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Patho quiz 4
Cardiac and shock
27
Nursing
Undergraduate 1
03/06/2012

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Cards

Term

Ø  Normal blood flow through the heart

Definition

o   Inferior/superior vena cava→ right atrium→ tricuspid valve→ R ventricle→ pulmonic valve→ pulmonary arteries→ lungs→ pulmonary veins→ L atrium→ mitral valve→ L ventricle→ aortic valve→ aorta

Term
Heart Valves (4 and structure)
Definition

o   Tricuspid (3 flaps)

o   Pulmonic (semi-lunar)

o   Mitral (2 flaps)

o   Aortic (semi-lunar)

Term
Major vessels that supply the heart
Definition

o   Superior/inferior vena cava

o   Pulmonary veins/arteries

o   Aorta 

Term
Main coronary arteries and where they are: LM, RCA, Circ
Definition
[image]
Term

Ø  During which does blood fill the coronary arteries? 

Definition
Diastole
Term
B1
Definition

o   influence HR, conduction, and force of contractions

§  Mediated by NE/Epi→ B₁ receptors→ opens channels allowing ↑Na+ and Ca++ influx

Term
B2 
Definition
stimulation means vasodilation
Term
α
Definition

o   stimulation via NE = vasoconstriction 

Term
Influx of which electrolytes allows cardiac myocytes to contract? 
Definition

Intermittent/spontaneous generation of action potential→ caused by rapid INFLUX of Na+, Ca++ and EFFLUX of K+

Term

Ø  Where is the SA and AV node located?

Definition
[image]
Term

Ø  Under normal conditions, the heart rate is under PSNS or SNS control?

Definition

o   Under resting conditions, HR is under PSNS control

§  When SNS is involved, ↑HR (ex: anxiety, fight or flight)

Term

Ø  What is a normal cardiac output (CO)?

Definition

o   5-6 L/min

Term

Ø  What is a normal ejection fraction (EF)?

Definition

o   SV/EDV. Normal is 60-80% (note that it’s not 100%)

Term

Ø  CO= ________x________

Definition

o   HR x SV

Term

Ø  Normally, pressure is higher in which side of the heart?

Definition
Left
Term

Ø  Controllable vs. uncontrollable risk factors: what’s the difference?

Definition

o   Controllable: lifestyle habits

§  Chronic smoking/alcohol abuse

§  Poor diet

§  Medication adherence

o   Uncontrollable:

§  Genetic hypertension or other risk factors

Term
3 systems that transport blood*
Definition

o   Circulatory

o   Lymphatic

o   ?

Term
Structure of artery (4 layers)
Definition

o   layers from inner→outer

§  Tunica intima (endothelium)

§  Elastic membrane (thicker than veins)

§  Tunica media (smooth muscle layer, thicker than veins)

§  Tunica adventitia (connective tissue, thinner than Tunica media)

Term
What do arteries carry?
Definition
Mostly carry O2 rich blood
Term
Vein structure (5 things)
Definition

§  Tunica intima (endothelium)

§  VALVE

§  Elastic membrane (thinner than arteries)

§  Tunica media (smooth muscle layer, thinner than arteries)

§  Tunica adventitia (connective tissue, thickest layer)

Term
Veins carry?
Definition

§  Mostly carry O₂ poor blood

§  Act as a blood reservoir

·         At rest 60% of the blood supply can be in the veins

Term

Ø  What is lymphedema?

Definition

o   Normal flow of lymph is blocked or altered

Term

Ø  Clinical presentation of lymphedema

Definition

o   Lymph collects in the interstitium: inflammation, hypertrophy of subQ adipose tissue, fibrotic changes over time, congestion with thick, brown skin color

Term

Ø  Blood Pressure: What is Autoregulation?

Definition

o   Continuous adjustment of vessel diameter

Term

Ø  BP = ___________x_____________

Definition

o   CO x PVR (peripheral vascular resistance)

Term
What are the 4 mechanisms that can alter BP?
Definition

- ANS input

- Baroreceptors

- Chemoreceptors

- RAA and renal function

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