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Exam 3- part 2
Ch 30
34
Nursing
Graduate
11/11/2012

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Term
Preload
Definition
Volume of blood in ventricle after contraction and ventricular filling
Term
Embolism
Definition
Obstruction of a vessel by a bolus of matter in circulation
Term
Tamponade
Definition
blockage or compression of a body part
Term
Afterload
Definition
tension or pressure that must be generated by ventricle in order to eject blood
Term
Pericardial effusion
Definition
fluid accumulation in the pericardial sac
Term
pericarditis
Definition
inflammation in the pericardial sac
Term
DVT
Definition
blood clot that adheres to a deep vein
Term
Aneurysm
Definition
Localized dilatation or out pouching of a vessel
Term
Thromboembolism
Definition
detached thrombus
Term
Orthostatic hypotension
Definition
In both systolic and diastolic arterial pressure on standing
Term
Chronic Venous insufficiency
Definition
inadequate venous return over a long period of time
Term
Dysrhythmia
Definition
disturbance in cardiac rhythm
Term
Varicose veins
Definition
distended, tortuous, palpable veins
Term
Atherosclerosis
Definition
Process of thickening and harding of vessels with plaque. Leading contributor to coronary artery and cerebrovascular disease.
Term
Arteriosclerosis
Definition
Stiffening of the arteries, loss of elasticity in medium or large arteries.
Term
Hypernsion non-modifiable risks
Definition
Age >60, postmenopausal women >70, family hx, African American, DM, low socioeconioc and low education.
Term
Hypertension modifiable risks
Definition
smoking, excessive ETOH, sedentary lifestyle, obesity, elevated serum lipids. excessive NA, low K+, Magnesuim and calcium intake. high Stress
Term
CAD non-modifiable risk
Definition
advanced age, family hx
Term
CAD modifiable risk
Definition
Dyslipidemia, htn, smoking, DM, obesity, sedentary lifestyle, atherogenic diet
Term
CAD non-traditional or Novel risks
Definition
Increased serum markers for inflamation and thrombosis, hyperhomocystienemia, low levels or adipoklines, and infections, espically H. Pylori, Chlamydia pneumonia and CMV
Term
Hypertension
Definition
consistent elevation of systemic arterial blood pressure
Term
Primary hypertension
Definition
AKA essiential or idiopathic HTN, etiology is unknown. Combination of enviornmental and genetics.
Term
Isolated systolic HTN
Definition
elevation of systolic b/p with a normal diastolic. More common in older adults. caused by loss of elasticity in large arteries related to atherosclerotic changes.
Term
Atherosclerosis
Definition
a disease process related tothe formation of plaques within the atrial walls that cause thickening and hardening, eventually dimishing the size of the arterial lumen
Term
Myocardial ischemia
Definition
most commonly caused by Athersclerosis. increase in size of plaque, platelets, fibrin, and cellular debris which narrows the coronary artery lumen impeding blood flow, starving the myocardium of o2. cellular death occurs after 20 minutes of ischemic conditions.
Term
Acute Coronary syndromes
Definition
unstable angina, most often a result of athersclerotic CAD, precurser for MI
Term
Cor Pulmonale
Definition
rightsided heart failure, the inablity of the right ventrical to provide aqeduate blood flow into the pulmonary circulation. CM - Jugularvein distention, peripheral edema, hepatosplenomegaly and possible portal HTN.
Term
Congestive Heart Failure
Definition
left sided, systolic or diastolic failure. CM- pulmonary and vascular congestion, dyspnea, orthopnea, cough with frothy sputum, fatigue, dec urinary output and edema
Term
Aneurysm
Definition
out-pouching or localized dilation of arterial vessel or cardiac chamber, most commonly the thoracic or abdominal aorta. HTN contributes to liklyhood of rupture.
Term
Rheumatic heart disease
Definition
result of untreated rheumatic fever, scarring and deformities of cardiac structers. Can also be a result of valvular stenosis and aschoff body formation. CM-fever, lymphadenopathy, acute polyarthralgia, chorea, erythematous rash on trunk, and ECG abnormalities.
Term
Peripheral Artery Disease
Definition
Atherosclerosis which affects perfusion to the limbs, usually lower limbs
Term
Buerger disease
Definition
aka Thromboangitis obliterans, seen in young males who are heavy smokers.thrombus formation and vasospasm
Term
Raynaud Phenomena
Definition
Vasospastic, affecting small arteries and arteriols in the fingers. Young women, secondary to other conditions such as collagen vascular disease, myxedema trauma, serum sickness,or autoimmue states.
Term
Venous stasis ulcer
Definition
sluggish circulation, pooling and hypoxia deprive local tissure of needed nutrient delivery and waste removal.
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