Cardiovascular system Flashcards Preview

Physical Assessment > Cardiovascular system > Flashcards

Flashcards in Cardiovascular system Deck (36):
1

Third heart sounds (S3)

vibration and resistance to early filling into the ventricles (occurs immediately after S2)

2

Fourth heart sounds (S4)

Occurs at the end of diastole (pre-systole) just before S1

3

Murmurs caused by

Structural defects
Blood velocity increased
Blood viscosity decreased

4

Functional murmurs can be onset due to

Pregnancy
Anemia
Hypothyroidism

5

Apical pulse and carotid pulse should be the _______

Same

6

S1 is the same is a the _____ _____

Carotid pulse

7

Bruit

Auscultate (swishing)

8

Thrill

Palpate (purring)

9

Foramen ovale

In fetal development, this shunts blood into the atria septum

10

At birth _____ ______ closes and _____ lowers in the right side of the heart

Foramen Ovale
Pressure

11

Heart position in an infant

more horizontal, apex is higher, in the 4th LIC

12

Blood volume during 2nd trimester increases by __-__%

30-40%

13

During pregnancy pulse increases __-__ BPM

10-15 BPM

14

Ectopic beats are _____ and _____ with age

Asymptomatic and common

15

Blood pressure increases in the elderly because

vessels loose elasticity

16

Africans american and heart disease

they are more sensitive to salt and most HTN treatments are refractory (don't work)

17

Cervical Spine nodes

drains head and neck

18

Axillary nodes

drains breasts and upper arms

19

Inguinal node

drains groin and lower extremity and anterior external gentile and abdominal wall

20

Epitropiclear node

drains antecubital area, drains hand (fingers 3,4,5) lower arm

21

Tonsils

Pharyngeal, adenoid, palatine, lingual

22

Children have ______ and _____ palpable lymphatics

Large and palpable

23

Enlarged _____ and abdominal _____ are common

Tonsils, pain

24

Vascular issues in pregnant female

uterus blocks vena cava, causes dependent edema, large varicosities of legs and vulva, and hemorrhoids)

25

Aging Adult

Arteriosclerosis (rigid vessels), enlargement of calves (DVT)

26

Reynauds Syndrome

episodes of changing of color of fingers related to cold, stress, symptoms of vibration, burning, throbbing pain

27

Lymphadenopathy

Enlarged, tender lymph nodes

28

Lymphendema

Removal of lymph nodes, as with breast surgery, damage or radiation impedes drainage

29

Arterial symptoms of peripheral vascular disease

Intermittent claudication, deep muscle pain, chronic pain, cool bluish looking skin

30

Venous symptoms of peripheral vascular disease

Calf aching, tired, feeling full, edema, varicosities, weeping ulcers, chronic pain worse at end of night, aggravated by sitting, standing (for long time)

31

how to relieve symptoms of peripheral vascular disease

elevation of extremity, laying down

32

Chronic arterial insufficiency

Ischemic ulcer- a plaque build up due to arteriosclerosis

33

Symptoms of an ischemic ulcer

-coolness, pallor
-pain with walking
-diminished or absent pulses
-thin, shiny, hairless skin, thick nails
-ulcers, toes, metatarsal heads, heals, lateral ankles

34

Ischemic ulcers are associated with

diabetes, local neuropathy, local infection

35

Chronic venous insufficiency

Venous stasis ulcer

36

Symptoms of venous stasis ulcer

-follows DVT
-firm brawny edema
-coarse thick skin
-normal pulses, may be hard to locate dt edema
-brown pigmentation
-dermatitis
-ulcers located with malleolus bleeding