exam 3 Flashcards

(59 cards)

1
Q

P wave

A

arial depolarization

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2
Q

PR interval

A

allowing ventricle to fill

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3
Q

QRS complex

A

ventricle depolarization

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4
Q

T wave

A

ventricle repolarization

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5
Q

no reflection

A

atrial repolarization

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6
Q

apical pulse

A

60-100 bpm

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7
Q

cardiac cycle

A

1st sound
2nd sound
3rd sound
4th sound

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8
Q

1st heart sound

A

systole
ventricles contract
AV valves closed
lub sound

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9
Q

2nd heart sound

A

diastole
ventricles relax
Sl valves close
ventricular filling

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10
Q

3rd heart sound

A

heard in diastole
kids and young adults
not normal over 40

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11
Q

4th heart sound

A

heard in late diastole

called an atrial gap

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12
Q

heart valves

A

aortic
pulmonic
tricuspid
mitral

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13
Q

aortic

A

right of sternum

2nd intercostal space

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14
Q

pulmonic

A

left of sternum

2nd intercostal space

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15
Q

tricuspid

A

left of sternum

5th intercostal

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16
Q

mitral

A

5th intercostal space

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17
Q

arteries

A

flow away from heart
high pressure
strong
oxygenated

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18
Q

artery locations

A
temporal
carotid
brachial
radial
femoral
popliteal
posterior tibialis
dorsalis pedis
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19
Q

veins

A

less sturdy, expansible
low pressure
keep blood flowing toward the heart

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20
Q

jugular vein distention

A

disappears in upright position
HOB 30-60 degrees
right sided CHF
venous insufficiency

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21
Q

agina

A

decreased O2 to the heart

chest pain with pressure

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22
Q

aortic aneurysm

A

dilation of vessel wall

constant intense chest pain that radiates

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23
Q

pericarditis

A

heart sac inflammation

sharp pain aggrevated by deep breaths

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24
Q

pulmonary chest pain

A

sharp knife like pain
SOB
activity intolerance

25
claudication
intermittent pain in legs after activity pain in leg after walking pain decreases with rest
26
fatigue
low energy levels assess for cause physical work, infection, disease
27
weakness
decreased muscular strength rarely psychological explore cause need more testing
28
dyspnea
difficulty lying flat at rest or exertion may be severe cardiac problem if at rest
29
coughing
assess if pulmonary or cardiac problem | is not if productive
30
thorax
mediastinum right pleural cavity left pleural cavity
31
primary muscles of inspiration
diaphragm | intercostal muscles
32
accessory muscles
all others
33
upper airway structures
nose pharynx larynx trachea
34
functions of upper airway
conduct air to lower airway | warm, filter and humidify air
35
structures of lower airway
trachea R/L stem bonchi bronchioles alveoli
36
external respirations
pressure gradient
37
internal respirations
cellular level
38
pons
regulates respiratory rhytm
39
medulla
controls respiratory rate and depth
40
abnormal lung sounds
crackles | wheezes
41
crackles
heard on inspiration and expiration could be cleared with coughing sounds like crackling or bubbling
42
cause of crackles
atelectasis | caused by emphysema
43
wheezing
heard on inspiration or expiration heard with asthma or pneumonia sounds like continuous music
44
diagnostic tests
sputum specimens pulmonary function tests pulse ox arterial blood gases
45
hypoxemia
blood oxygen levels below normal | tells how much O2 the lungs are delivering to the blood
46
normal O2
80-100
47
hypoxia
blood unable to take adequate amount of O2 to tissue
48
signs of hypoxia
agitation anxiety LOC headache bradycardia
49
arterial blood gases
``` ph O2 CO2 HCO3 SaO2 ```
50
normal ph
7.35-7.45
51
normal O2
80-100
52
CO2
35-45
53
HCO3
22-26
54
SaO2 saturation
95-100%
55
respiratory acidosis
low pH | high CO2
56
repsiratory Alkalosis
high pH | low CO2
57
metabolic acidosis
low pH, low HCO3
58
metabolic alkalosis
high pH, high HCO2
59
ECK, EKG
``` P wave PR interval QRS complex T wave No reflection ```