Chapter 20 Part 3 Flashcards

1
Q

amount pumped by each ventricle in 1 minute

A

cardiac output

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2
Q

HR=

A

number of beats per minute

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3
Q

volume of blood pumped out by 1 ventricle with each beat. correlates with force of ventricular contraction

A

stroke volume

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4
Q

hr x sv=

A

co

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5
Q

entire blood supply passes through each side of the heat ``

A

1x/min

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6
Q

what side is pulmonary congestion on

A

left

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7
Q

left sided heart failure=

A

pulmonary congestion

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8
Q

in pulmonary congestion what side is fully functioning

A

right, but left has inadequate ejection

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9
Q

blood vessels in lungs fill with blood, pressure increases and fluid leaks from BV into lung tissue->

A

pulmonary edema-> suffocation

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10
Q

right sided heart failure=

A

peripheral congestion

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11
Q

blood is stagnant in peripheral congestion which means

A

fluids pool in tissue spaces and body impaired to obtain adequate nutrients and O2/ remove wastes. swelling in extremities

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12
Q

failure of 1 side= strain on other side->

A

complete heart failure

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13
Q

how do you treat congestion

A

diuretics, decrease BP, digitalis, heart transplant

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14
Q

if sudden drop in BV or heart weak->

A

SV drops and CO maintained via increase in HR and contractility

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15
Q

temporary stressors influence

A

HR via homeostatic mechanisms: neural, chemical and physical

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16
Q

factors that increase HR=

A

+ chronotropic factors

neg vice versa

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17
Q

normal hr

A

60-100

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18
Q

tachycardia

A

> 100 due to stress, elevated temp, drugs

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19
Q

bradycardia

A

<60 due to low temp, drugs or PNS. May warn of brain edema after head trauma

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20
Q

most important extrinsic control affecting HR

21
Q

emotional or physical stressord activates

22
Q

whats is released at cardiac synapses

23
Q

ans binds to beta 1 adrenergic receptors in heart which means

A

threshold reaches quicker

24
Q

SA node fires more rapidly and heart

A

beats faster

25
secreted by adrenal medulla
epi
26
what increases bmr, large quantities increase in hr direct heart action, also enhances epi and ne effect
thyroxine
27
hypocalcemia increase or decrease hr
decrease
28
hypercalcemia increase or decrease hr
increase
29
xs elevation=
life threatening arrythmia
30
hyperkalemia depolarizes
RMP and lead to heart block and cardiac arrest
31
hypokalemia life threatening also causing
arrhythmia
32
other factirs on hr
age gender exercise body temp
33
fetus hr
140-160
34
females hr
72-82
35
males hr
64-72
36
irregular heart rhythm, due to intrinsic conduction system defects
arrythmia
37
arrythmia causes
uncoordinated atrial and ventricular contractions
38
arrythmia causes fibrillation=
rapid and irregular vs out of sync contractions where sa node control is disrupted by rapid activity in other parts of the heart
39
squirming bag of worms. useless as a pump
fibrillation
40
electrical shock- disruption of twitching by depolarizinf entire myocardium
defibrillation
41
constant monitoring of heart rhythms and slows an abnormally fast hr or shock given when heart fibrillates
implantable cardioverter defribrillators
42
prolonged coronary blockage=
ischemia>20 min
43
in myocardial infarction cardiac tissue dies so
amitotic so tissue is replaced with noncontractile scar tissue
44
symtoms of MI
chest pain radiates to left shoulder, arm, and jaw , SOB, N/V and diaphoretic
45
most comon cause of mi
thrombus formation in coronary artery
46
angioplasty
surgery with small balloon in femoral artery to coronary artery, inflated, flattem deposits. stent inserted to keep open
47
coronary bypass
surgery relieves effects of obstruction, uses radial artery, saphenous vein, internal mammary artery
48
tPA=
BREAKS DOWN CLOTS