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Cardio Lecture 3
a
45
Nursing
Undergraduate 2
11/26/2011

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Term
commissurotomy or valvulotomy
Definition
treatment for stenotic valve that is cutting or seperation of a fused heart valve
Term
balloon valvuloplasty
Definition
treatment for stenotic valve that is cardiac catheterization with a balloon inflated to seperate the leaflets of heart valves
Term
annuloplasty
Definition
treatment for regurgitant valve in which the valve is reconstructed to make it tighter
Term
valvuloplasty
Definition
treatment for regurgitant valve in which the valve is repaired by suturing the torn leaflets, chordae tendinae, or papillary muscle
Term
valve replacement
Definition
last choice in the treatment for both stenotic and regurgitant valves
Term
cardiomyopathy
Definition
extensively damages myocardial muscle fibers which affect the structure and function of the myocardium
Term
dilated cardiomyopathy
Definition
ventricles dilate without hypertrophy or increase in heart muscle mass
Term
hypertrophic cardiomyopathy (ventricular hypertrophy)
Definition
increased heart muscle mass without dilation of the ventricle thus reducing the size of the chamber
Term
restrictive/constrictive cardiomyopathy
Definition
impaired ventricular compliance which causes impaired ventricle filling and decreased CO and SV
Term
SNS
Definition
all three types of cardiomyopathy result in stimulation of the ____
Term
dysrhytmias - angina
Definition
changes in the heart size and/or structure leads to ____ and _____ due to lack of sufficient blood supply to support enlarged heart
Term
defibrillation/cardioversion
Definition
delivery of direct current which causes all cardiac cells to depolarize at once
- stops ventricular tachyydysrhythmias and fibrillary dysrhythmias
Term
manual defibrillation
Definition
electrical shock to depolarize the cells of the myocardium and allow the SA node to resume role of pacemaker
Term
sychronized cardioversion
Definition
defibrillation is synchronized with pt heart rhythm to reset heart in non-emergency situations
Term
pacemaker
Definition
provides electrical stimulation to the heart muscle to initiate the heart beat when the Intrinsic Conduction system fails or is unreliable
Term
fixed/Asynchronous
Definition
pacemaker fires regardless of pts rhythm at a preset rate
Term
demand/noncompetitive
Definition
pacemaker fires when needs to
- senses the pts rate and fires when HR drops below a certain level
Term
dysrhythmias
Definition
after insertion, the lead from the pacemaker can move and cause ____
Term
pneumothorax
Definition
after pacemaker insertion, the nurse should assess for ______ that can result from accidental puncture
Term
hiccups
Definition
symptom that may be present if the lead on the pacemaker moves and stimulates the diaphragm
Term
ductus venous
Definition
in the fetus,oxygenated blood enters the heart through the inferior vena cava from the umbilical vein through the ______
Term
ductus venous
Definition
a structure in a fetus that shunts blood past portal circulation bypassing the liver
Term
ductus venous
Definition
structure that permits most of the highly oxygenated blood from the mom to do directly to the right atrium of the fetus
Term
foramen ovale
Definition
in fetal circulation, because of higher pressure of blood in the right atrium, the blood is directed across the right atrium through the ____ ____ to the left atrium
Term
foramen ovale
Definition
opening between the right and left atria of the fetus that shunts blood past the lungs as they are nonfunctional until birth
Term
ductus arteriosus
Definition
Some of the blood that is pumped to the right ventricle of the fetus is pumped through the ____ to the aorta so it bypasses the lungs
Term
ductus arteriosus
Definition
structure between the pulmonary artery and the aorta that shunts blood past the lungs
Term
pulmonary congestion
Definition
congenital heart defects that result form atrial/ventricular septal defects or a patent ductus arteriousus cause _____ _____ due to blood being shunted from the left to right side of the heart
Term
aortic stenosis
Definition
narrowing of the aortic valve which causes resistance to blood flow in the left ventricle
Term
pulmonic stenosis
Definition
narrowing at the entrance to the pulmonary artery exiting the right ventricle
Term
pulmonary congestion
Definition
aortic stenosis causes ___ ___ due to the obstruction of blood leaving the left ventricle
Term
peripheral edema
Definition
pulmonic stenosis causes _____ ____ due to the obstruction of blood leaving the right ventricle
Term
coarctation of the aorta
Definition
narrowing of the aorta near the ductus arteriousus
Term
upper extremities and head
lower extremities
Definition
coarctation of the aorta causes increased BP in the _____ and ____ and decreased BP in the ____
Term
tertalogy of Fallot
Definition
combination of four congenital heart defects (pulmonic stenosis, right ventricular hypertrophy, ventricular septal defect, overriding aorta)
Term
right ventricular hypertrophy
Definition
compensatory effect r/t increased pressure on the right side of the heart due to pulmonic stenosis
Term
ventricular septal defect
Definition
congenital heart defect that causes right to left shunting through the defect
Term
overriding aorta
Definition
aorta that sits near the core of the heart and receives blood from both ventricles
Term
cyanosis
Definition
an overriding aorta causes ____ due to the mixture of oxygenated and deoxygentated blood
Term
polycythemia
Definition
condition ussually present with Tetralogy of Fallot because the body compensates by making more RBC's
Term
squatting
Definition
position used by older children with Tetralogy of Fallot because it decreases venous return to heart which decreases right to left shunting and increases oxygentaion
Term
transposition of great vessels
Definition
condition that causes the pulmonary artery to exit the left ventricle and the aorta to leave the right ventricle
Term
transposition of great vessels
Definition
condition in which a defect must be present to allow for blood circulation between the right and left ventricle which allows mixing of blood
Term
truncus arteriousus
Definition
condition in which only one vessel exits that heart from both ventricles
- aortic and pulmonic arteries are joined
Term
truncus arteriousus
Definition
condition which is always associated with a large ventricle septal defect since both ventricles pump through one exit
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