Term
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Definition
clotting of blood in an unbroken vessel |
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Term
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Definition
clot, air,or fat transported by the blood stream |
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Term
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Definition
immature cells that are eventually capable of developing into mature blood cells |
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Term
tunica interna(endothelium internal media middle externa(adventia) external |
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Definition
Three layers of artery (tunics), inner diameter is lumen |
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Term
arteries are thicker and more muscular |
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Definition
compare walls of arteries to veins |
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Term
elasticity- expand for extra blood contractility- recoil/thrust fwd vasoconstriction- decrease lumen vasodilation- increase lumen, decrease resistance and increase flow |
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Definition
define properties of arteries: elasticity contractility vasoconstriction vasodilation |
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Term
elastic- conducting arteries, aorta, subclavian, thin walled, more elastic than muscular muscular- medium sized, brachial/radial, more muscle, greated ability to dilate/constrict |
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Definition
2 types of arteries. describe elastic and muscular |
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Term
arterioles. major regulator of BP and blood flow, smooth muscle contracts like rings |
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Definition
between arteries and capillaries, major function of these |
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Term
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Definition
connect arterioles to venules. near every cell in the body, more in highly active organs, muscles |
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Term
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Definition
type of blood vessel made of a single layer of squamous epithelial cells. surrounding basement membrane gives support |
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Term
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Definition
branch of arterioles, flow straight through to venules. Thoroughfare channel. no smooth muscle. allows sustained blood flow |
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Term
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Definition
rises from arterioles or metarterioles. indirect route from arteriole to venule. controlled by precapillary sphincters |
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Term
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Definition
these constrict to reduce bloodflow to the true capillaries |
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Term
post-capillary sphincters |
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Definition
regulates flow of blood OUT of the capillary bed |
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Term
metarteriole (thoroughfare channel)doesn't have sphincters, travels directly from arteriole to venule |
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Definition
how is blood flow maintained if capilary sphincters contracted? |
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Term
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Definition
formed by several capillaries joining together |
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Term
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Definition
composed of same layers as arteries. Externa is thickest. Has collagen and elastic fibers. |
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Term
slow and even skeletal muscle contains semilunar valves to prevent backflow |
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Definition
describe bloodflow in veins, what aids flow, internal object veins have that arteries don't |
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Term
L/R coronary arteries sinus of valsalva |
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Definition
first 2 arteries coming off aorta. what is this area called? |
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Term
brachiocephalic(innominate artery), L. common carotid, L. subclavian |
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Definition
3 arteries coming off aortic arch |
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Term
external carotid- external scalp/face internal carotid- right side of brain |
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Definition
common carotid splits into these. what do they supply |
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Term
Left Internal Mammary Artery. Subclavian. |
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Definition
LIMA means what? where does it branch from? |
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Term
Bronchial tubes, visceral pleurae, bronchial lymph nodes, esophagus |
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Definition
Bronchial arteries branch off Thoracic Aorta supplying 4 areas |
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Term
chest wall muscles, overlying subQ tissues, mammary glands, vertebral canal |
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Definition
Intercostal Arteries supply 4 areas |
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Term
common hepatic- liver, gallbladder, stomach L.Gastric artery- stomach, esophagus Splenic artery- spleen, pancreas, tail of stomach, greater omentum |
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Definition
Celiac Trunk of Aorta=supply what? Common hepatic Left Gastric artery Splenic artery |
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Term
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Definition
arteries supply what? suprarenal arteries & renal arteries |
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Term
pancreas, small intestine, Ascending/transverse colon
transverse/descending/sigmoid colon, rectum |
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Definition
superior mesenteric arteries inferior mesenteric arteries |
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Term
External to femoral Internal- bladder, rectum, prostate, vagina/uterus, gluteal muscles, medial aspect of thighs |
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Definition
Internal/External arteries |
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Term
pa-femur behind the knee top of foot, medial side |
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Definition
profunda artery popliteal artery location dorsalis pedis location |
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Term
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Definition
VEINS. formed by L/R subclavian veins. blood from superior portion of body to heart |
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Term
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Definition
VEINS. returns blood from inferior portion of body to heart. Renal, Iliac, Femoral veins |
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Term
Internal/External Jugular, Axillary, Brachial, Median Cubital, Accessory Cephalic, Median Antebrachial, Cephalic |
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Definition
VEINS. drain into subclavian. IJ, EJ, Ax, B, MC, AC, MA, C veins |
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Term
Hepatic Portal Vein Splenic Vein Superior Mesenteric Vein |
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Definition
HEPATIC FLOW.Blood from digestive system organs enter into HPV by way of SV and SMV. Exits liver via the IVC. Blood supplied to liver via HA. |
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Term
Internal Carotid Arteries Vertebral Arteries Basilar Artery |
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Definition
CEREBRAL FLOW. Brain is most metabolically active organ. Supplied by ICAs and VA joining to form BA. |
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Term
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Definition
Formed by union of basilar artery(2 joined vertebral arteries) & 2 internal carotid arteries. Helps provide adequate circulation through its anastomoses |
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Term
Cardiac Output. High to Low. 100mmHg |
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Definition
BLOOD PRESSURE. Generated by CO. Pressure gradient, flows from H to L pressure. Aorta pressure XXX mmHg. |
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Term
Viscosity vessel Length vessel Radius |
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Definition
3 factors causing bloodflow resistance. Depends on V,L,R |
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Term
Cardiac Output = Stroke Vol x Heart Rate
Blood Pressure = CO x Peripheral Resistance |
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Definition
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Term
Directly Directly Inversely Directly |
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Definition
Affect BP directly or indirectly? Viscosity- resistance is X proportional Vessel Length - X proportional Vessel Radius - X proportional Cardiac Output- X proportional |
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Term
Cardiac Output Blood Volume Peripheral Vascular Resistance |
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Definition
3 factors controlling BP? CO - varies directly w BP BV - directly w BP, 5 LITERS PVR -arterioles, vasomotor center |
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Term
medulla, maintains vessel diameter
pressure receptors in carotid sinus and aortic arch, msg to medulla for BP |
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Definition
Vasomotor center? where/what Baroreceptors? where/what |
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Term
in carotids and aorta increases BP and respirations when CO2 drops. also sensitive to O2, H+ |
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Definition
Chemoreceptors. where? Sensitive to what? |
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Term
Renin-angiotensin-aldosterone system epi and norepi Antidiuretic Hormone Parathyroid Hormone |
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Definition
Hormonal regulation of BP. RAAS E and NE ADH PTH |
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Term
5% Diffusion, Vesicular Transport, Bulk Flow |
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Definition
X% of capillary blood does bulk of material exchange with tissues. 3 ways exchage takes place. D/VT/BF |
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Term
Blood Hydrostatic Pressure Interstitial Fluid Osmotic Pressre |
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Definition
bulk flow due to BHP & IFOP |
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Term
filtration through cap membranes dependent on difference between pressure from blood on membranes and osmotic pressure of the membranes. NET effect of these opposing pressures determines rate of flow |
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Definition
Starling's Law of the capillaries |
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Term
capillaries outward, interstitial Interstitial Fluid Osmotic Pressure |
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Definition
BLOOD HYDROSTATIC PRESSURE: pressure within the _____ Attempts to force fluid ____into ____interstital place Opposes IFO pressure |
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Term
interstitial Blood Colloidal Osmotic Pressure Zero |
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Definition
INTERSTITIAL FLUID HYDROSTATIC PRESSURE pressure of the ____space force fluid from interstitial space to capillaries opposes BCO Pressure Typical pressure is close to ___ difficult to measure |
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Term
Blood Hydrostatic pressure Interstitial Fluid osmotic pressure |
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Definition
2 factors affecting Bulk Flow |
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Term
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Definition
Disruption between filtration and reabsorption can cause _____. |
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Term
small blood vessels have greater resistance. |
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Definition
Greater resistance to bloodflow? large or small blood vessels? Elasticity of arteries produce rebound sustained flow in diastole due to elasticity |
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Term
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Definition
Term for smooth, steady flow. All particles have same speed, but friction at vessel wall causes cells at wall to drag behind |
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Term
TURBULENT FLOW results in bruit (vascular murmur) |
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Definition
Type of Flow: Disparity in laminar flow Several causes: Narrowing: stenosis, plaque Shunt: AV fistula Dilation (aneurysm) Increased metabolism or CO |
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Term
End-diastolic volume (preload) Stroke Volume Cardiac Output Gravity Tension Pneumothorax/Pericardial Tamponade |
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Definition
If venous return to the heart is hindered: EDV (P)drops S volume decreases CO decreases G (NUMBER 1 FACTOR) Increased Chest Pressure: TP or PT |
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Term
Skeletal Muscle Negative Right Blood Volume |
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Definition
Factors Promote Venous Return Contraction of SM N inspiratory pressure in chest R Ventricular relaxation BV |
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Term
Transport! O2, CO2, Nutrients & Electrolytes, Hormones, Heat, Waste Products |
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Definition
Primary function of blood is to? Also regulates pH, body temperature. |
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Term
3 100.4 7.35 - 7.45 4-6 liters 8% |
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Definition
Blood Viscosity: ? x that of H2O Temp: X degrees F pH: 7.x - 7.x volume x - x liters X% of bodyweight |
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Term
straw colored, wo clotting factors is serum, plasma proteins formed in liver, 91.5% water |
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Definition
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Term
ALBUMIN: osmotic pressure GLOBULIN:transports lipids, immunity with gamma globulins FIBRINOGEN: hemostasis |
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Definition
3 types of plasma proteins: A F G |
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Term
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Definition
TERM FOR PRODUCTION OF BLOOD CELLS |
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Term
erythrocytes rbc leukocytes wbc thrombocytes platelets |
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Definition
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Term
straw colored, wo clotting factors is serum, plasma proteins formed in liver, 91.5% water |
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Definition
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Term
ALBUMIN: osmotic pressure GLOBULIN:transports lipids, immunity with gamma globulins FIBRINOGEN: hemostasis |
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Definition
3 types of plasma proteins: A F G |
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Term
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Definition
TERM FOR PRODUCTION OF BLOOD CELLS |
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Term
erythrocytes rbc leukocytes wbc thrombocytes platelets |
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Definition
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Term
straw colored, wo clotting factors is serum, plasma proteins formed in liver, 91.5% water |
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Definition
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Term
ALBUMIN: osmotic pressure GLOBULIN:transports lipids, immunity with gamma globulins FIBRINOGEN: hemostasis |
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Definition
3 types of plasma proteins: A F G |
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Term
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Definition
TERM FOR PRODUCTION OF BLOOD CELLS |
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Term
erythrocytes rbc leukocytes wbc thrombocytes platelets |
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Definition
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Term
straw colored, wo clotting factors is serum, plasma proteins formed in liver, 91.5% water |
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Definition
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Term
ALBUMIN: osmotic pressure GLOBULIN:transports lipids, immunity with gamma globulins FIBRINOGEN: hemostasis |
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Definition
3 types of plasma proteins: A F G |
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Term
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Definition
TERM FOR PRODUCTION OF BLOOD CELLS |
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Term
erythrocytes rbc leukocytes wbc thrombocytes platelets |
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Definition
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Term
99% Erythropoiesis hemoglobin 23% |
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Definition
RBCs. % of formed elements? formation called E____ O2 carrying portion? % of CO2 it carries? Biconcave shape live for 120 days |
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Term
hematocrit M 42-52% F 35-45% |
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Definition
% of RBC in blood + with IV fluids + with dehydration, polycythemia |
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Term
hemoglobin M 14-16.5gm/dl F 12-15 gm/dl |
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Definition
active carrying sites of O2 on RBC each molecule can carry 4 O2 molecules 2 alpha 2 beta chains |
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Term
granular leukocytes: Neutrophil, Eosinophil, Basophil agranular leukocytes: Lymphocytes, Monocytes |
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Definition
Leukocytes: Explain BEN LM. Live months to years. 500-1000/ml |
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Term
pinkish, Lobed, Bacteria. 54-62% |
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Definition
Neutrophils: Fine P granules. L nucleus 2-5parts). Phagocytosis of SMALLER B. Range: %-% of WBC |
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Term
Reddish, Bi-lobed. Allergic Reactions. Histamine. Parasitic. Inflammation. 1-3% |
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Definition
Eosinophils: Coarsh R granules. B nucleus. Combat AR (fights H). P infections, Controls I. %-% of WBC |
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Term
Blue. Bi-lobed. Histamine, Anticoagulants, Heparin. 1% |
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Definition
Basophil: Deep B stained granules. B nucleus. Releases H, A, H. Less than % of WBC. |
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Term
nucleus, cytoplasm, lymphatics, B & T cells, 25-33% |
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Definition
Lymphocyte: agranulocyte. Smaller cell with relatively larger N. Thin layer of C. Can move in/out of L. Immunity (2 cell types) %-% WBC |
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Term
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Definition
Monocytes. L cells in blood, Varied nuclei shape. Phagocytosis of LARGER bacteria. %-% WBC |
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Term
10, Fraction, 250-400, clotting |
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Definition
Platelets: X day life span. Oval. Just a F of a cell. X-X level in blood. Contains chemicals for C. |
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Term
Megakaryocytes, platelets |
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Definition
M are giant cells with edges that break off to form P. |
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Term
Hemostasis Vascular Spasm Platelet Plug Formation Coagulation |
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Definition
Stoppage of bleeding is H. 3 mechanisms: VS PPF C |
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Term
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Definition
2 clotting pathways: I & E. |
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Term
Extrinsic. Vessel Trauma. Platelets. Collagen, platelet factors, attract, aggragate |
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Definition
E pathway: due to VT, activation of P. Exposed C binds/activates platelets. PF are released. Factors A more platelets. Platelets A into platelet plug. |
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Term
thromboplastin Factor catalyzes, Ca++, thrombin fibrin monomers, Ca++ FM, fibrin, fibrin stablizing factors, activated platelets |
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Definition
Tissue TF converts to prothrombin VII. prothrombin C with C, making T. Thrombin converted to F M by C. FM to F threads by FSF from AP Stable FT trap AP, RBC, WBC |
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Term
F=Factor, kinogen, Ca++ Ca++, Prothrombinase Prothrombinase, prothrombin, Ca++ Prothrombin, Thrombin, Ca++ |
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Definition
INTRINSIC pathway, due to blood trauma. FXII and K produce FXI. FXI to FX by C. FX,FV,FVIII catalyze with C to make P P to P by C P to T by C. rest of pathway same as extrinsic |
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Term
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Definition
F= prevents clots from growing to large When a clot is formed, an inactive plasma enzymed (P) is incorporated into the clot |
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Term
Plasmin. Fibrinolysin. Thrombin, Activated FactorXII Tissue Plaminogen Activator |
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Definition
Blood and tissues contain substances that can turn plasminOGEN into active form P. Also called F. 3 examples of substances: T, AFXII, tPa |
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Term
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Definition
Plasmin can digest F threads and inactivate several clotting factors |
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Term
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Definition
M = Mass of tissue between lungs. Extends betwen sternum and spine |
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Term
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Definition
A = pointed, inferior end of heart formed by tip of the left ventricle |
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Term
Thebesian valve Coronary sulcus myocardium endocardium pericardium epicardium |
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Definition
TV = valve of the coronary sinus CS = separates atrium from ventricles externally M = middle, muscular layer of heart E = lines inside of heart, valves/tendons connect to it P = loose-fitting membrane covering heart E = outer layer of heart |
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Term
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Definition
C = affecting heart rate I = altering force of contractions |
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Term
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Definition
HEART: 2/3 lies to X of midline, heart lies at X degrees in chest down/fwd/left |
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Term
Anterior, Posterior, Diaphragmatic |
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Definition
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Term
5-50ml, pericardial fluid Visceral= continuous w epicardial layer Parietal= outer layer, fibrous sac |
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Definition
Pericardium: tough, fibrous sac contains x to x ml of PF 2 layers: V & P |
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Term
Friction, Anchor, Inflammation, OverExpansion |
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Definition
Pericardium Functions: Reduce F, helps A the heart in chest, protects against I, helps resist acute OE with volume changes |
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Term
Thin Walled, Weak Atrial Septum, Foramen Ovale |
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Definition
Atrial walls: TW with W contractions AS open during fetal life FO |
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Term
Right Atrium, IVC, SVC, Coronary Sinus Pulmonary veins |
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Definition
RA receives blood from IVC, SVC, CS LA receives blood from 4 PV |
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Term
interatrial, Atria, Endocardial interventricular, Ventricles, 95,5. |
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Definition
SEPTUMS. IA septum between 2 A. Made of E tissue. Iv septum between 2 V. Made of % muscle, % fibrous. |
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Term
atrioventricular. atria, ventricles Circumflex, Coronary sinus AV, IV |
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Definition
Coronary Sulcus: or AV sulcus. Externally separates __from___. Encircles the heart. Houses the C artery and CS. Crux is where ____sulcus & ___sulcus meet |
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Term
LV, RV LAD runs down anterior, PDCA down posterior. Great Cardiac Vein |
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Definition
Ventricular Sulcus: Separates externally the ___ from ___ 2 coronary arteries and a vein run over it |
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Term
Chordea Tendineae (connected to papillary muscles) prolapsing |
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Definition
CT = 80% collagen, 20% elastin/endothelial cells Prevents P of the AV valves leaflets |
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Term
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Definition
IMPORTANT: # of leaflets/cusps on SL valves. Valves open/close due to PD in valves/vessels |
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Term
Left Anterior Descending. Circumflex Artery. IV Sulcus. Septal Perforators. AV sulcus. Obtuse Marginal arteries |
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Definition
LEFT CORONARY ARTERY: branches into XXX & XX. LAD runs down X branching into X. Circumflex runs around X branching into X for posterior heart |
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Term
sinus of Valsalva. AV. Crux. Conus, SA, PDCA |
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Definition
RCA. Starts at right SofV, travels around XXsulcus to the X Branches into 1st, 2nd arteries, XX branch, XXXX arteries |
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Term
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Definition
Ventricles receive blood from branches of L/R coronary arteries. Atria, in contrast, get blood only from a small branch of corresponding artery |
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Term
Septal Perforators. Diagonal Arteries. lateral aspects of myocardium and posteromedial papillary muscle. |
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Definition
branches of LAD. XX supply blood to ANTERIOR ASPECT of IV septum. Circumflex branches into X. they supply 2 areas. |
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Term
Dominant side also supplies inferior aspect of the IVS and posterior LV. Posterior IVS and Post. LV supplied by RCA & L. circumflex arteries. |
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Definition
Coronary Dominance: 85% R side, can tell by which artery covers posterior IV sulcus and supplies crux |
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Term
SA Node, Intra-Atrial Tracts, AV Junction, Bundle of His, R/L Bundle Branches, Purkinje System |
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Definition
Conduction system: XX node, IAT, XXjunction, XofX, X and X bundles branches, X system |
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Term
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Definition
SA Node: X bpm AV Node: X bpm Purkinje fibers: terminal projections into M, X bpm |
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Term
0.1 sec AV Ventricular Systole R |
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Definition
1st Heart Sound:S1 "lub" Occurs X seconds into cardiac cycle Represents closure of X valves Onset of X X Fall on X wave |
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Term
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Definition
2nd Heart Sound: S2 "dub" closure of X valves falls on X wave start of VD |
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Term
Diastolic, Ventricles Heart Failure, Ventricular Incompetence Ventricular Gallop |
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Definition
3rd Heart Sound: S3 D sound made by rapid filling of V Sign of HF or VI occurs before X wave just after S2 X X rhythm |
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Term
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Definition
4th Heart Sound: S4 PreX sound from strong contraction of atria against a stiffened X just after "P" wave before S1 |
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Term
A 2nd ic space sternal border S2 P 2nd ic space sternal border S2 T 4th ic space sternal border S1 M 5th ic space midclavicular S1,S3,S4 |
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Definition
Best for heart sound? All Physicians Take Money |
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Term
Thrill, bruit faint. louder, stronger towards 6. |
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Definition
Murmurs: sustained noise throughout Systole, Diastole, or both. May be linked to a X, a PALPABLE vibration from turbulent flow. If whooshing sound HEARD within vessel, called a X. Murmurs graded 1-6 with 1 being X? |
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Term
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Definition
Narrows valves not opening properly are X, valves failing to close properly are X. |
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Term
Arterial septal defect Ventricular septal defect patent ductus arteriosus |
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Definition
INTRA-CARDIAC SHUNT: ASD VSD PDA |
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Term
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Definition
Systolic murmurs. SL open. murmurs here due to: AV closed. murmurs here due to: |
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Term
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Definition
Diastolic murmrus. SL closed. murmurs here from: AV open. murmurs here from: |
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Term
Reduced Diastolic Filling: also referred to as DIASTASIS. A & V pressure slowly(+) w slow filling of ventricles. Coronary blood flow is OPTIMAL. This Subphase occurs during T-P interval |
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Definition
Rapid Diastolic filling(70%) is passive. AV open, blood rushes in. A & V pressure (-) until V less than A. occurs during EKG T-P interval. "V" wave of the atrial tracing. |
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Term
ISOVOLUMETRIC Contraction. Contraction (+) pressure in ventricle, BUT no change in volume, ALL valves are closed. V pressure must exceed A pressure to open SL valves. 2/3 of O2 use, after QRS, "c" on atrial tracing |
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Definition
Atrial Systole or Atrial Kick. 15-30% of diastolic ventricular filling. Lost in disrhythmias AF/Afib. Occurs after P wave, "a" wave of atrial tracing |
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Term
Atrial Tissue. SA shortest, AV longest Ventricular Tissue. Bundle Branches shortest, Ventricular muscle longest. |
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Definition
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Term
HR, age, electrolytes, medications |
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Definition
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Term
Athlete, AMI, Conduction system fibrosis(sick sinus syndrome) Meds: opiates, BB, CBB, Dig, Organophosphates, sleep, vagal stim Increased ICP, hypothermia, hypothyroidism |
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Definition
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Term
Atropine: 0.5mg q3-5min to max of 0.04mg/kg (3mg MAX) Transcutaneous Pacing Dopamine, start 5mcg/kg/min infusion Epinephrine 2-10mcg/min |
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Definition
Tx for SYMPTOMATIC BRADYCARDIA |
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Term
stress, hypovolemia, hypoxia exercise, anemia, fever, toxins MI, ischemia, HF, Hyperthyroidism, Inflammatory heart disease |
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Definition
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Term
Identify and Tx cause: IV fluid replacement, O2, antipyretics analgesic, blood transfusion beta blockers |
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Definition
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Term
normal variation by changing sym and parasym stim during breathing. older patient with sick sinus syndrome Digitalis Toxicity |
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Definition
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Term
Usually none. Symptoms would usually come from underlying brady rate. Tx accordingly. |
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Definition
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Term
Fibrodegenerative changes(sick sinus syndrome) Ischemia of SA Node from RCA ischemia Vagal Stimulation Inflammatory Heart Disease Electrolyte imbalance(sinus arrest) Mg or K Digitalis toxicity |
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Definition
Sinus Pause/Arrest causes |
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Term
Infrequent/asymptomatic...no Tx. Stop causative medications Atropine 0.5mg q3-5min or epinephrine infusion Pacemaker possible for pauses over 2.5sec |
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Definition
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Term
100-130 usually irregular 3 or more morphologies varies with P wave morph normal normal |
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Definition
Multifocal Atrial Tachycardia MAT Rate Rhythm P wave PRI QRS P:QRS |
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Term
3 different P wave morphs Pacemaker in SA, atria, or AV sites Often mistaken for A-fib |
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Definition
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Term
Sympathetic Electrolytes Digitalis usual 3: ischemia, inflammation, dilating diseases |
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Definition
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Term
Tx underlying disease, usually lung disease and hypoxemia End drugs like beta agonists, methylxanthines Avoid B2 blockers in lung disease Mg or K could help even if levels are normal Verapamil usually choice(5-10mg,IV, repeated until 20mg) Not a reentrant beat so digoxin/cardioversion not effective |
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Definition
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Term
Any cardiac arrest characterized by organized electrical activity on the EKG monitor without a pulse |
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Definition
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