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The resistance that the left side of the heart must overcome to eject blood is called ___________ |
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What % of blood makes up Atrial Kick? |
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"% of blood volume in the venturcles being ejected" is known as the |
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Regarding Ejection Fraction, what % is considered "good" (adequate perfusion) |
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30% Atrial Kick is when ...... |
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Atrias passively fill & 30% is ejected |
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The lubb-dubb sound is caused by what? |
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Definition
when the semilunar valves are actively opening & closing |
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Volume arriving to the right side of the heart is known as _______ |
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3 things that can impact afterload: |
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1. BP (#1 cause) 2. Plaque 3. Flap closure issues |
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Hardening of the valves is known as: |
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A condition caused by loose heart valves is known as |
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What is Frank Starling's Law of Contractility? |
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Further Stretch = Bigger Stroke |
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Superior & Inferior Vena Cava flow into _________ |
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SA & AV node are located in the |
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Put in order the flow from the Right Atrium to the Ascending Aorta..... |
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starts: R. ATRIUM-- Tricuspid Valve -- R. Ventrical--Pulm.Artery Valve - Pulm Artery -- LUNGS-- Pulm Veins --L. Atrium -- Mitral Valve --L. Ventricle --Aortic Valve - AORTA Ends |
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What process causes the S1 sound? |
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Definition
The ventricles squeeze causing the TRICUSPID and BICUSPID (mitral) valves to close: "Lubb" |
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What process causes the S2 sound? |
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The Atria squeeze causing the Pulmonary Artery Valve & Aortic Valve (semilunar valves) to close: "Dubb" |
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Blood carried into the lungs is OXYGENATED or DEOXYGENATED? |
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Definition
DEOXYGENATED.... it drops off CO2, picks up 02 and goes into the pulmonary viens, into the left artium then ventricle where its pumped out the Aorta to the body |
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Hypervolemia causes an (INCREASE/DECREASE) in preload? |
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When hypovolemia causes an increased preload, what does the heart release to correct the situation? |
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Definition
It releases that hormone that makes you go pee to rid excess fluid volume. |
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When the heart has a back up of "flow", the resulting condition is known as: |
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CHF (congestive heart failure) |
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When the heart runs low on 02 it signals for more... after 20 minutes without, it gets injured and necrosis occurs. This condition is known as: |
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_____ condition results from low Oxygen |
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MI (myocardial infarction) |
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What is the formula for Cardiac Output? |
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Cardiac Output always has to stay consistent. Therefore, if the HR (heartrate) goes up, what happens to SV (stoke volume)? |
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Definition
goes down! (inverse is true too: low HR means high SV) |
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Lets talk heart rates: I'll give you a range, you tell me what controls it.... 60-100 bpm |
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Definition
This is a normal heart rate and controlled by the SA NODE! |
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Lets talk heart rates: I'll give you a range, you tell me what controls it.... 40-60 bpm |
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Definition
This is bradycardia and controlled by the AV node |
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Lets talk heart rates: I'll give you a range, you tell me what controls it.... 20-40 bpm |
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Definition
This is also bradycardia and controlled by the Purkinje Fibers |
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Lets talk heart rates: I'll give you a range, you tell me what controls it.... below <20 bpm |
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Definition
This too is bradycardia and controlled by the Agonal |
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What condition has the #1 impact on the heart's overall operation? |
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Definition
Atherosclerosis (plaque inside the artery) |
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When plaque hardening inside the artery causes narrowing, the condition is called _________ |
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When the artery ITSELF is actually hardening, this is called ______________ |
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Arteriolsclerosis (usually happens when we age) |
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ATHEROMA is another word for: |
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Clots can cause a _______ |
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MI (myocardial infarction) |
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Narrowing vessels can cause _______ in blood pressure? |
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That little bony bump on the center of your sternum, marking the horizonal of your 2nd intercostal spaces (where you S1 and S2 are) is called __________ |
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Definition
Apical Pulmonic Erbs point Tricuspid Mitral |
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HIGH Pallor = _____ Cardiac Output & Vasoconstriction |
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T/F High BP can cause pain and anxiety? |
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T/F Low BP can cause MI injury |
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If you wanna make your S4 sound louder, you have your patient do what? |
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Which is louder: S1 or S4 |
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The relaxation of the myocarium is known as |
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What divides the Left and Right Venticle? |
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This is known as the "pacemaker of the heart" |
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What do P,Q,R,S,T & U mean? |
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Definition
They identify separate wave forms on an ECG P = firing of the SA node QRS = depolarization from the AV node T = Repolarization of the ventricles U = Repolarization of teh Purkinje Fibers (U can mean also hypokalemia) |
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Another word for electrical impulse is: |
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LETS TALK ECGs!!! The P wave indicates? |
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The PR interval indicates a delay thru the AV node where the ATRIA has time to contract and empty blood into the ventricles. So what then does the QRS wave indicate? |
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Indicated conduction thu the ventricles. (when that electrical signal runs down the bundle branches and purkinje fibers) |
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What does the T wave indicate? |
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When the process REpolarizes back again. |
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A normal T wave appears to be what shape? |
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Cardiac Muscle is also known as the |
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A sac formed by localized dilation of the blood in the vessel wall is called |
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______________ is damaged heart muscle due to inadequate blood supply |
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stretch of cardiac muscle fibers when filling (volume); focuses on the filling of the heart; volume of blood returning to the heart is called ____________ |
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Definition
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forces the heart must overcome to eject the blood (resistance); focuses on the ejection of the blood; heart must contract harder against pressures i.e., aortic compliance, vascular pressure, blood mass, viscosity, pulmonary stenosis) This is called |
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This node located in the LLQ of the right atria is also known as "the junction" |
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Definition
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Normal heart rate is 60-100 bpm controlled by which node? |
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Junctional 40-60 bpm is controlled by what? |
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20-40 bpm is controlled by the ________ |
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And below 20 bpm is controlled by |
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Depolarization of the atria is the ____ wave on an ECG. |
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Depolarization of the ventricles is the |
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Repolarization of the ventricals is the |
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Repolarization abnormality (hypokalemia) is which wave? |
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If the QRS complex ________, this indicates abnormalities with eh conduction of electricity THRU the ventricles (i.e. bundlebranch, MI) |
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Definition
if the QRS complex WIDENS |
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Contraction of the heart (myocardium) is known as |
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Definition
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Relaxation of the heart (mycardium) is known as |
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Definition
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The average amount of blood in L/Min for an adult at rest is: |
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Cardiac Index formula is what? |
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Definition
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The ability to respond to demands placed upon your heart (i.e. exercise, stress) is known as |
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Definition
Cardiac Reserve (fact: the cardiac output increases 3-4 times greater than normal to meet demand) |
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WHAT SYSTEM: •Increases heart rate •Increases speed of conduction in AV node •Increases force of contractions •Vasoconstriction (alpha adrenergic receptors) •Medicated by beta-adrenergic receptors (which are designed for epinephrine and norepinephrine |
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What System: •Decreases heart rate •Slows conduction through the AV node •Mediated by vagus nerve |
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THESE: •Stretch and pressure sensitive receptors in the aortic arch and carotid sinus •Temporarily inhibits sympathetic nervous system •Decreases heart rate •Vasodilates |
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THESE: •Located in aortic arch and carotid sinus •Detects respiratory acidosis with hypoxia •Stimulates vasomotor center in the brain to increase heart rate |
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Cardiac Output (CO) x Systemic Vascular Resistane (SVR) = ? |
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Systolic / Diastolic represents |
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•Difference between SBP and DBP Usually 1/3 of SBP i.e., 120 - 80 = 40 This is known as _____ _____ |
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•DBP + 1/3(SBP – DBP) •Average pressure within an artery over a complete cycle of one heartbeat THIS IS KNOWN AS ______ _____ ________ |
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Opening Btwn Left and Right Atria is called |
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Definition
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4 Defects: Stenosis (narrowing of pulmonary artery), Enlargment of Rt. Ventricle, Aorta receives blood from BOTH Ventricles, and Ventricular Septal Defect..... ALL FOUR are called ______________ |
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"Right ventricle enlarges as it works harder to pump the blood through the narrowed/stenosed pulmonary artery" This statement sums up the 4 defects... called also |
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Definition
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Key S&S of Tetralogy of Fallot: Cyanosis, CLUB fingers, High RBCs, and Failure to? |
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Squatting with knees to chest to increase systemic venous return is known as the ________ position. |
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Tightening constriction or narrowing of the aorta is known as a ________ of the aorta. |
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Definition
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The clinical term for "changes in chest landmarks".... think falling elderly skin |
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Definition
Kyphosis (the ky is falling) |
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As we age, we have fewer pacemaker cells... this causes SA node dysfunction and sinus bradycardia. |
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Definition
You're doing GREAT!... keep going |
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In the elderly, there are fewer beta-receptors... which makes elderly less sensitive to what meds? |
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What happens to BP in the elderly? |
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There is a wider range btwn Systolic and Diastolic (wider pulse pressure) |
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