortic area

R 2 ics

31

Pulm area

L 2 ics

32

Mitral area

5 ics mcL

33

Tricuspid area

4-5 ics L sternal border

34

Diast murmur

S1 s2 mmmmm

35

Syst murmur

S1 mmmmm s2

36

Leads v1 v2 v3 have a ___wave

R

37

No r wave no ___

Anterior septal wall

38

Myocardial contusion EKG

St elevation in leads looking at injury

39

Pericarditis EKG

St elevation in all leads

Risk for cardiac tamponade

40

Pericarditis s&s

Sharp stabbing pain increases w/ resp
Low grade fever
Dyspnea&cough
Chest pain relieved by sitting up and leaning forward

41

Cardiac tAmponade s&s

Hypotension
Elevated jvd
Pulses paradoxus

42

Co range

4-8 L/min

43

CI range

2.8-4.2 L/min/m2

44

Cvp range

2-6 mm Hg

45

Blowing noise heard 2 rics increases w/ exhalation

Aortic insufficiency

46

Med pitch crescendo decrescendo radiating to neck & right carotid. Increases w/ holding breath

Aortic stenosis.

47

High pitched plateu blowing at apex radiates to Scilla

Mitral insufficiency

48

Lead 1 and avl look at ----- & complex is ----

Lateral wall. Up.

49

Lead II, III,& avf look at ---- & complex goes----

Inferior wall up

50

V1 v2 v3 v4 look at

Anterior septal wall

51

v5 & v6 look at

Lateral wall

52

V1-v6 have an --- wave that ----- in each v lead

R wave. Increases.

53

Inferior wall mi affects

RCA
Sinus node:Brady
Av node: chb 3rd hb, av dissociation
Rv infarction
Mitral valve insufficiency
Usually asymptomatic

54

Only give atropine in

Brady with drop in bp

55

Anterior septal wall mi effects

LAD
Bundle his and bundle branches: mobitz 2 and bbb
Vent sept: vsd

56

Inferior wall mi w/av dissociation needs a

Pacer

57

Anterior wall mi w/ mobitz 2 or rbbb 94% mortality unless

Pacemaker inserted

58

Svr

800-1200

59

Svri

1970-2390