Shared Flashcard Set

Details

Pathophysiology: Alterations in Cardiac Function
CV system (part 3)
24
Nursing
Undergraduate 2
03/25/2010

Additional Nursing Flashcards

 


 

Cards

Term
Equation for cardiac output
Definition
CO = SV x HR

cardiac output = stroke volume x heart rate
Term
The three main coronary arteries
Definition
right coronary artery

left anterior descending

left circumflex
Term
Ischemic Heart Diseases (3) and Etiology (1)
Definition
IHD:
Angina Pectoris
Myocardial Infarction
sudden cardiac death

etiology: atherosclerosis
Term
Coronary Artery Disease (CAD) {manifestations and description)
Definition
manifestations: coronary atherosclerosis, angina pectoris, MI, ischemic cardiomyopathy, sudden cardiac death

Narrowing of the arteries causing a decreased lumen and decreased blood flow through the coronary arteries.
Term
Coronary Artery Disease Risk Factors (9)
Definition
- smoking
- stress
- high BP
- obesity
- physical inactivity
- diabetes
- high blood cholesterol levels

-family history
- age
Term
Angina Pectoris
Definition
Chest Pain caused by myocardial ischemia
Term
Classification of Angina Pectoris (3 types)
Definition
Stable: caused by a specific amt of activity, no chng in cause, amount, or duration of pain over time, relieved by rest/ nitrates

unstable: high risk for MI, pain occuring with increasing frequency, severity, and duration over time, unpredicatble

Prinzmetal's: atypical occuring w/o precipitating cause, usual cause = coronary artery spasm; may occur at the same time every day
Term
Angina Pectoris (clinical manifestations)
Definition
Characterized by intermittent bouts of chest pain brought on by exertion and relieved by rest.
Pressure or heaviness in chest
Sweating
Light-headedness
Hypotension
Indigestion
Pain may radiate to arms, jaw, abdomen
Term
Myocardial Infarction (def)
Definition
death of myocardial cells due to ischemia
Term
Myocardial Infarction (manifestations)
Definition
Pain---midsternal not relieved by NTG or rest
Tachycardia
Diaphoresis
Tachypnea, dyspnea
Feelings of impending doom
Anxiety
Nausea & Vomiting
ECG changes
Elevated cardiac enzymes
Leukocytosis
Term
Differentiation of Angina and MI
Definition
[image]
Term
Sudden Cardiac Death
Definition

  • unexpected death from cardiac causes within one hour after onset of symptoms
  • caused by cardiac ischemic disorder
  • associated with CAD

Term
Valvular Disorders
Definition

  • definition: diseases that interfere with unidirectional blood flow w/i the heart
  • stenosis [inability of leaflets to open and close properly]
  • regurgitation [backflow of blood through a valve that cannot be closed properly
  • etiology: congential, rheumatic, calcification, infective

Term
Mitral Stenosis
Definition

- manifestations: murmur, pulmonary edema, dyspnea, palpitations, fatigue, hemoptysis, chest pain, recumbent cough

--> increased LAP, loud S1 snap opening at apex, murmur rare, if present at short diastolic, arterial fib. common

- mitral valves become thickened with the shortening of the chordae tendineae

Term
Mitral Regurgitation
Definition

- manifestations: dyspnea, PND, chest pain, palpitations, murmur

--> systolic murmur, radiate to left axilla, pansystolic, blowing, prominent S3

Term
Aortic Stenosis
Definition

- characterized by large LV, LVH, and CHF

- murmur that radiates to the neck

- caused by endocarditis, RF, calcium deposits, MI, congenital heart defects

Term
Aortic Regurgitation
Definition

- characterized by high systolic BP and low diastolic BP and bounding pulse

 

- diastolic murmur, bounding pulse, wide pulse pressure

 

-incompetent aortic valve that allow blood to leak from aorta to LV during diastole

Term
Rheumatic Heart Disease
Definition
Manifestations include: chest discomfort, tachycardia, CHF, pericardial friction rub, murmur, cardiomegaly, pericardial effusion

Inflammatory disease that follows a B-hemolytic streptocci infection.

Causes valvular deformity with the development of stenosis or regurgitation.

consequence of RF
Term
Infective Endocarditis
Definition
Manifestations include murmur, cough, SOB, anorexia, abdominal pain, fever, chills, night sweats, joint pain, and petechiae.


Inflammation of the lining of the heart
Term
Myocarditis
Definition
Manifestations include signs of inflammations and signs of heart failure.


Caused by viruses, bacteria, protozoa, drugs, Coxackie B enterovirous (most common in the U.S.).
Term
Cardiomyopathy
Definition
Three types:
dilated--dilation of all 4 heart chambers.{poor contractility}
hypertropic--thickened, hyperkinetc ventricular muscle mass.{ outflow obstruction, ischemia}
restrictive--stiff, fibrotic ventricle {impaired diastolic filling}
Term
Cardiomyopathy (manifestations)
Definition
CHF
LVH
ECG changes
fatigue
palpitations
edema
Term
Pericardial Effusion
Definition
Manifestations may include: distended neck veins, muffled heard sounds, increased chamber pressures.


accumulation of noninflammatory fluid in the pericardial sac
Term
Pericarditis
Definition
Manifestations include: pericardial friction rub, back pain or esophageal pain, dyspnea, cough, and fever.


inflammation of the pericardium
Supporting users have an ad free experience!