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160 test on perfusion
perfusion
37
Nursing
Undergraduate 2
09/25/2016

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Cards

Term
what are the BMI
Definition
less than 18.5 underweight
18.5-24.9 normal weight
25-25.9 overweight
30-35.9 obese 1
35-45.9 obese 2
40+ obese 3
Term
what are some notable sighns related to perfusion
Definition
chest pain and discomfort
vital sighns
shortness of breath
dyspnea on exertion
edema/weight gain
palpitations
fatigue/weakness
dizziness/syncope/fainting
Term
what is the pulsus praxidus
Definition
a decrease in BP or 10mmHG on inspiration
can mean fluid in the pericardial sack or endocarditis
Term
what is pulse pressure
Definition
the systolic blood pressure - diastolic blood pressure
Term
what is normal range for pulse pressure
Definition
30-40mmHg
Term
what can increase the pulse pressure
Definition
exersize, atherosclerosis
Term
what can decrease the pulse pressure
Definition
hemorrhage, hypovolemia, shock
Term
what are positive signs for orthostatic hypotension
Definition
bp drops 10-20mmHG when changing positions
heart rate increases 10-20
patient can also experience dizziness, sudden cold and clammy skin diaphoresis
Term
what is a murmer
Definition
gently blowing or swishing sounds
Term
what conditions result in heart murmers
Definition
velocity of blood
viscosity of blood
structural defect of the valves
unusual opening of the chambers
Term
what causes the snap sound murmur
Definition
stenosis of the valves
Term
what is the pericardial friction rub
Definition
rub indicates inflamation of the pericardium
Term
what is stroke volume
Definition
amount of blood ejected by the left ventricle in one beat
Term
what is normal stroke volume
Definition
60-120ml/beat
Term
what can affect stroke volume
Definition
afterload, preload and contratility
Term
what is preload?
Definition
the stretch of the cardiac muscles during fillig before systole
Term
what is afterload
Definition
the amount of resistance against the blood leaving the ventricles
Term
what is ejection fraction
Definition
amount of blood that leaves the left ventricle during systole
Term
what is a normal ejection fraction
Definition
55%-65%
Term
what is BNP
Definition
BNPis a biomarker released by the ventricles when there is excessive pressure due to heart failure. its a marker for heart failure
Term
what is a normal BNP
Definition
less than 100 no failure
100-300 heart failure present
300- mild heart failure
600-moderate heart failure
as BNP increases the incidence of heart failure increases
Term
what is synthetic BNP
Definition
acts opposite of aldostorone
diuresis
Term
what is PTT and APTT used for
Definition
determine the theraputic levels of heparin
Term
what is INR used for
Definition
determine theraputic levels of coumadin
Term
what is a normal PTT level
Definition
21-35 seconds
Term
what is a normal aPTT level
Definition
20-39 seconds
Term
what is a normal INR range
Definition
less than 2
theraputic 2.0-3.0
aim for 2.5-3.5 with mechanical heart
Term
if a persons PTT is less than 60
Definition
add heparin
Term
if a persons PTT is higher than 100
Definition
decease heparin
Term
what is normal hemoglobin for males
Definition
13-18
Term
what is normal hemoglobin for females
Definition
12-16
Term
what is normal hematocrit for males
Definition
42-53
Term
what is normal hematocrit for females
Definition
35-47
Term
what is a normal WBC count
Definition
4,500-11,000
Term
what is normal leukocyte value
Definition
150,000-450000
Term
what is normal range of iron for male
Definition
65-125
Term
what is the normal range of iron for a female
Definition
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