Cardiovascular, Part 3 Flashcards

1
Q

What are the two formulas for CO?

A

CO = HR x SV

Arterial Pressure/total systemic resistance

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2
Q

What is preload?

A

Amount of stretch on myocardial fibers at end of diastole (volume)

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3
Q

Starling Curve states what?

A

An increase in stretch of the heart increases contractility (up to a point).

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4
Q

What is afterload?

A

The force required to open the aortic valve (resistance).

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5
Q

What is the hemodynamic value that equates to afterload?

A

Diastolic BP

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6
Q

What is the Pa02?

A

Oxygen dissolved, free floating in plasma

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7
Q

What is the Sa02?

A

Hemoglobin saturated with oxygen.

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8
Q

What is the MV02?

A

General estimate of CO. High = hyperdynamic. Low = low cardiac output.

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9
Q

What is the CVP an estimate of?

A

R heart preload

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10
Q

What is the wedge an estimate of?

A

L heart preload

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11
Q

What EF is considered mild systolic dysfunction?

A

40-50%

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12
Q

What EF is considered moderate systolic dysfunction?

A

30-40%

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13
Q

What EF is considered severe systolic dysfunction?

A

<30%

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14
Q

What type of cardiomyopathy is associated with systolic heart failure?

A

Dilated.

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15
Q

What type of cardiomyopathy is associated with diastolic heart failure?

A

Hypertrophic.

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16
Q

What does the EF do in systolic heart failure?

A

Reduced.

HFrEF

17
Q

What does the EF do in diastolic heart failure?

A

Stay the same.

HFpEF

18
Q

What is the definition of heart failure?

A

Inability to meet the demands of the body

19
Q

What are the AHA stages a measure of?

A

Degree of structural disease. Stage A-D. Once you advance, never go back.

20
Q

What are the NYHA classifications a measure of?

A

Current symptoms. Can change. Class I-IV

21
Q

What diseases causes high cardiac output heart failure?

A

Anemia, hyperthyroidism, sepsis, beriberi, pregnancy

22
Q

What is Cor Pulmonale?

A

Right heart failure from lung disease or pulm HTN

23
Q

What are the 3 s/s of aortic stenosis?

A

Angina, DOE, syncope

24
Q

What is the cause of mitral stenosis?

A

Rheumatic fever

25
What are the risks of endocarditis?
Previous endocarditis, abnormal heart valve, IVDU, congenital heart disease, implanted cardiac device, central catheter
26
What is Beck's triad? What does it indicate?
Increased JVD, hypotension, muffled heart tones. | Pericarditis
27
What EKG changes are specific to pericarditis?
Diffuse ST elevation | Depressed PR segments
28
What causes myocarditis?
Common infections (bacterial/viral) and bad luck
29
What are the SIRS criteria?
1. Temp > 38, < 36 2. Tachycardia > 90 3. RR > 20, PaCO2 < 32 4. WBC > 12