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130 Nursing - Cardiac Test #1
130 Nursing - Cardiac Test #1
89
Medical
Graduate
01/19/2008

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Cards

Term

The resistance that the left side of the heart must overcome to eject blood is called ___________

Definition
Afterload
Term

What % of blood makes up Atrial Kick?

Definition
30%
Term
"% of blood volume in the venturcles being ejected" is known as the
Definition
EJECTION FRACTION
Term
Regarding Ejection Fraction, what % is considered "good" (adequate perfusion)
Definition
40%
Term
30% Atrial Kick is when ......
Definition
Atrias passively fill & 30% is ejected
Term
The lubb-dubb sound is caused by what?
Definition

when the semilunar valves are actively

opening & closing

Term

Volume arriving to the right side of the heart is known as _______

Definition
Preload
Term
3 things that can impact afterload:
Definition

1. BP (#1 cause)

2. Plaque

3. Flap closure issues

 

Term

Hardening of the valves is known as:

Definition
Stenosis
Term

A condition caused by loose heart valves is known as

Definition
Regurgitation
Term
What is Frank Starling's Law of Contractility?
Definition

Further Stretch = Bigger Stroke

Term
Superior & Inferior Vena Cava flow into _________
Definition
Right Atrium
Term
SA & AV node are located in the
Definition
Right Atrium
Term
Put in order the flow from the Right Atrium to the Ascending Aorta.....
Definition
starts: R. ATRIUM-- Tricuspid Valve -- R. Ventrical--Pulm.Artery Valve - Pulm Artery -- LUNGS-- Pulm Veins --L. Atrium -- Mitral Valve --L. Ventricle --Aortic Valve - AORTA  Ends
Term

What process causes the S1 sound?

Definition
The ventricles squeeze causing the TRICUSPID and BICUSPID (mitral) valves to close:  "Lubb"
Term

What process causes the S2 sound?

Definition
The Atria squeeze causing the Pulmonary Artery Valve & Aortic Valve (semilunar valves) to close: "Dubb"
Term

Blood carried into the lungs is OXYGENATED or DEOXYGENATED?

Definition
DEOXYGENATED.... it drops off CO2, picks up 02 and goes into the pulmonary viens, into the left artium then ventricle where its pumped out the Aorta to the body 
Term

Hypervolemia causes an (INCREASE/DECREASE)

in preload? 

Definition
Increase! 
Term
When hypovolemia causes an increased preload, what does the heart release to correct the situation?
Definition
It releases that hormone that makes you go pee to rid excess fluid volume.
Term
When the heart has a back up of "flow", the resulting condition is known as:
Definition

CHF

 

(congestive heart failure)

Term
When the heart runs low on 02 it signals for more... after 20 minutes without, it gets injured and necrosis occurs.   This condition is known as:
Definition
ISCHEMIA
Term
_____ condition results from low Oxygen
Definition

MI

 

(myocardial infarction)

Term
What is the formula for Cardiac Output?
Definition
Cardiac Output = SV x HR
Term

Cardiac Output always has to stay consistent.   Therefore, if the HR (heartrate) goes up, what happens to SV (stoke volume)?

Definition

goes down!

 

 

(inverse is true too:  low HR means high SV)

Term

Lets talk heart rates:  

I'll give you a range, you tell me what controls it....

 

60-100 bpm

Definition

This is a normal heart rate and controlled by the

SA NODE!

Term

Lets talk heart rates:  

I'll give you a range, you tell me what controls it....

 

40-60 bpm

Definition
This is bradycardia and controlled by the AV node
Term

Lets talk heart rates:  

I'll give you a range, you tell me what controls it....

 

20-40 bpm

Definition

This is also bradycardia and controlled by the

Purkinje Fibers

Term

Lets talk heart rates:  

I'll give you a range, you tell me what controls it....

 

below <20 bpm

Definition

This too is bradycardia and controlled by the

Agonal

Term
What condition has the #1 impact on the heart's overall operation?
Definition

Atherosclerosis

(plaque inside the artery)

Term

When plaque hardening inside the artery causes narrowing, the condition is called _________

Definition
Artherosclerosis
Term
When the artery ITSELF is actually hardening, this is called ______________
Definition

Arteriolsclerosis

 

(usually happens when we age)

Term
ATHEROMA is another word for:
Definition
Plaque
Term
Clots can cause a _______
Definition

MI

 

(myocardial infarction)

Term

Narrowing vessels can cause _______ in blood pressure?

Definition
RISE in BP
Term

That little bony bump on the center of your sternum, marking the horizonal of your 2nd intercostal spaces (where you S1 and S2 are)

  is called __________

Definition

Angle of Louie

Term

APE-TO-MAN

refers to:

Definition

Apical

Pulmonic

Erbs point

Tricuspid

Mitral

Term

HIGH Pallor = _____ Cardiac Output                               & Vasoconstriction

Definition

LOW

Term

T/F

 

High BP can cause pain and anxiety?

Definition
TRUE
Term

T/F

 

Low BP can cause MI injury

Definition
TRUE
Term
If you wanna make your S4 sound louder, you have your patient do what?
Definition
Squeeze your hand
Term
Which is louder:  S1 or S4
Definition
S1
Term
The relaxation of the myocarium is known as
Definition
DIASTOLE
Term

What divides the Left and Right Venticle?

Definition
the SEPTUM
Term
This is known as the "pacemaker of the heart"
Definition
SA Node
Term
What do P,Q,R,S,T & U mean?
Definition

They identify separate wave forms on an ECG

P = firing of the SA node

QRS = depolarization from the AV node

T = Repolarization of the ventricles

U = Repolarization of teh Purkinje Fibers

(U can mean also hypokalemia)

Term
Another word for electrical impulse is:
Definition
"Action Potential"
Term

LETS TALK ECGs!!!

 

The P wave indicates?

Definition
Atrial DEpolarization
Term

The PR interval indicates a delay thru the AV node where the ATRIA has time to contract and empty blood into the ventricles. 

 

So what then does the QRS wave indicate? 

Definition

Indicated conduction thu the ventricles. 

 

(when that electrical signal runs down the bundle branches and purkinje fibers)

Term
What does the T wave indicate?
Definition
When the process REpolarizes back again.
Term
A normal T wave appears to be what shape?
Definition
rounded and smooth
Term
Cardiac Muscle is also known as the
Definition
Myocardium
Term
A sac formed by localized dilation of the blood in the vessel wall is called
Definition
Aneurysm
Term
 

______________ is damaged heart muscle due to inadequate blood supply

Definition
Ischemia
Term

stretch of cardiac muscle fibers when filling (volume); focuses on the filling of the heart; volume of blood returning to the heart

is called ____________

Definition
Preload
Term

forces the heart must overcome to eject the blood (resistance); focuses on the ejection of the blood; heart must contract harder against pressures i.e., aortic compliance, vascular pressure, blood mass, viscosity, pulmonary stenosis)

 

This is called

Definition

Afterload

 

 

Term
This node located in the LLQ of the right atria is also known as "the junction"
Definition
AV node
Term

Normal heart rate is 60-100 bpm controlled by which node?

Definition
the SA node
Term
Junctional 40-60 bpm is controlled by what?
Definition
AV junction/node
Term

20-40 bpm is controlled by the ________

Definition
Purkinje Fibers
Term
And below 20 bpm is controlled by
Definition
Agonal
Term
Depolarization of the atria is the ____ wave on an ECG.
Definition
P Wave
Term

Depolarization of the ventricles is the

Definition

QRS complex

Term
Repolarization of the ventricals is the
Definition

T Wave

 

Term
Repolarization abnormality (hypokalemia) is which wave?
Definition

U Wave

 

Term
If the QRS complex ________, this indicates abnormalities with eh conduction of electricity THRU the ventricles (i.e. bundlebranch, MI)
Definition
if the QRS complex WIDENS
Term
Contraction of the heart (myocardium) is known as
Definition
SYSTOLE
Term
Relaxation of the heart (mycardium) is known as
Definition
DIASTOLE
Term

The average amount of blood in L/Min

for an adult at rest is:

Definition
4-8 L/min
Term
Cardiac Index formula is what?
Definition
CO divided by BMI
Term
The ability to respond to demands placed upon your heart (i.e. exercise, stress) is known as
Definition

Cardiac Reserve

 

(fact:  the cardiac output increases 3-4 times greater than normal to meet demand)

Term
WHAT SYSTEM:  
Increases heart rate
Increases speed of conduction in AV node
Increases force of contractions
Vasoconstriction (alpha adrenergic receptors)
Medicated by beta-adrenergic receptors (which are designed for epinephrine and norepinephrine
Definition
Sympathetic
Term
What System: 
Decreases heart rate
Slows conduction through the AV node
Mediated by vagus nerve
Definition
Parasympathetic
Term
 
THESE: 
Stretch and pressure sensitive receptors in the aortic arch and carotid sinus
Temporarily inhibits sympathetic nervous system
Decreases heart rate
Vasodilates
Definition
Baroreceptors
Term
THESE:  
Located in aortic arch and carotid sinus
Detects respiratory acidosis with hypoxia
Stimulates vasomotor center in the brain to increase heart rate
Definition
CHEMORECEPTORS
Term

Cardiac Output (CO)

 x

Systemic Vascular Resistane (SVR)

 

=

 

?

Definition
Blood Pressure (BP)
Term
Systolic / Diastolic represents
Definition
Aterial Blood Pressure
Term
 
Difference between SBP and DBP

Usually 1/3 of SBP i.e., 120 - 80 = 40

 

This is known as _____  _____

Definition
Pulse Pressure
Term
 
DBP + 1/3(SBP – DBP)
Average pressure within an artery over a complete cycle of one heartbeat
THIS IS KNOWN AS ______ _____ ________
Definition
Mean Arterial Pressure
Term
Opening Btwn Left and Right Atria is called
Definition
Atrial Septal Defect
Term

4 Defects: Stenosis (narrowing of pulmonary artery), Enlargment of Rt. Ventricle, Aorta receives blood from BOTH Ventricles, and Ventricular Septal Defect.....

ALL FOUR are called ______________

Definition
Tetrology of Fallot
Term
 

"Right ventricle enlarges as it works harder to pump the blood through the narrowed/stenosed pulmonary artery"

 

This statement sums up the 4 defects... called also

Definition
Tetralogy of Fallot
Term

Key S&S of Tetralogy of Fallot:

 

Cyanosis, CLUB fingers, High RBCs, and Failure to?

Definition
Failure to Thrive
Term
Squatting with knees to chest to increase systemic venous return is known as the ________ position.
Definition
"Tet" position
Term
Tightening constriction or narrowing of the aorta is known as a ________ of the aorta.
Definition
Coarctation
Term

The clinical term for "changes in chest landmarks".... think falling elderly skin

Definition

Kyphosis

 

(the ky is falling)

Term
As we age, we have fewer pacemaker cells... this causes SA node dysfunction and sinus bradycardia.
Definition
You're doing GREAT!... keep going
Term

In the elderly, there are fewer beta-receptors... which makes elderly less sensitive to what meds?

Definition
beta-blocker meds
Term
What happens to BP in the elderly?
Definition

There is a wider range btwn Systolic and Diastolic

 

(wider pulse pressure)

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