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VTI: Diseases of The Cardiorespiratory System
Remember to review the anatomy of the heart
52
Veterinary Medicine
Undergraduate 3
04/07/2011

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Cards

Term
What are the main functions of the heart and lungs?
Definition
  • Deliver oxygen to the heart
  • Remove CO2 from the body
Term
What are the driving forces that controls heart and respiratory rates?
Definition
  • Oxygen need
  • CO2 removal
Term
What are common symptoms for cardiac disease?
Definition
  • Exercise intolerance
  • Cough
  • Dyspnea
  • Weakness
  • Syncope
  • Blue mucous membranes
Term
What are some causes of cardiac disease?
Definition
  • Vascular (Blood clots or emboli)
  • Idiopathic
  • Trauma
  • Auto-immune (rare)
  • Metabolic diseases (Hyperthyroidism, hypertension (renal disease))
  • Infectious disease
  • Neoplasia (Hemangiosarcoma)
  • Developmental (Congenital/enetic-most common)
  • Diet (Taurine deficiency)
Term
Which cardiac disease diagnosis is the most valued?
Definition
Ultrasound (echocardiogram)
Term
What are the normal heart rate for dogs and cats?
Definition

Dogs: 60-180 bpm

Cats- 140-220 bpm

Term
What are the normal ranges for respiration in dogs and cats?
Definition

Dog: 10-30 rpm

Cats: 24-42 rpm

Term
When referring to the lung sound "wheezes" this commonly indicates:
Definition
Inflammation, narrowing of airways (athmatic)
Term
When referring to the lung sound "Crackles" this commonly indicates:
Definition
Fluid-edema or infection
Term
When hearing a muffled lung sound you presume:
Definition
Fluid or mass accumulation
Term
Murmur's a graded on a scale of:
Definition

I-VI

(Softest to Loudest)

Term
What is the most common location and timing for a murmur?
Definition
Left side; systolic(contraction)
Term
Seen in a grade 5 or 6 this is a vibration from the murmur:
Definition
Thrill
Term
Which grade murmur is heard with a stethoscope off the chest and has a palpable thrill?
Definition

VI

(6)

Term
This form of monitoing records ECG continuously and is used as a diagnostic tool.
Definition
Holter Monitor
Term
This form of cardiac disease is less common and s treated with nitroglycerin paste, furosemide and keeping the animal quiet. Remember, oxygen never hurts.
Definition
Acute
Term
Chronic cardiac disease treatment can include:
Definition
  • Diet- taurine as needed, low sodium diets
  • Furosemide or spironolactone
  • Enalapril
  • Digoxin
  • Pimobendin
  • Antiarrhythmic drugs prn
  • Surgery- ballons, stents, mesh
  • Blood Pressure medication
  • Rest
  • Thoracocentesis or abdominocentesis
  • Antibiotics
Term
This drug slows the heart rate, increases contractility and has a narrow margin of safety which is why we want to check levels.
Definition
Digoxin
Term
A new drug that increases contractility, vasodilation and is safer than digoxin.
Definition

Pimobendin

Vetmedin®

Term
An ACE inhibtor that is a vasodilator and is given daily or twice a day for chronic cardiac disease.
Definition
Enalapril
Term
This drug decreases the afterload of the heart so it does not have to pump as hard.
Definition
Nitroglycerin paste
Term
This is the most common failure and signs relate to fluid build up in respiratory system. Examples: Pulmonary edema, cough, dyspnea.
Definition
Left Sided Failure
Term
This failure has signs related to fluid build up in the body like ascites or pitting edema.
Definition
Right Sided Failure
Term
Tapered head with coiling motion and straight tail. Commonly confused with reconditum.
Definition

Heartworm Disease

Aka: Dirofilaria immitis

Term
Adult heartworm reside mainly in these sights in the heart.
Definition
Right ventricle and pulmonary artery
Term
What are some things used for diagnosis of heart worm in dogs?
Definition
  • Antigen Test
  • Smears
  • Concentration techniques: Modified knots filters
  • CBC, chemistry, radiograph,ultrasound
Term
What drugs can be used for treament in dogs for heartworm disease?
Definition
  • Ivermectin
  • Immiticide
Term
What heartworm preventative is injectable and lasts for 6 months?
Definition
Proheart 6
Term
A mitral insufficiency or prolapse(most common) that is treated with lasix and enalapril.
Definition
Valvular Disease
Term
Diagnosed by ultrasound and treated with a balloon catheter this is aortic or pulmonic.
Definition
Valve Stenosis
Term
Muscle streches-thin and weak- dilated chambers that cannot pump-decrease in cardicac output
Definition
Dilated Cardiomyopathy
Term
Thickening of heart muscle-narrow chambers-lack of filling during diastole-decrease in cardiac output
Definition
Hypertrophic Cardiomyopathy
Term
This drug increases cardiac output and is used in treatment of DCM.
Definition
Pimobendin
Term
Diltiazem, asprin and lasix can be used to treat:
Definition
HCM
Term
Less common than HCM or DCM this occurs when the pericardium constricts heart from pumping
Definition
Term
An example of RCM is harware disease which is:
Definition
a foreign body ingestion (metalic) in cattle
Term
This usually occurs in 10-20% of cats with HCM
Definition
Thromboembolism
Term
Left to right shunt, right sided failure common in cats
Definition
ASD
(Atrial Septal Defects)
Term
Common in large breed dogs diagnosed by a barium study and treated wiht surgery this is a congenital/genetic defect caused by the vascular arch constricting the esophagus
Definition
PRAA
Persistant Right Aortic Arch
Term
The most common clincial sign of PRAA:
Definition
Regurgitation
Term
This causes a continuous murmur that is still present during systole and diastole and occurs because the shunt from the pulmpnary artery to the aorta never closed.
Definition

PDA

(Patent Ductus Arteriosis)

Term

True or False

ECG always reflect a heart beat.

Definition
False
Term
What are some causes of arrhythmias:
Definition
  • Electrolyte imbalance
  • Drugs and toxins
  • Disruption of electrical system-ischemia, cardiomyopathy
  • Changes in vaginal tone, metabloic disease, fear, anemia
Term
When listening to the lungs you hear crakcles this can indicate:
Definition

Edema, pneumonia

(Fluid in the lungs)

Term
When listening to the lungs you hear this wheezing this can indicate:
Definition
Bronchoconstriction
Term
When listening to the lungs you hear muffled sounds this can indicate:
Definition
Fluid or mass around the heart or lungs
Term
What are some diagnostic test that can be done to determine what is worng with the lungs?
Definition
  • Radiograph
  • Ultrasound
  • Tracheal wash
  • Bloodwork
  • Bronchoscopy, biopsy
  • Fecal exam
Term
This drug is an opiod but can be used as an antitussive:
Definition

Butorphanol

(Torbugesic)

Term
What are some common lower airway disease in dogs?
Definition
  • Collapsing trachea (common in yorkies)
  • Infectious tracheobronchitis  (kennel cough)
  • Chronic Obstructive Pulmonary disease, neoplasia
Term
WHat are common airwayd disease in cats?
Definition
  • Asthma
  • Neoplasia
Term
Build of fluid in pleural space this is often secondary to right sided heart failure?
Definition
Pleural Effusion
Term
Thoracocentesis is a diagnosis/ treatment for:
Definition
Pleural Effusions
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