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Cardiovascular disorders
ppt
102
Nursing
Undergraduate 1
03/13/2023

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Cards

Term
chambers of the heart
Definition
two upper atria, two lower ventricals
Term
muscle layers of the heart
Definition
Endocardium, myocardium, and epicardium
Term
valves of the heart
Definition
atriovetricular, semilunar
Term
Atrioventricular valves
Definition
Mitral and tricuspid
Term
Semilunar valves
Definition
Aortic and pulmonic
Term
The first heart sound (S1), referred to as lub, the ventricles contract during
Definition
systole
Term
when the mitral and tricuspid valves close
Definition
S1 heart sound
Term
The second heart sound (S2), called dub,
ventricular relaxation or
Definition
diastole
Term
caused by the closing of the aortic and pulmonic valves
Definition
s2 heart sound
Term
The bundle of His is made up of
Definition
Purkinje cells
Term
the bundle of his is located where the atrial and ventricular
Definition
septa meet
Term
Heart innervated by _ fibers of the autonomic nervous system
Definition
sympathetic and parasympathetic
Term
found primarily in the SA and AV nodes and the atrial tissue
Definition
parasympathetic finbers
Term
sympathetic stimulation results in
Definition
increased heart rate, increased speed of conduction through the AV node, and more forceful contractions
Term
Parasympathetic stimulation results
Definition
in slowing of heart rate, slowing of conduction through the AV node, and decreased strength of contraction
Term
Contraction and relaxation of the heart make up one heartbeat
Definition
Cardiac cycle
Term
Amount of blood (in liters) ejected per minute
Definition
Cardiac output
Term
Factors that affect stroke volume:
Definition
preload, contractility, and afterload
Term
Myocardial tissue routinely needs _ of the oxygen delivered to it by the coronary arteries
Definition
70% to 75%
Term
Symptoms related to cardiac disorders include
Definition
fatigue, edema, palpitations, dyspnea, and pain
Term
cholesterol intake should be limited to
Definition
200 mg/day
Term
foods with trans-fatty acids should be limited to less than
Definition
1% of total daily calories
Term
Sodium restriction of _ is recommended if the patient has fluid retention
Definition
1500 mg/day
Term
Abnormal thickening, hardening, loss of elasticity of arterial walls
Definition
Arteriosclerosis
Term
Form of arteriosclerosis; inflammatory disease that begins with endothelial injury and progresses to the complicated lesion seen in advanced stages of the disease process
Definition
Atherosclerosis
Term
Progression of lesions
Definition
Fatty streak
Fibrous plaque
Unstable plaque
Term
Branches grow from existing arteries; provide increased blood flow
Definition
Collateral circulation
Term
two types of cause and risk factors of HF
Definition
disorders that increase workload of the heart, disordres that interfere with heart's pumping ability
Term
cardiac and circulatory adjustment that maintain or restore CO to or near normal
Definition
Compensation
Term
Right sided heart failure
Definition
> R V pressure
> R atrial pressure
Fluid accumulates in systemic system
Term
left sided heart failure
Definition
> L V End Diastolic pressure
> L atrial pressure
> pulmonary pressure
Pulmonary Edema (Excess fluid in tissues)
Term
left sided HF symptoms
Definition
anxious, pale, tachycardic, lowering BP, crackles, wheezes dyspnea, cough, S3 and S4
Term
right sided HF symptoms
Definition
increased central venous pressure, JVD, abdominal engorgement, vomiting, dependent edema, fatigue, weight gain, decreased urinary output
Term
drug therapy for HF
Definition
cardiac, glycosides, ace inhibitors, inotropic agents, beta-adrenergic blockers, diuretics, vasodilators, morphine
Term
complications of HF
Definition
Dysrhythmias, Pulmonary edema, Renal Failure, Cardiogenic Shock
Term
Disease of heart muscle that leads to HF.
Definition
Cardiomyopathy
Term
three types of Cardiomyopathy
Definition
dilated, hypertrophic, restrictive
Term
dilation of the ventricle and severely impaired systolic function
Definition
dilated cardiomyopathy
Term
LV hypertrophies and thickening of ventricular septum
Definition
Hypertrophic cardiomyopathy
Term
the myocardium becomes rigid and noncompliant
Definition
Restrictive cardiomyopathy
Term
s&s of dilated cardiomyopathy
Definition
gradual onset, dyspnea, fatigue, L sided failure, mitral regurgitation, S3 and S4 heart sounds
Term
s&s of hypertrophic cardiomyopathy
Definition
Slow progression of symptoms, dyspnea, orthopnea, angina, fatigue, syncope, palpitations, ankle edema, and S4
Term
s&s of restrictive cardiomyopathy
Definition
Exercise intolerance, dyspnea, fatigue, right sided failure, S3 and S4, mitral regurgitation
Term
medical treatment for dilated cardiomyopathy
Definition
positive inotropic drugs, nitrates and diuretics, ace inhibitors and vasodilators, anticoagulatns, heart transplant if meds fail
Term
positive inotropic drugs for dilated cardiomyopathy improve
Definition
CO
Term
nitrates and diuretics for dilated cardiomyopathy decrease
Definition
preload
Term
ace inhibitors and vasodilators for dilated cardiomyopath decrease
Definition
afterload
Term
anticoagulants for dilated cardiomyopathy prevent
Definition
thrombi
Term
surgery cor hypertropic cardiomyopathy
Definition
myomectomy, ventriculomyomectomy, mitral valve replacement, implantable cardioverter defibrillator
Term
medications for hypertropic cardiomyopathy
Definition
antidysrhythmics, antibiotis, anticoagulatns, Ca++ blockers and beta blockers
Term
medical treatment for restrictive cardiomyopathy
Definition
similar to CHF, heart transplant may be considered
Term
complications of cardiomyopathies
Definition
dysrhythmias, CHF, death
Term
signs of transplant rejection
Definition
Increased temp, infection, dyspnea, malaise, fatigue, dysrhythmia
Term
transplant rejection is monitored by
Definition
endomyocardial biopsies
Term
Microbial infections primarily affect valves
Definition
Infective Endocarditis
Term
infective endocarditis should be treated prophylactally before
Definition
dental or invasive procedures
Term
s&s of infective endocarditis
Definition
fevers, chills, malaise, fatigue, weight loss, low-high grade temp 99-102, chills and night sweats, chest/abodominal pain
Term
complications of infective endocarditis
Definition
heart failure and embolization
Term
Inflammation of pericardium
Definition
pericarditis
Term
Inflammatory process causes increase in the amount of pericardial fluid and inflammation of surrounding tissues
Definition
pericarditis
Term
clear or cloudy fluid accumulates in pericardial space
Definition
effusion
Term
scarring occurs in some types of pericarditis and causes loss _ thereby preventing adequate _
Definition
elasticity, filling
Term
found primarily in the SA and AV nodes and the atrial tissue
Definition
parasympathetic finbers
Term
sympathetic stimulation results in
Definition
increased heart rate, increased speed of conduction through the AV node, and more forceful contractions
Term
Parasympathetic stimulation results
Definition
in slowing of heart rate, slowing of conduction through the AV node, and decreased strength of contraction
Term
Contraction and relaxation of the heart make up one heartbeat
Definition
Cardiac cycle
Term
Amount of blood (in liters) ejected per minute
Definition
Cardiac output
Term
Factors that affect stroke volume:
Definition
preload, contractility, and afterload
Term
Myocardial tissue routinely needs _ of the oxygen delivered to it by the coronary arteries
Definition
70% to 75%
Term
Symptoms related to cardiac disorders include
Definition
fatigue, edema, palpitations, dyspnea, and pain
Term
cholesterol intake should be limited to
Definition
200 mg/day
Term
foods with trans-fatty acids should be limited to less than
Definition
1% of total daily calories
Term
Sodium restriction of _ is recommended if the patient has fluid retention
Definition
1500 mg/day
Term
hallmark symptoms of pericarditis
Definition
chest pain
Term
s&s of pericarditis
Definition
sharp, stabbing, dull or burning pain most severe on inspiration, dyspnea, chills, fever, pericardial rub, possible effuseion
Term
pain r/t pericarditis may be relived by
Definition
sitting up or leaning forward
Term
complications of pericarditis
Definition
Pericardial effusion or accumulation of fluid in the pericardial space, may lead to cardiac tamponade
Term
narrowing of valvular opening; limits the amount of blood ejected from one chamber to the next
Definition
Stenosis
Term
inability of valve to close completely; allows blood to flow backward
Definition
Regurgitation
Term
in valvular disease the _ is most affected
Definition
left, mitral valve
Term
primary cause of increasing incidence of non-rheumatic valvular disease
Definition
Longer life span and IV drug abuse:
Term
Blood flows back into the LA during diastole
Definition
Mitral Regurgitation
Term
happens due to back flow of blood against incompetent valve
Definition
LA and LV hypertrophy
Term
LV hypertrophy is a compesatory effort to mainaint effective _ r/t mitral regurgitation
Definition
CO
Term
to hear a mitral regurgitation listen at
Definition
apex of heart
Term
may be heard as a result of mitral regurgitaion
Definition
high pitched murmur
Term
treatment of mitral regurgitation, decreases afterload and regurgitation
Definition
vasodilators
Term
reconstruction of leaflets and annulus
Definition
Annuloplasty
Term
One or both leaflets enlarges and protrudes in to LA during systole
Definition
Mitral Valve Prolapse
Term
causes of mitral valve prolapse
Definition
Family tendencies, heart infections, rheumatic fever, congenital anomalies
Term
sypmtoms of mitral valve prolapse
Definition
chest pain, palpitations, dizziness, syncope, dysrhythmias
Term
symptoms of mitral valve prolapse are often controlled with
Definition
stress reducing techniques
Term
Valve cusps become fibrotic and calcify
Definition
Aortic Stenosis
Term
aortic stenosis causes
Definition
rheumatic fever, syphilis, aging, congenital malformation
Term
s&s of aortic stenosis
Definition
dyspnea on exertion, angina, syncope, systolic murmur
Term
late symptoms of aortic stenosis
Definition
fatigue, orthopnea, paroxysmal nocturnal dyspnea
Term
Fibrosis and thickening of aortic cusps continue until valves no longer able to maintain unidirectional flow
Definition
Aortic Regurgitation
Term
causes of aortic regurgitation
Definition
reheumatic fever, IE, blunt chest trauma, calcification of valve, chronic HTN
Term
blood regurgitated back into LV
Definition
aortic regurgitation
Term
for aortic regurgitation murmur is _ and _, occurs during _
Definition
highpitched, blowing, diastole
Term
murmur r/t aortic regurgitation is auscultated at
Definition
aortic area
Term
late signs of aortic regurgitaitons
Definition
fatigue, dyspnea, ascites
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