Shared Flashcard Set

Details

Cardiovascular System A & P
(some found in NCLEX review set) From Basic Nursing book, Med-Surg book, handouts & lecture
449
Nursing
Professional
12/21/2009

Additional Nursing Flashcards

 


 

Cards

Term

- Strip 1: 60 bpm, NSR

- Strip 2: 120bpm

sinus tachycardia

- Strip 3: 50 bpm, Sinus bradycardia

Definition

[image]

What is the rate and rhythm of each strip?

(Note: each complete strip = 6 sec)

Term
SYNCHRONIZED CARDIOVERSION
Definition
elective procedure in which a SYNCHRONIZED shock of 25 to 50 joules is delivered to restore normal sinus rhythm
Term
DEFIBRILLATION
Definition
the use of electrical device to apply countershocks to the heart through electrodes placed on the chest wall to stop fibrillation.
Term
0.06 to 0.10 seconds
Definition
what is the time interval for a normal QRS complex ?
Term
0.12 to 0.20
Definition
what is the length of time for a normal PR interval?
Term
ATRIAL FIBRILLATION
Definition
heart rhythm with no identifiable P waves, normal QRS,described as "IRREGULARLY IRREGULAR"
Term
SUPRAVENTRICULAR TACHYCARDIA (SVT)
Definition
SINUS rhythm, above 150 bpm
Term
during REPOLARIZATION, T-wave
Definition
The is the most unstable phase of the cardiac cycle.
Term
0.5 to 2.0
Definition
therapeutic level of DIGOXIN
Term
DEMAND pacemaker
Definition
pacemaker that fires ONLY when it senses BRADYCARDIA
Term
SEQUENTIAL pacemaker
Definition
pacemaker that stimulates a P wave and a QRS complex.
Term
SA node, AV junction, Bundle of Hiss, Purkinje Fibers
Definition
normal CONDUCTION PATHWAY(4)
Term
60 - 100 bpm
Definition
Normal INTRINSIC rate of SA node
Term
tricuspid valve
Definition
The valve between the right atrium and the right ventricle
Term
Length of a normal QRS interval
Definition
0.06 - 0.10 sec
Term
c. Right atrium and right ventricle
Definition
1. The tricuspid valve is located between the:
a. Left atrium and left ventricle
b. Left ventricle and aorta
c. Right atrium and right ventricle
d. Right ventricle and pulmonary artery
Term
Increased heart rate
Definition
A drug (i.e., atropine) that blocks the vagus nerve results in what?
Term
positively inotropic agent
Definition
A drug (i.e., digoxin) that increases the force of myocardial contraction and is classified as a(n) _____
Term
Tachycardia
Definition
A heart rate greater than 100 beats/min
Term
Bradycardia
Definition
A heart rate less than 60 beats/min
Term

A) is about half the length of a normal P-R interval

 

Definition

A normal QRS interval: (select all that apply)

 

A) is about half the length of a normal P-R interval

B) is about 0.15 sec

C) is a positive deflection

D) remains on the isoelectric line

Term
Fowler's position
Definition
A patient experiences shortness of breath. What is our first nursing intervention?
Term
Deep-vein thrombosis (DVT)
Definition
A positive Homan's sign is an indication of . . .
Term
Bundle of His
Definition
A structure that receives the electrical signal from the conduction tissue in the atria; it delays the entrance of the electrical signal into the His-Purkinje system
Term
on the interatrial septum close to the tricuspid valve.
Definition
AV node: location
Term

Beta-adrenergic blocker

 

Definition
Acebutolol(sectral)
Term
Amount of ventricular force needed to open valves and eject blood
Definition
Afterload
Term
A) systole
Definition

All of the following are electrical terms except

 

A) systole

B) depolarization

C) action potential

D) repolarization

Term

- stroke volume

- 60-80ml

 

Definition
Amount of blood pumped by a ventricle in one beat (2)
Term
Afterload
Definition
Amount of ventricular force needed to open valves and eject blood
Term
Murmur
Definition
An extra heart sound, heard between normal beats
Term
Bicuspid valve
Definition
Another name for the mitral valve
Term

Pulse deficit

 

Definition
Apical - radial = ?
Term
Left gastric
Splenic
Hepatic
Definition
Arteries that deliver blood to:
Stomach
Spleen
Liver
Term
[image]
Definition
Procedure for Homan's sign Assessment
Term
Diastole
Definition
Atrial relaxation, followed by ventricular relaxation
Term

5-6 L

 

Definition
Average resting cardiac output
Term

- cardiovascular

- nervous

- urinary

- endocrine

Definition
BP-regulating systems include the ____, _____, ______, and _____
Term
combined alpha and beta blockers:Action
Definition
Block alpha-adnergic receptors causing vasodilation and reduced blood pressure; decrease symphathetic nervous system resulting in decreased heart rate,and contractility.
Term
central acting alpha-2 agonists:Action
Definition
Block effects of symathetic nervous system centrally.
Term
microcirculation
Definition
Blood flow through the capillaries is known as _______
Term
pressure in the ventricles is lower than pressure in the atria
Definition
Blood flows from the atria to the ventricles through open AV valves when
Term
Tricuspid valve
Definition
Blood flows from the right atrium through this atrioventricular valve to the right ventricle
Term
the right ventricle
Definition
Blood passes through the tricuspid valve into
Term
the left ventricle
Definition
Blood travels through the mitral valve and into
Term
one cardiac cycle or one heartbeat.
Definition
Both atria contract as both ventricles relax. Immediately after this, both ventricles contract as both atria relax.
Term

WHAT - humming in vessel heard when auscultated

 

WHY - turbulent blood flow

 

Definition
Bruit: what and why
Term
Central Venous Pressure:
- determines how much fluid/hydration patient is in
- determines right atrial preload
Definition
CVP: description (2)
Term
2-6
Definition
CVP: normal range
Term
- Involves angiography.
- Examines vessels in the heart
- uses dye to make vessels visible on x-ray
- patient will be conscious and can respond
Definition
Cardiac catheterization: description (4)
Term
- Inform MD if you feel burning, headache, chest pain
Definition
Cardiac catheterization: patient teaching
Term
- NO worries of gag reflex
- 7 Ps
- no flexing leg 4 hrs
- log roll to turn
- V/S
- sand bag over insertion area
Definition
Cardiac catheterization: post-op nursing (6)
Term
- obtain consent
- NPO 8-12 hrs
- explain procedure
- fluoroscope
- IV insertion
Definition
Cardiac catheterization: pre-op nursing (5)
Term
Stroke volume
Definition
Cardiac output is determined by heart rate and _____
Term
- diet
- weight
- stress
- exercise
- alcohol
- smoking
Definition
Cardiac risk factors: modifiable (6)
Term
- age - race - gender - family history - diabetes
Definition
Cardiac risk factors: non-modifiable (5)
Term
- EKG
- treadmill test
- Thallium test
- Blood gases
Definition
Cardiac tests (procedural) available (4)
Term
Cardioversion corrects Atrial fibrillation
D-fib corrects Ventricular fibrillation
Definition
Cardioversion v Defibrillation: purpose
Term
Left ventricle
Definition
Chamber that anchors the chordae tendineae of the mitral valve
Term
Right ventricle
Definition
Chamber that pumps "blue" blood to the lungs
Term
Left ventricle
Definition
Chamber that pumps oxygenated blood into the aorta
Term
Right atrium
Definition
Chamber that receives blood from the venae cavae
Term
Left Atrium
Definition
Chamber that receives oxygenated blood from four pulmonary veins
Term
Angina(pestoris)
Definition
Chest pain resulting from myocardial ischemia
Term
- Fowler's position
- obtain order for O2
Definition
Chest pain: nursing intervention
Term
Azygos vein
Definition
Chest wall into superior vena cava
Term
below 200
Definition
Cholesterol: reference range
Term
A) aortic
Definition
Chordae tendineae are not associated with this valve.

A) aortic
B) mitral
C) tricuspid
D) bicuspid
Term

Systemic circulation

 

Definition
Circulation maintained by the left side of the heart
Term

Pulmonary circulation

 

Definition
Circulation maintained by the right side of the heart
Term
higher fibrinogen levels and greater fibrinolytic activity with advancing age
Definition
Clots can form more easily in women's coronary arteries due to ___________
Term

Chronic oxygen deficiency

 

Definition
Clubbing: indication
Term
aorta
Definition

Complete the blood flow sequence:

 

pulmonary capillaries

 -> pulmonary veins

 -> left atrium

 -> left ventricle

 -> ____

Term
ischemia
Definition
Condition of decreased supply of oxygenated blood to body part or organ.
Term
Mitral and bicuspid valves
Definition
Considered AV valves
Term
Systole
Definition
Contraction
Term
Sedentary lifestyle, poor dietary habits, and increasing stress levels
Definition
Contributing to an increased incidence of cardiovascular disorders in younger people.
Term
carries O2 and nutrients to myocardium
Definition
Coronary arteries: function
Term
Vitamin K
Definition
Coumadin: antidote
Term
PT / INR
Definition
Coumadin: test affected
Term

Arteries and veins are usually in a state of slight constriction that helps maintain normal blood pressure.

 

Definition
Define peripheral resistance
Term

Preload

 

Definition
Degree of stretch of ventricles before contraction (systole)
Term
P-wave
Definition
Denotes Atrial contraction: positive deflection
Term
R-wave
Definition
Denotes main part of ventricular contraction: Highest positive
Term

Atherosclerosis

 

Definition
Disease in which lipids are deposited on and in the walls of arteries over a period of years, narrowing them and decreasing blood flow, and forming rough surfaces that may lead to arterial clots.
Term
Coronary artery disease (CAD)
Definition
Disease of the arteries surrounding the heart
Term
Common iliac branches into internal iliac artery
Definition
Distributes blood to Pelvic muscles, bladder, rectum, prostate, reproductive organs
Term
Brachiocephalic (innominate) branches into
Right subclavian
Right common carotid
Definition
Distributes blood to Right upper extremity and Right side of head and neck
Term
Left and right coronary arteries
Definition
Distributes blood to the heart muscle
Term
Axillary, brachial, subclavian
Definition
Drainage area: Arms
veins?
Term
ephalic, basilic, median cubital
Definition
Drainage area: Hand, forearm, elbow
Veins?
Term
Radial, ulnar
Definition
Drainage area: Hands
veins?
Term
Temporal
Definition
Drainage area: Skull
Vein?
Term
Saphenous
Definition
Drainage area:Lower extremities
vein?
Term

Atropine

 

Definition
Drug of choice for symptomatic bradicardia
Term

NONE! Don't treat asymptomatic bradycardia

 

Definition
Drug of choice for treatment of asymptomatic bradycardia
Term

Starling's law of the heart

 

Definition
During exercise, venous return increases and stretches the ventricular myocardium, which in response contracracts more forcefully. What is this called?
Term

Ventricular systole

 

Definition
During which "phase" of the heartbeat is the mitral valve closed?
Term
semilunar valves
Definition
Each ventricle empties through
Term
Decrease in bundle of His (AV bundle) fibers
Definition
Effect of aging that contributes to increased incidence of heart block
Term
Increased rigidity of vessels from decreased elasticity
Definition
Effect of aging that results in increased BP and left ventricle hypertrophy
Term
Changes on electrocardiogram (ECG)
Bradycardia (decreased HR) and/or irregular heart rate
Fatigue
Signs/symptoms of heart failure are possible
Abnormal heart sounds
Definition
Effects of Fibrosis in the conduction system and heart calcification of the valves
Increased size of myocardium and atria
Decreased cardiac output
Term
AV ( atrial fibrillation
Definition
Electrical impulse move randomly through out of atria
Term
sinoatrial node (SA node or sinus node)
Definition
Embedded in the wall of the right atrium at the junction of the SVC
Term
S-wave
Definition
End stage of ventricular contraction. Starts netative and reflects positive before returning to the isolectric line.
Term
B) bradycardia
Definition
Excess vagal stimulation to the SA node is most apt to cause
Term
a. Diffusion and filtration
Definition
Exchange of nutrients, salts, gases, and wastes across capillary walls occurs by:
a. Diffusion and filtration
b. Osmosis and filtration
c. Pinocytosis and diffusion
d. Pinocytosis and osmosis
Term
Ischemia
Definition
Failure of the S-wave to return to the isoelectric line (stays in positive) indicates what?
Term

Heart murmur

 

Definition
Fibrosis of heart valves causes them to thicken, as indicated by what sound?
Term
pulmonary edema
Definition
Fluid overload: s/sx
Term
CO = SV x HR
cardiac output is stroke volume times heart rate.
Definition
Formula for calculating cardiac output
Term
inflammation of pericardium
Definition
Friction rub: cause
Term
- have patient sitting, leaning forward
- listen to left upper sternum
Definition
Friction rub: how best to find (2)
Term
After Myocardial Infarction
Definition
Friction rub: when best found
Term
HDL: high-density lipids (good cholesterol)
LDL: low-density lipids (bad cholesterol)
Definition
HDL/LDL: description
Term
40-50
Definition
HDL: reference range
Term
cardiac output
Definition
Heart rate and stroke volume determine what?
Term
Normal sinus rhythm
Definition
Heart rythm originating in the sinoatrial node with the resting rate of 60/100 beat/minute
Term

AV node

 

Definition
Heart's first back-up, firing at 40-60 bpm.
Term

Bundle of His

 

Definition
Hearts 2nd back-up, firing at 20-35 bpm
(med-surg, pg 348)
Term
PTT
Definition
Heparin: test affected
Term
- over 6
- fluid overload
Definition
High CVP and interpretation
Term
- 10 cardiac leads
- patient takes monitor home
- monitors 1-2 days
- Diary gives MD info relating patient action to heart response
Definition
Holter monitor: Description (4)
Term
give patient teaching
- focus on diary
Definition
Holter monitor: nursing interventions
Term
- take daily diary
- no shower while wearing leads
- press "event" button during cardiac event (palpitations, chest pain, SOB)
- return box and diary when instructed
Definition
Holter monitor: patient teaching (4)
Term
Dyspnea only - no other symptoms
Definition
How might a myocardial infarction present in an older client?
Term
- pulse: at least 60
- EKG: normal P-wave
Definition
How to know if SA node is working (2)
Term
Prevent venous stasis and pressure ulcers.
Definition
How to reduce Risk for varicose vein formation
Term

Left ventricle

 

Definition
Hypertension has the greatest effect on what part of the heart?
Term

NONE. BP drop triggers sympathetic response (increase HR). O2 sat increase triggers parasympathetic response (decrease HR). The two would cancel each other out.

 

Definition
If BP drops and O2 sat rises, what change in heart rate should we see?
Term
backflow of blood (regurgitation) into the atria
Definition
If the AV valves, chordae tendineae, or papillary muscles become damaged, what can occur with ventricular contraction?
Term
The arm that gave the higher reading
Definition
If the BP readings from each of a client's arms is different, which is used for subsequent assessments?
Term
Ventricles
Definition
If the terms systole and diastole are used without specific reference to either atria or ventricles, they usually imply the contraction and relaxation of the
Term
Heart block
Definition
Impairment of conduction within the heart
Term
narrowing (stenosis) of a valve or to blood regurgitating through a valve that does not close properly
Definition
In adults, murmurs are most typically due to ____
Term
left coronary dominance
Definition
In some people the PDA comes off the LCX to supply blood to these areas. This arrangement is known as
Term

Extremities - especially the legs, because of the need to fight against gravity

 

Definition
In what area of the body do veins have the most valves?
Term
Raynaud's phenomenon
Definition
Intermitten attack of vasoconstriction of the arterioles, causing pallor of the finger or toe.
Term

Place where electrical tracing is at zero (neutral)

 

Definition
Isoelectric line
Term

The heart

(duh!)

Definition
It lies in the thoracic cavity in the mediastinal space
Term
below 100
Definition
LDL reference range
Term
- triponin test - CK - CK-MB - Myoglobulin
Definition
Lab tests that indicate heart attack (4)
Term
premature ventricular contractions
Definition
Lack of oxygen to the heart can cause what?
Term
1- Intima: inner layer of endothelial cells: prevents clotting
2- Medial layer: smooth muscle: maintains BP
3-Adventitia: outer layer of fibrous connective tissue: prevents rupture
Definition
Layers of the arteries: names, descriptions and responsibilities
Term

Coronary heart disease

 

Definition
Leading cause of death in the US
Term

0.06 - 0.10 sec

 

Definition
Length of a normal QRS interval
Term
VF
Definition
Life threatening situation may result in sudden cadiac death or arrest
Term

Wall of right atrium

 

Definition
Location of the SA node
Term
Mediastinum between lungs - thoracic cavity
Definition
Location of the heart
Term
Aortic and corotid arteries
Definition
Locations of barorecptors
Term
- below 2
- dehydrated
Definition
Low CVP and interpretation
Term
Inferior Vena Cava
Definition
Lower half of body; begins with union of two common iliac veins
Term
Mitral (bicuspid) valve
Definition
Name for the atrioventricular valve on the left side of the heart
Term
Mitral (bicuspid) valve
Definition
Name for the atrioventricular valve through which blood flows from the left atrium into the left ventricle
Term

Calcium channel Blockers

 

Definition
Nicardipine(Cardene)
Term
4-6L/min
Definition
Normal cardiac output of resting adult
Term

- systolic drop of up to 15pts

- diastolic change (up or down) of 3-10 pts

- 15-20 bpm increase in pulse

 

Definition
Normal expectation from a client moving from lying position to sitting, or from sitting to standing (3)
Term
sinus node
Definition
Normal heartbeat originates in the ____
Term

60-80 bpm

 

Definition
Normal rate of fire of the SA node
Term

- ejection fraction

- about 60%

 

Definition
Normal ventricular efficiency (2)
Term
60,000 miles
Definition
One estimate of the total length of blood vessels in the body is
Term

Fluid overload

 

Definition
Orthopnea: common cause
Term

Pillows (report how many)

 

Definition
Orthopnea: nursing
Term
Pericardium
Definition
Outer slinglike structure that supports the heart
Term
the four pulmonary veins
Definition
Oxygenated blood returns to the left atrium via
Term

- Time it takes the contraction signal to get from SA node to AV node

 

- 0.12 - 0.2 sec

Definition

P-R interval:

What is it?

How long is it?

Term
- transcutaneous
- temporary
- permanent
Definition
Pacemakers: types
Term
Homan's sign
Definition
Pain in the patient’s calf or behind the knee when the foot is quickly dorsiflexed with the knee in a slightly flexed position.
Term
atrial fibrilation(AV)
Common synptom
Definition
Palpitations: uncomfortable sensation in the chest from missed heart beat( fatigue and SOB.
Term

Medulla

 

Definition
Part of the brain that contains the cardiac centers
Term

Hemorrheologic

 

Definition
Pentoxifylline (Trental)(increases microcirculation and tissue perfussion)
Term

- myocardial infarction

- electrolyte imbalance

- athleticism (that's a good thing)

 

Definition
Possible causes of bradicardia (3)
Term
Pericardial sac may be inflamed (pericarditis)
Definition
Possible implication of a "rub" sound during S1.
Term

Degree of stretch of ventricles before contraction (systole)

 

Definition
Preload
Term

Mitral (or left AV) valve

 

Definition
Prevents backflow from left ventricle to pulmonary veins
Term

Semilunar valve

 

Definition
Prevents backflow from pulmonary artery to right ventricle
Term

Tricuspid (or right AV) valve

 

Definition
Prevents backflow from right ventricle to right atrium
Term
Temporal pulse
Definition
Pulse from side of head
Term
flutter
Definition
Rapid but regular constraction usually of the atrial(250-300 beat / min)
Term
Decreased ability of cells to absorb oxygen
Definition
Reason heart rate takes longer to return to normal after exercise in elderly
Term
Suprarenal veins
Definition
Receives venous blood from Adrenal glands
Term
Lumbar veins
Definition
Receives venous blood from Dorsal part of trunk and spinal cord
Term
Mesenteric veins
Definition
Receives venous blood from Intestines
Term
Renal veins
Definition
Receives venous blood from Kidneys
Term
Hepatic veins
Definition
Receives venous blood from Liver
Term
Pancreatic vein
Definition
Receives venous blood from Pancreas
Term
Iliac veins
Definition
Receives venous blood from Pelvis and legs
Term
Testicular/ovarian veins
Definition
Receives venous blood from Sex organs
Term
Splenic vein
Definition
Receives venous blood from Spleen
Term
Gastric vein
Definition
Receives venous blood from Stomach
Term
Ventricular depolarization
Definition
Referring to the ECG the QRS complex represents ________
Term
Atrial depolarization
Definition
Referring to the ECG, the P wave represents _______
Term
Constriction and dilation of the arterioles
Definition
Regulates blood pressure and flow
Term
Direct vasodilators:
Definition
Relax smooth muscles of blood vessels causing vasodilation and decreased blood pressure.
Term
Pulmonary valve
Definition
Right ventricular hypertrophy develops in response to stenosis of this semilunar valve
Term
Dilation of blood vessels due to weakening muscle tone
Definition
Risk for varicose vein formation
Term

HMG-CoA Reductase inhibitors

 

Definition
Rosuvastatin (Crestor)
Term

- fatigue

- fainting

- LOC changes

- chest pain

 

Definition
S/Sx bradycardia (4)
Term
C) Angina Pectoris
Definition
Select all that apply: Decreased blood flow through the coronary arteries is most apt to cause A) valve damage B) pulmonary edema C) angina pectoris D) bradycardia
Term

C) is a positive wave between two negative waves

 

E) is one of the three waves that collectively denote ventricular depolarization

 

Definition

Select all that apply: In a normal sinus rhythm, the R wave

 

A) is a negative wave between two positive waves

B) is on of three consecutive positive waves

C) is a positive wave between two negative waves

D) denotes ventricular diastole

E) is one of the three waves that collectively denote ventricular depolarization

Term
B) increases heart rate
Definition
Select all that apply: Sympathetic stimulation to the heart A) decreases stroke volume B) increases heart rate C) causes bradycardia D) decreases cardiac output
Term
Superior Vena Cava
Definition
Serves the upper half of body; it is formed by the union of both brachiocephalic veins
Term
check the patient
Definition
Sinus tachycardia: what to do first
Term
Bone marrow
Definition
Site of blood cell production
Term
Endocardium
Definition
Smooth, shiny innermost lining of the heart
Term
baroreceptors
Definition
Special sensory receptors in blood vessel walls, stimulated by a change in blood pressure
Term
baroreceptors
Definition
Special sensory receptors in blood vessel walls, stimulated by a change in blood pressure
Term

Chemoreceptors

 

Definition
Specialized cells in the carotid and aortic bodies that detect changes in blood oxygen content
Term

Pressoreceptors

 

Definition
Specialized cells in the carotid and aortic siunses that detect changes in blood pressure
Term
Purkinje fibers
Definition
Specialized conduction tissue within the interventricular septum; divides into the right and left branches
Term
Murmurs
Definition
Stenosis of a valve or blood regurgitating through a valve that does not close properly causes what abnormal heart sounds?
Term

- amount of blood pumped by a ventricle in one beat

- 60-80ml

Definition
Stroke volume (2)
Term
A) cause a (+) inotropic effect
Definition

Sympathetic nerve stimulation of the myocardium

A) cause a (+) inotropic effect

B) decreases cardiac output

C) decreases heart rate

D) decreases stroke volume

Term
60%
Definition
Systemic veins and venules house approximately _____ of the body's blood volume at rest
Term
Myocardium
Definition
Systole and diastole describe the function of the _____
Term

Pulse pressure

 

Definition
Systolic - diastolic = ?
Term
Systole
Definition
Takes up one third of the cardiac cycle
Term
40%
Definition
The LCX supplies blood to the sinoatrial (SA) node in approximately ____ of the population
Term

Atrial fibrillation

 

Definition
The SA node sends multiple signals, confusing the AV node. Result?
Term

Cardiac output

 

Definition
The amount of blood pumped by the left ventricle in one minute
Term
Left ventricle
Definition
The aorta receives blood from here
Term
Tricuspid valve
Definition
The atrioventricular valve on the right side of the heart
Term
Tricuspid valve
Definition
The atrioventricular valve through which blood flows from the right atrium into the right ventricle
Term
Vagus
Definition
The autonomic nerve that slows the heart rate
Term
c. Heart
Definition
The coronary arteries supply blood to the:
a. Lungs
b. Head
c. Heart
d. Intestines
Term
pulse pressure
Definition
The difference between systolic and diastolic pressure
Term
SA node
Definition
The electrical signal arises in this structure in normal sinus rhythm
Term
CHF (congestive heart failure)
Definition
The heart is unable to pump its required amount of blood (more blood enters the heart from the veins than leaves through the arteries.
Term
Apex
Definition
The inferior (lower) point
Term
the aorta
Definition
The largest artery
Term

Four

 

Definition
The left atrium receives oxygenated blood through how many pulmonary veins?
Term
left atrium
Definition
The left coronary artery passes along the ______ and divides into two branches
Term
the marginal branch
Definition
The main branch of the RCA that supplies the right side of the heart
Term
Left ventricle
Definition
The myocardium is thickest in this chamber
Term
d. Sinoatrial node
Definition
The normal adult heart rate is set by the:
a. Atrioventricular node
b. Purkinje fibers
c. Septum
d. Sinoatrial node
Term
conduction system
Definition
The normal sinus impulse is transmitted over the heart via specialized fibers known as the ______
Term
Pulmonary veins
Definition
The only veins with oxygenated blood.
Term
Sinoatrial (SA) node
Definition
The pacemaker of the heart
Term
Right atrium
Definition
The pacemaker of the heart is located in the upper wall of the _______
Term
C) Epicardium
Definition
The pericardium is a part of the ________
Term

D) right ventricle: diastole

 

Definition

The pulmonary semilunar valve prevents backflow of blood into the ______ during ________.

 

A) right atrium: systole

B) right ventricle: systole

C) right atrium: diastole

D) right ventricle: diastole

Term
C) Bundle of His
Definition
The purpose of this structure is to momentarily delay the spread of the signal from the atrium to the ventricles.
Term
Pulmonary artery
Definition
The right ventricle pumps blood to the _____
Term
Pulmonary valve
Definition
The semilunar valve through which blood leaves the right ventricle
Term
arterioles
Definition
The smallest of the arteries
Term
pericardial space
Definition
The space between the visceral and parietal layers
Term

 Endocardium,

myocardium,

epicardium

 

Definition
The three layers of the heart wall, from inside to outside
Term
the right and left ventricles
Definition
The two lower chambers
Term

- pulmonary

- systemic

 

Definition
The two types of circulation in the body
Term
right and left atria
Definition
The two upper chambers
Term
Left and right atria
Definition
The upper chambers of the heart
Term
mitral valve (bicuspid valve)
Definition
The valve between the left atrium and the left ventricle
Term
Purkinje fibers
Definition
These conducting fibers rapidly spread the electrical signal throughout the ventricles
Term
the superior vena cava (SVC) and inferior vena cava (IVC)
Definition
These two large veins return blood to the right atrium
Term
Pulmonary veins
Definition
These vessels carry blood from the pulmonary capillaries to the left atrium
Term
Left ventricle
Definition
This is the hardest working cardiac chamber and therefore has the thickest myocardium
Term
Myocardium
Definition
This layer of the heart allows it to act as a pump.
Term

WHAT: vibration felt in pulse

 

WHY: bulging or narrowed vessel wall

 

Definition
Thrill: what and why
Term

- P-R interval

 

- 0.12 - 0.2 sec

Definition
Time it takes the contraction signal to get from SA node to AV node (name and length)
Term

Beta-adrenergic blocker

 

Definition
Timolol(Blocadren)
Term

Right atrium

 

Definition
To what are the superior and inferior vena cava connected?
Term
Chordae tendineae
Definition
Tough bands of tissue that anchor the cusps of the atrioventricular valves to the walls of the ventricles
Term

Dyspnea

 

Definition
Trademark symptom of left-sided heart failure
Term

Distended jugular vein

 

Definition
Trademark symptom of right-sided heart failure
Term
- external
- patient feels every shock
- Isuprel may be tried first
Definition
Transcutaneous pacemaker: description (3)
Term
below 150
Definition
Triglycerides: reference range
Term
to diagnose (or rule out) heart attack
Definition
Triponin test: purpose
Term
C) an insufficient mitral valve
Definition
Under what condition is blood most likely to flow "backward" (e.g., from the left ventricle back into the left atrium)?

A) pulmonary artery hypertension
B) left ventricular hypertrophy
C) an insufficient mitral valve
D) pulmonary edema
Term

Superior and inferior vena cava

 

Definition
Unoxygenated blood enters the heart through these vessels
Term
the heart rate to slow
Definition
Vagal stimulation to the heart causes
Term
Stroke volume
Definition
Volume of blood ejected with each heartbeat
Term
Stroke volume
Definition
Volume of blood ejected with each heartbeat.
Term

- Cardiac output

- 4-6 L/min

Definition
Volume of blood heart pumps in 1 minute (2)
Term

W-where it is

H-how it feels

A-aggravating/alleviating factors

T-timing

S-severity

U-usful data for associated symptoms

P-patient perception of problem

 

Definition
WHAT'S UP? assessment of cardiovascular symptoms
Term
C) conducting an electrical signal throughout the ventricles
Definition
What are the Purkinje fibers "doing"?
Term

Myocardium

 

Definition
What are the four chambers of the heart made of?
Term
C) relaxing
Definition
What are ventricles "doing" during atrial systole?
Term

Ventricular depolarization

 

Definition
What does the QRS interval denote?
Term
B) an increase in the pressure within the ventricle
Definition
What event causes the pulmonic valve to open?
Term

- Fibrosis in the conduction system and heart

- Calcification of the valves

- Increased size of myocardium and atria

- Decreased cardiac output

Definition
What happens to heart valves and conduction system as an effect of aging (4)?
Term

Poikilothermy: it drops to room temp

 

Definition
What happens to the temperature of an area of the body absent of sufficient arterial blood flow?
Term

It gets hot

 

Definition
What happens to the temperature of an area of the body absent of sufficient venous blood flow?
Term
Dizziness, fainting possible, postural hypotension can occur
Definition
What happens when receptor (baroreceptor) responses in the arteries become less sensitive to stimuli?
Term

QRS interval

 

Definition
What interval denotes ventricular depolarization?
Term

C) lungs and left atrium

 

Definition

What is at each end of the pulmonary veins?

 

A) lungs and right ventricle

B) upper body and right atrium

C) lungs and left atrium

D) upper body and left atrium

Term

- AV valves are closing.

- Ventricles are contracting.

- Atria are filling.

Definition
What is occuring during S1? (3)
Term
S2 sound. Closure of the pulmonic and aortic valves and opening of AV valves with ventricles filling.
Definition
What is occurring during "dub" sound?
Term
Closing of the heart valves
Definition
What is the cause of the heart sounds "lubb-dupp"?
Term

- ventricular repolarization

- heart is "resting"

- ventricles are filling

Definition
What is the heart doing during the T-wave? (3)
Term
D) tricuspid valve
Definition
What is the name of the valve that prevents backflow of blood into the right atrium when the right ventricle contracts?
Term
D) it slows the heart rate
Definition
What is the primary effect of vagal stimulation of the heart?
Term
Cardiac cycle
Definition
What is the term for the sequence of events that occur during one heartbeat?
Term
A) starling's law of the heart
Definition
What is the term that refers to an increase in stroke volume in response to the stretching of the heart?
Term
Chordae tendineae
Definition
What prevents the AV valves from inverting during systole?
Term
As the ventricles contract, the papillary muscles also contract, tightening the chordae tendineae.
Definition
What prevents the the valve cusps from everting (turning inside-out)?
Term
Vasomotor center in the medulla
Definition

What regulates peripheral resistence?

 

Term

Interatrial septum

 

Definition
What separates the left and right atria?
Term

Interventricular septum

 

Definition
What separates the left and right ventricles?
Term
the pulmonic valve
Definition
What separates the right ventricle from the pulmonary artery
Term
D) Stroke Volume
Definition
What term refers to the amount of blood pumped by the ventricle in one beat?
Term

- Decrease intake of fat and reduce sodium.

- Assess client on multiple medications (including antihypertensives and diuretics) for hypotension.

Definition
What to do for increased BP and LV hypertrophy in aging client
Term
Pace activities to provide for rest periods.
Teach client how to take own pulse rate and to recognize client's own “normal” pulse rate.
Teach what to do in case of dizziness.
Definition
What to do if client experiences ECG changes, Bradycardia and/or irregular heart rate, fatigue, Signs/symptoms of heart failure, or abnormal heart sounds
Term
Teach client to get up and move slowly. Teach client what to do in case of dizziness. Assess all medications the client is taking, including antihypertensive and diuretic medications. Assess electrolyte levels.
Definition
What to do if client suffers dizziness and/or postural hypotension
Term
Encourage rest periods.
Definition
What to do if heart rate takes longer to return to normal after exercise
Term
Leg BPs typically 10 pts higher
Definition
What to remember when taking BP readings from legs
Term

Possible ischemia (that means insufficient blood supply, Ngoc)

 

Definition
What would a negative T-wave indicate?
Term

Possible hyperkalemia (high potassium)

 

Definition
What would a spiked T-wave indicate?
Term

Grapefruit

 

Definition
What you usually have to avoid with most BP meds.
Term
Cardiac Output
Definition
What term refers to the amount of blood pumped by the heart in one minute?
Term
During ventricular contraction
Definition
When does the blood from the left ventricle exit through the aortic valve into the aorta and out to the systemic circulation
Term
b. The pressure of blood within the arteries.
Definition

When measuring BP, the nurse is assessing:

a. The pressure of blood within the veins.

b. The pressure of blood within the arteries.

c. The pressure of blood within the heart.

d. The pressure of blood within the lungs.

Term
bundle of His (pronounced hiss) (AV bundle)
Definition
When the ventricles are ready to receive the impulse, the AV node transmits it through the
Term
SA node
Definition
Where does the cardiac action potential (cardiac impulse) normally originate?
Term
left mid-clavicular line, 5th intercostal space. (at the nipple line)
Definition
Where to auscultate for apical pulse
Term
D) right atrium
Definition
Which cavity first receives unoxygenated blood from the vena cava?

A) right ventricle
B) left atrium
C) left ventricle
D) right atrium
Term

Left ventricle

 

Definition
Which chamber pumps with the most force?
Term
D) parts of the conductionL SA node, AV node, Bundle of His, Purkinje Fibers, Medulla Oblongata
Definition
Which group is incorrect?

A) atrioventricular veins: tricuspid, bicuspid, mitral
B) layers of the heart: epicardium, myocardium, endocardium
C) abnormal heart rates: tachycardia, bradycardia
D) parts of the conduction system: SA node, AV node, bundle of His, Purkinje fibers, medulla oblongata
Term
D) Structures that carry unoxygenated blood: right ventricle, venae cavae, pulmonary veins
Definition
Which group is incorrect?

A) semilunar valves: pulmonic, aortic
B) atrioventricular valves: triscuspid, bicuspid, mitral
C) oxygenated blood: pulmonary veins, left ventricle, aorta
D) unoxygenated blood: right ventricle, venae cavea, pulmonary veins
Term
D) Abnormal heart rates: tachycardia, bradycardia, sinus rhythm
Definition
Which group is incorrect?
A) semilunar valves: pulmonic, aortic
B) oxygenated blood: pulmonary veins, left ventricle, aorta
C) layers of the heart: epicardium, myocardium, endocardium
D) abnormal heart rates: tachycardia, bradycardia, sinus rhythm
Term

B) 24/12

 

note: pulmonary circulation is ONLY between the heart and lungs (not to be confused with SYSTEMIC circulation)

Definition

Which is a normal arterial pressure of pulmonary circulation

 

A) 118/76

B) 24/12

C) 144/93

D) 80/60

Term
Myocardium
Definition
Which layer of the heart has actin, myosin and intercalated discs?
Term
B) pulmonary veins
Definition

Which of gthe following "sees" oxygenated blood?

A) vena cava

B) pulmonary veins

C) right atrium

D) pulmonic valve

Term
C) an average stroke volume
Definition
Which of the following contains 70ml?

A) the cardiac output
B) the volume of a ventricle
C) an average stroke volume
D) the amount of blood that flows through the pulmonary capillaries in one minute.
Term
C) Blood is pumped into the pulmonary artery and the aorta
Definition
Which of the following is a result of ventricular systole?

A) the AV valves open
B) the semilunar valves close
C) blood is pumped into the pulmonary artery and the aorta
D) blood flows back into the atria
Term
D) Depolarization
Definition

Which of the following is an electrical event? Select all that apply

A) "lubb-dupp"

B) systole

C) murmur

D) depolarization

Term
B) Parasympathetic
Definition
Which of the following is descriptive of the vagus nerve?

A) fight or flight
B) parasympathetic
C) sympathetic
D) adrenergic
Term
C) semilunar
Definition

Which of the following is least related to the mitral valve?

A) left heart

B) bicuspid

C) semilunar

D) chordeae tendineae

Term
B) it is located in the upper part of the right atrium
Definition
Which of the following is true of the atrioventricular node (AV node)?

A) it is the pacemaker of the heart
B) it is located in the upper part of the right atrium
C) its rate is normally faster than the SA node
D) it delays the electrical signal coming from the atria into the ventricles.
Term
D) they are the same valves
Definition
Which of the following is true of the mitral and bicuspid valves?

A) the are semilunar valves
B) they are both located on the right side of the heart
C) they "see" only unoxygenated blood
D) they are the same valves
E) all of the above
Term
D) they are semilunar valves
Definition
Which of the following is true of the pulmonic and aortic valves?

A) they are atrioventricular valves
B) they "see" only oxygenated blood
C) they are attached to the ventricular walls by chordae tendineae
D) they are semilunar valves
E) all of the above
Term
C) Parasympathetic
Definition
Which of the following most accurately describes the vagus nerve?

A) "fight or flight"
B) norepinephrine
C) parasympathetic
D) causes tachycardia
Term
C) ventricular depolarization
Definition

Which of the following must precede ventricular systole?

 

A) ventricular diastole

B) "Lubb-dupp"

C) ventricular depolarization

D) closing of the AV valves

Term
D) an increased myocardial contraction
Definition
Which of the following refers to a positive inotropic effect?

A) heart block
B) a slow heart rate
C) a rapid hearbeat
D) an increased myocardial contraction
Term
C) pulmonary artery
Definition
Which of the following structures "sees" unoxygenated blood?

A) aorta
B) left ventricle
C) pulmonary artery
D) pulmonary veins
Term
A) coronary arteries
Definition
Which of the following supplies oxygenated blood to the heart muscle?

A) coronary arteries
B) pulmonary artery
C) pulmonary veins
D) cardiac veins
Term

B) left vent. wall actually gets THICKER

C) collagen in cardiac muscle INCREASES

G) number of pacemaker cells DECREASES

J) arterial distensibility (elasticity) DECREASES

 

Definition

Which of these does NOT occur in the aging adult? (Select all that apply) 

 

A) Decrease in heart size

B) Thinning of left ventricular wall

C) Decreased collagen in the cardiac muscle

D) Decreased elastin in the cardiac muscle

E) Stiffer and thicker cardiac valves

F) Fibrosis of the SA node

G) Increased number of pacemaker cells

H) Calcification of blood vessels

J) Increased arterial distensibility

K) More tortuous vessels

L) Decreased response to baroreceptors

Term

- pulmonary semilunar

- aortic

 

Definition
Which valves are closed during ventricular diastole?
Term

- tricuspid

- mitral (left AV)

 

Definition
Which valves are closed during ventricular systole?
Term
C) closing of heart valves
Definition
With which of the following is the "lubb-dupp" associated?

A) myocardial contraction
B) ventricular depolarization
C) closing of heart valves
D) diffusion of O2 from the lungs to the blood in the pulmonary capillaries
Term
10% smaller
Definition
Women's hearts are on the average ___________ than men's hearts
Term
The LAD
Definition
____ descends along the anterior intraventricular groove to provide blood to most of the ventricular septum and the anterior portion of the left ventricle
Term
The LAD and its branches
Definition
_____ supply blood to the anterior papillary muscles, the apex of the left ventricle, and the right and left bundle branches.
Term
myocardial infarction
Definition
a localized area of dead tissue caused by a lack of blood supply
Term
endocardium
Definition
a membrane lining the heart's interior wall
Term
The pericardium
Definition
a sac that surrounds and protects the heart
Term
cardiac output
Definition
amount of blood the ventricles pump out in one minute
Term
The number of pacemaker cells in the SA node decreases
Definition
an effect of aging that increases the likelihood of sinus node dysfunction
Term
AV node
Definition
area outside the SA node that gives rise to an electrical signal
Term
Femoral
Popliteal
Tibial
Dorsalis pedis
Definition
arteries that distribute blood to:
Thigh
Knee
Leg, ankle, heel
Term
gallops, rubs, and murmurs
Definition
basic types of Abnormal heart sounds
Term
Aortic valve
Definition
blood flows into the left ventricle when this valve is incompetent
Term
Coronary arteries
Definition
blood vessels that supply the myocardium
Term
arteries
Definition
carry blood away from the heart
Term
veins
Definition
carry blood toward the heart
Term
Mitral valve prolapse
Definition
click murmur syndrome
Term
C) pulmonary capillaries
Definition
complete the sequence: blood flows from the right atrium -> right ventricle -> pulmonary artery -> _________
Term
T-wave
Definition
denotes rest period for the heart: last positive deflection.
Term
aneurysm
Definition
dilation of an arteries form at weaken point that baloon out with each pulsation of the artery
Term
Suprarenal (adrenal)
Definition
distributes blood to
Adrenal glands
Term
Axillary arteries
Brachial
Radial
Ulnar
Definition
distributes blood to
Axilla
Arm proper
Thumb side of forearm and wrist
Medial side of hand
Term
Phrenic artery
Definition
distributes blood to Diaphragm
Term
Esophageal artery
Definition
distributes blood to Esophagus
Term
Renal artery
Definition
distributes blood to Kidneys
Term
Left common carotid artery
Definition
distributes blood to Left side of head and neck
Term
Left subclavian artery
Definition
distributes blood to Left upper extremity
Term
Bronchial artery
Definition
distributes blood to Lungs
Term
Intercostal arteries
Definition
distributes blood to Muscles and other structures of chest wall
Term
Lumbar artery
Definition
distributes blood to Musculature of the abdominal wall
Term
Superior phrenic artery
Definition
distributes blood to Posterior and superior surfaces of diaphragm
Term
Inferior mesenteric artery
Definition
distributes blood to Second half of large intestine
Term
Ovarian (female) or testicular (male; formerly spermatic) arteries
Definition
distributes blood to Sex glands
Term
Superior mesenteric artery
Definition
distributes blood to Small intestine and first half of large intestine
Term
Jugular vein
Definition
drainage area: Face and neck
Term
Iliac, internal and external
Definition
drainage area: Pelvis and legs
veins?
Term
Brachiocephalic
Definition
drainage area: Union of subclavian and jugular veins
Term
Femoral, popliteal, tibial
Definition
drainage areas: Thigh, knee, and leg
veins?
Term
Arteries
Definition
elastic and smooth (involuntary) muscular tubes
Term
VF ( ventricular fibrillation)
Definition
electrical impulse move randomly throughout the ventrical
Term
Varicose veins
Definition
enlarged, superficial veins, a twisted, dilated vein with incompetent valves.
Term
The LCX
Definition
extends around the left side of the heart, along the groove between the left atrium and the left ventricle
Term
atrioventricular node
Definition
found in the lower part of the right atrium near the ventricle
Term
S2 “dub”
Definition
heart sound produced by the closure of the semilunar valves when the ventricles relax
Term
vasoconstriction (contraction) of veins
Definition
helps to compensate for blood loss during hemorrhage
Term
Ventricles
Definition
high-pressure chambers because they pump blood out of the heart
Term
LAD
Definition
left anterior descending artery
Term
LCX
Definition
left circumflex artery
Term
LCA
Definition
left coronary artery
Term
end-diastole
Definition
maximum relaxation of the heart
Term
pressure points or pulse points
Definition
may be used to arrest severe bleeding
Term
great cardiac vein, middle cardiac vein
Definition
most blood enters the venous system via these two main veins.
Term
The right ventricle
Definition
needs only to pump blood into the low-pressure lungs and therefore is a thinner-walled chamber
Term
Q-wave
Definition
negative deflection (sometimes not visible)
Term

90-135 / 60-85

 

Definition
normal blood pressure ranges
Term
S1 “lub”
Definition
normal heart sound produced by closure of the AV valves when the ventricles contract
Term
Collateral circulation
Definition
occurs when two vessels that nourish the same area interconnect
Term
The cardiac valves
Definition
one-way flaps of tissue that open and close in response to pressure changes within the chambers
Term
SA node
Definition
pace maker of the heart
Term
The AV node
Definition
picks up the message like a receiving station and holds onto it until the atria have contracted and emptied blood into the ventricles
Term
carotid pulse
Definition
pulse area: neck
Term
radial pulse
Definition
pulse area: wrist
Term
tibial pulse
Definition
pulse from ankle
Term
axillary pulse
Definition
pulse from armpit
Term
femoral pulse
Definition
pulse from groin
Term
Fibrillation
Definition
rapid, random inefficient and irregular contraction of atrial or ventricles(350 beat or more per minute
Term
Norepinephrine and epinephrine
Definition
released by the sympathetic nervous system, they improve the ability of the ventricles to overcome resistance and to empty their contents, by increasing the strength of contractions.
Term
systemic vascular resistance
Definition
resistance in the blood vessels of the body
Term
venodilation
Definition
results in an increased storage capacity of the veins
Term
coronary sinus
Definition
returns the blood to the right atrium
Term
myocardial insufficiency ischemia
Definition
reversible cell injury due to decreased blood and oxygen supply
Term
pulse
Definition
rhythmic expansion of arteries as the heart pumps blood to the body
Term
the superior and inferior vena cava and the coronary sinus
Definition
right atrium receives venous (deoxygenated) blood from
Term
systole
Definition
sequence of dual contractions, the atria followed by the ventricles
Term
capillaries
Definition
serve as “inbetween” channels
Term
Angina ( sign and symptom)
Definition
severe pain and constrictionof the heart, usually radiating to the left shoulder and down to the left arm.
Term
Starling's law
Definition
states that the greater the stretch, the greater the following force of contraction
Term
Hypertrophy
Definition
stretching of (mostly left side of) heart to compensate for increased volume of blood left in ventricle.
Term
The LCX
Definition
supplies blood to the left atrium and the lateral and posterior portions of the left ventricle
Term
Diastole
Definition
takes up two thirds of the cardiac cycle, allowing time for the chambers to adequately fill with blood
Term
chordae tendineae
Definition
tendon-like strands connecting the mitral valve to papillary muscles located on the inner surface of the ventricles
Term
QRS complex
Definition
the ECG deflection that indicates ventricular depolarization
Term
automaticity
Definition
the ability to contract spontaneously and regularly (without neural input)
Term
preload
Definition
the amount of pressure or " stretching force" against the ventricularwall at end diastole.(aka "filling pressure")
Term
Afterload
Definition
the amount of pressure or resistace the ventriclesof the heart must overcome to empty their contents
Term
Afterload
Definition
the amount of pressure or resistance the ventricles must overcome to empty their contents
Term
Afterload
Definition
the amount of pressure or resistance the ventricles must overcome to empty their contents.
Term
Preload
Definition
the amount of pressure or “stretching force” against the ventricular wall at end-diastole
Term
Preload
Definition
the amount of pressure or “stretching force” against the ventricular wall at end-diastole (maximum relaxation of the heart).
Term
ascending aorta, aortic arch, thoracic aorta, and abdominal aorta
Definition
the aorta is divided into the ______, _______, ______, and _______.
Term
Purkinje fibers.
Definition
the fibers of the the right and left bundle branches penetrate the ventricular muscle and terminate in the
Term
Systemic vascular resistance (SVR) or total peripheral resistance
Definition
the force opposing the movement of blood through the blood vessels
Term
myocardium
Definition
the middle and thickest layer
Term
pulmonary arteries
Definition
the only arteries in the body that carry deoxygenated blood
Term
Pulmonary arteries are
Definition
the only arteries with Deoxygenated blood.
Term
pulmonary veins
Definition
the only veins that carry oxygenated blood
Term
venules
Definition
the smallest veins
Term
capillaries
Definition
the smallest vessels of all
Term
left ventricle
Definition
the thickest chamber of the heart
Term
Purkinje fibers
Definition
they stimulate the ventricles to contract
Term
epicardium
Definition
thin outer layer of the cardiac wall (also called the visceral layer of the serous pericardium).
Term
Aortic valve
Definition
this valve prevents backflow of blood from the aorta during ventricular diastole
Term
CAD
Definition
usually result of atherosclerosis( fatty compound on the inner lining of the coronary arteries
Term
The aortic valve
Definition
what separates the left ventricle from the aorta, the body's largest artery
Term
[image]
Definition
[image]
Term
[image]
Definition
[image]
Term
Cardiac glycoside
Definition
Digoxin: classification
Term
- hold if apical pulse below 60
- hold if digoxin level above 2.0
Definition
Digoxin: nursing considerations
Term
0.5 - 2.0
Definition
Digoxin: therapeutic level
Term
- increases cardiac contractility WITHOUT increasing O2 consumption
- increases cardiac output
- diuretic effect
Definition
Digoxin: effects (3)
Term
- symptomatic bradycardia
- tx digoxin toxicity
- tx full arrest
Definition
Atropine: uses (3)
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