Exam 3 - Cardio + PVD Flashcards

(83 cards)

1
Q

regardless of race or ethnicity, adults in the United States are more likely to die from ___ ___ than any other cause

A

heart disease

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2
Q

area on chest that covers the great and great vessels

A

precordium

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3
Q

T or F. female hearts are smaller and weigh less than male hearts

A

true

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4
Q

where is the apex of the heart?

A

bottom

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5
Q

where is the base of the heart?

A

top

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6
Q

outer layer of the heart

A

epicaridum

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7
Q

thick, innermost layer of the heart

A

myocardium

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8
Q

innermost layer of the heart

A

endocardium

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9
Q

___ means internal organ

A

visceral

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10
Q

cardiac cycle

A
tri, mitral valves open
protodiastolic filling
presystole
AV valves close (S1)
ventricles contract
Semilunar valves open
Semilunar valves close (S2)
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11
Q

atria contract to push more blood into ventricles

A

presystole

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12
Q

first, rapid filling phase

blood pours into ventricles

A

prodiastolic filling

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13
Q

the heart sits ___ or slanted

A

obliquely

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14
Q

if heart valves are competent, blood flow will be ___

A

unidirectional

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15
Q

where is “lub, dub” and semilunar valves heard best

A

at the base of the heart / precordium

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16
Q

S3, S4 are commonly associated with ___ ___

A

MI

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17
Q

occurs when ventricles reach its elastic limit, rapidly causing blood flow from the atrium to slow

blood flow from the ventricles cause vibrations

A

S3

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18
Q

sounds associated with active atrial contractions that cause late ventricular filling

A

S4

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19
Q

S4 is aka

A

atrial gallop

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20
Q

when is an S4 heard

A

before S1

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21
Q

cause of S4

A

uncontrolled HTN
long standing aortic stenosis
post MI fibrosis
cardiomyopathies

can be heard in well conditioned athletes and children

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22
Q

S3 is aka

A

ventricle gallop

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23
Q

S3 is heard with pt who have ___ ___ ___ or ___

A

CHF

cardiomyopathy

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24
Q

when is S3 heard

A

after S2

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25
S3 is a normal finding in these indiviuduals
children young adults pregnancy, 3rd trimester
26
S3 is heard best is which position
apex, L lateral position
27
S4 is heard best in which position
apex, bell of stethoscope, L lateral position
28
S4 sounds like which state
Tennessee
29
S3 sounds like
Kentucky
30
what are the 4 main coronary arteries
L main R L anterior descending circumflex
31
what does an EKG determine
electrical activity
32
cardiac conduction system order
``` SA node intra-atrial conducting pathway AV node Bundle of His -R, L bundle branches purkinjie fibers ```
33
electrolytes that impact electrical problems
Calcium Potassium Sodium
34
SA node rate
60-100 bpm
35
if SA node fails, which picks up?
AV node
36
AV node rate
60 bpm
37
AV node fails, which picks up?
Purkinje fibers
38
Purkinje fiber rate
40-60 bpm
39
average time for each cardiac cycle
0.8 seconds
40
average HR
72 bpm
41
one complete heartbeat which is the contraction and relaxation of the atria and ventricles
cardiac cycle
42
3 periods of ventricular filling
filling systole isovolumetric relaxation
43
straight horizontal line means the absence of electrical activity and the pt is
dead
44
if a pt is in asystole, how many leads must it be confirmed in
2
45
this is correlated with a higher incidence of HTN, especially in adult females
socioeconomic status
46
stress stimulates which system?
sympathetic = increase systemic vascular resistance = increase workload of the heart
47
race with the high risk of HTN and stroke
African Americans
48
race with the highest risk factor of obesity and diabetes
Hispanics, Latinos 25% less likely to die from cardiovascular disease than Caucasians
49
SBP, DBP changes during pregnancy induced HTN/preelampsia
rise in SBP 30 or DBP 15
50
pregnancy resting HR changes
increase 10-15 bpm
51
a BP of 150/60 in a normal finding in ___ ___
older adults
52
PVC are r/t
caffeine | stimulant drugs
53
which drug is known to cause coronary artery spasms
cocaine
54
alcohol can lead to ___ and ___ ___
cardiomyopathy | afib
55
chest pain that occurs when the heart can't keep up with the metabolic demands
angina
56
illness of inflammation that can damage the heart valves permanently
Rheumatic fever untreated strep
57
medical processes that can cause aniga
``` DM PVD CVA MI HTN high cholesterol Rheumatic fever ```
58
inflammation of the costal cartilage causes from coughing
costochondritis
59
pt reports they wake up at night or can't sleep d/t developing dysnea, the nurse should inquire about...
heart or lung problems
60
edema r/t cardio is unilateral or bilateral
bilateral worse at night, better with elevation
61
dependent edema is caused by
CHF
62
where is S2 loudest
aortic (2nd R ICS) | pulmonic (2nd L ICS)
63
S1 is loudest where?
``` tricupsid apical area (5th ICS MCL) ```
64
S1, S2 are heard equally where?
Erb's point (3rd L ICS)
65
how to compare carotid and apical pulse
palpate carotid while auscultating the apical pulse
66
positioning for auscultating heart
sitting lean forward supine, lateral
67
heart murmur grading is #'s __ to __
1-6
68
heart murmur grading 1
barely audible
69
heart murmur grading 2
faint
70
heart murmur grading 3
moderately loud
71
heart murmur grading 4
loud, thrill
72
heart murmur grading 5
very loud; head of stethoscope off of chest wall
73
heart murmur grading 6
loudest
74
s/sx of ventricular septal defect
poor weight gain delay physical, mental development cyanosis, tachypnea when feeding **corrected with sx
75
contracting skeletal muscles, especially ___ muscles, help move blood ___ towards the heart
calf; distally
76
what must be done before an ABG
collateral circulation or Allen Test
77
+ Allen test
no blood return within 8 seconds
78
how to perform an Allen test
hand held higher than heart | pressure applied to radial, ulnar arteries until distal blood is occluded
79
dorsalis pedis pulse location
over the dorsum of foot | lateral to extensor tendon of big toe
80
s/sx of varicose veins
ache burn heaviness
81
how long does it take for claudication pain to go away
2 minutes after rest
82
Is Raynaud a symptom or disease?
symptom r/t to underlying cause such as sclerodoma
83
varicose vein risk factors
``` Irish, German decent family hx sedentary lifestyle obesity multiple pregnancies ``` greatest risk: jobs require standing most of the day: hairdressers, cashier; desk jobs