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Peds - Chapter 26
Vocab
34
Nursing
Undergraduate 2
07/29/2013

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Term
afterload
Definition
Resistance to the ventricular ejection of blood.
Term
arrhythmias
Definition
Abnormal rhythms or dysrhythmias.
Term
cardiac output
Definition
Volume of blood ejected from the left ventricle each minute.
Term
cardiomegaly
Definition
Enlargement of the heart by hypertrophy of its walls.
Term
compliance
Definition
Ability of the lungs and chest wall to expand during inspiration and recoil with expiration; amount of distention or expansion the ventricles can achieve to increase stroke volume.
Term
contractility
Definition
The ability of the heart muscle fibers to contract forcefully.
Term
desaturated blood
Definition
Blood with a lower than normal oxygen level resulting when a heart defect causes oxygenated and unoxygenated blood to mix.
Term
digitalization
Definition
Process of giving a higher than normal dose of digoxin initially to speed response to the drug and achieve therapeutic blood levels faster.
Term
ductus arteriosus
Definition
The fetal vascular channel between the pulmonary artery and the descending aorta.
Term
ductus venous
Definition
The fetal vascular channel between the umbilical vein and the inferior vena cava.
Term
endocardial cushions
Definition
Fetal growth centers for mitral and tricuspid valves and the atrial and ventricular septum.
Term
foramen ovale
Definition
The opening between the right and left atria in the fetal heart.
Term
gallop
Definition
A third heart sound that produces a rhythm like the gait of a horse.
Term
hemodynamics
Definition
Pressures generated by blood and passage of blood through the heart and pulmonary system.
Term
holosystolic
Definition
Heart murmur heard during the entire phase of systole.
Term
hypercyanotic episode
Definition
An abrupt decrease in systemic vascular resistance and pulmonary blood flow triggered by activity that occurs in children with heart defects with decreased pulmonary blood flow.
Term
hypoplastic
Definition
Underdeveloped organ or tissue.
Term
hypoxemia
Definition
Lower than normal amounts of oxygen in the blood.
Term
inotropic medications
Definition
Agents that improve the velocity of heart contractility.
Term
oxygen saturation
Definition
The amount of oxygen that can potentially be delivered to the tissues.
Term
palliative procedure
Definition
Surgical procedure that does not create normal anatomical or hemodynamic results that are used for children with a potentially fatal or lethal condition. Examples include shunts that are life saving, pulmonary artery banding, and final surgeries that do not produce normal blood flow, such as the Fontan procedure.
Term
polycythemia
Definition
Above normal increase in the number of red cells in the blood to increase the amount of hemoglobin available to carry oxygen.
Term
preload
Definition
Volume of blood in the ventricle at the end of diastole that stretches the heart muscle before contraction.
Term
radiofrequency ablation
Definition
The use of radio energy to destroy a very small section of the myocardium through which an accessory conduction pathway passes.
Term
shock
Definition
An acute, complex state of circulatory dysfunction resulting in failure to deliver sufficient oxygen and other nutrients to meet cell and tissue demands. It can be caused by a variety of conditions such as hemorrhage, dehydration, sepsis, obstruction of blood flow, and cardiac pump failure.
Term
shunt
Definition
Movement of blood between the systemic and pulmonary circulation through an abnormal anatomic or surgically created opening. Left to right shunting is systemic to pulmonary circulation, and right to left shunting is pulmonary to systemic circulation.
Term
stenotic
Definition
Narrowing of a valve or below the valve, or in the blood vessel.
Term
stroke volume
Definition
The amount of blood ejected with each contraction.
Term
synchronized cardioversion
Definition
The timed administration of a calibrated electrical charge by a defibrillator in an effort to convert the arrhythmia to a sinus rhythm.
Term
syncope
Definition
Transient loss of consciousness and muscle tone.
Term
systemic vascular resistance
Definition
The force or resistance of the blood in the body's blood vessels that helps return blood to the heart.
Term
Torsades de pointes
Definition
A distinct form of ventricular tachycardia in patients with marked QT prolongation on the ECG, appearing as "twisting of the points."
Term
valsalva maneuver
Definition
A forced expiratory effort against a closed airway (e.g., holding the breath and bearing down as if to have a bowel movement, inducing the gag reflex, or blowing forcefully on the thumb), which increases intrathoracic and venous pressures and thus slows the heart rate.
Term
valvuloplasty
Definition
Dilating a stenotic pulmonic or aortic valve.
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