Term
- Strip 1: 60 bpm, NSR
- Strip 2: 120bpm
sinus tachycardia
- Strip 3: 50 bpm, Sinus bradycardia |
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Definition
[image]
What is the rate and rhythm of each strip?
(Note: each complete strip = 6 sec) |
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Term
SYNCHRONIZED CARDIOVERSION |
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Definition
elective procedure in which a SYNCHRONIZED shock of 25 to 50 joules is delivered to restore normal sinus rhythm |
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Term
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Definition
the use of electrical device to apply countershocks to the heart through electrodes placed on the chest wall to stop fibrillation. |
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Term
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Definition
what is the time interval for a normal QRS complex ? |
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Term
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Definition
what is the length of time for a normal PR interval? |
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Term
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Definition
heart rhythm with no identifiable P waves, normal QRS,described as "IRREGULARLY IRREGULAR" |
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Term
SUPRAVENTRICULAR TACHYCARDIA (SVT) |
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Definition
SINUS rhythm, above 150 bpm |
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Term
during REPOLARIZATION, T-wave |
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Definition
The is the most unstable phase of the cardiac cycle. |
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Term
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Definition
therapeutic level of DIGOXIN |
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Term
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Definition
pacemaker that fires ONLY when it senses BRADYCARDIA |
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Term
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Definition
pacemaker that stimulates a P wave and a QRS complex. |
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Term
SA node, AV junction, Bundle of Hiss, Purkinje Fibers |
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Definition
normal CONDUCTION PATHWAY(4) |
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Term
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Definition
Normal INTRINSIC rate of SA node |
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Term
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Definition
The valve between the right atrium and the right ventricle |
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Term
Length of a normal QRS interval |
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Definition
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Term
c. Right atrium and right ventricle |
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Definition
1. The tricuspid valve is located between the: a. Left atrium and left ventricle b. Left ventricle and aorta c. Right atrium and right ventricle d. Right ventricle and pulmonary artery |
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Term
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Definition
A drug (i.e., atropine) that blocks the vagus nerve results in what? |
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Term
positively inotropic agent |
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Definition
A drug (i.e., digoxin) that increases the force of myocardial contraction and is classified as a(n) _____ |
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Term
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Definition
A heart rate greater than 100 beats/min |
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Term
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Definition
A heart rate less than 60 beats/min |
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Term
A) is about half the length of a normal P-R interval
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Definition
A normal QRS interval: (select all that apply)
A) is about half the length of a normal P-R interval
B) is about 0.15 sec
C) is a positive deflection
D) remains on the isoelectric line |
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Term
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Definition
A patient experiences shortness of breath. What is our first nursing intervention? |
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Term
Deep-vein thrombosis (DVT) |
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Definition
A positive Homan's sign is an indication of . . . |
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Term
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Definition
A structure that receives the electrical signal from the conduction tissue in the atria; it delays the entrance of the electrical signal into the His-Purkinje system |
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Term
on the interatrial septum close to the tricuspid valve. |
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Definition
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Term
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Definition
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Term
Amount of ventricular force needed to open valves and eject blood |
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Definition
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Term
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Definition
All of the following are electrical terms except
A) systole
B) depolarization
C) action potential
D) repolarization |
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Term
- stroke volume
- 60-80ml
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Definition
Amount of blood pumped by a ventricle in one beat (2) |
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Term
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Definition
Amount of ventricular force needed to open valves and eject blood |
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Term
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Definition
An extra heart sound, heard between normal beats |
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Term
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Definition
Another name for the mitral valve |
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Term
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Definition
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Term
Left gastric Splenic Hepatic |
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Definition
Arteries that deliver blood to: Stomach Spleen Liver |
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Term
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Definition
Procedure for Homan's sign Assessment |
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Term
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Definition
Atrial relaxation, followed by ventricular relaxation |
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Term
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Definition
Average resting cardiac output |
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Term
- cardiovascular
- nervous
- urinary
- endocrine |
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Definition
BP-regulating systems include the ____, _____, ______, and _____ |
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Term
combined alpha and beta blockers:Action |
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Definition
Block alpha-adnergic receptors causing vasodilation and reduced blood pressure; decrease symphathetic nervous system resulting in decreased heart rate,and contractility. |
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Term
central acting alpha-2 agonists:Action |
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Definition
Block effects of symathetic nervous system centrally. |
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Term
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Definition
Blood flow through the capillaries is known as _______ |
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Term
pressure in the ventricles is lower than pressure in the atria |
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Definition
Blood flows from the atria to the ventricles through open AV valves when |
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Term
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Definition
Blood flows from the right atrium through this atrioventricular valve to the right ventricle |
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Term
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Definition
Blood passes through the tricuspid valve into |
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Term
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Definition
Blood travels through the mitral valve and into |
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Term
one cardiac cycle or one heartbeat. |
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Definition
Both atria contract as both ventricles relax. Immediately after this, both ventricles contract as both atria relax. |
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Term
WHAT - humming in vessel heard when auscultated
WHY - turbulent blood flow
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Definition
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Term
Central Venous Pressure: - determines how much fluid/hydration patient is in - determines right atrial preload |
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Definition
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Term
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Definition
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Term
- Involves angiography. - Examines vessels in the heart - uses dye to make vessels visible on x-ray - patient will be conscious and can respond |
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Definition
Cardiac catheterization: description (4) |
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Term
- Inform MD if you feel burning, headache, chest pain |
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Definition
Cardiac catheterization: patient teaching |
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Term
- NO worries of gag reflex - 7 Ps - no flexing leg 4 hrs - log roll to turn - V/S - sand bag over insertion area |
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Definition
Cardiac catheterization: post-op nursing (6) |
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Term
- obtain consent - NPO 8-12 hrs - explain procedure - fluoroscope - IV insertion |
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Definition
Cardiac catheterization: pre-op nursing (5) |
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Term
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Definition
Cardiac output is determined by heart rate and _____ |
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Term
- diet - weight - stress - exercise - alcohol - smoking |
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Definition
Cardiac risk factors: modifiable (6) |
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Term
- age - race - gender - family history - diabetes |
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Definition
Cardiac risk factors: non-modifiable (5) |
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Term
- EKG - treadmill test - Thallium test - Blood gases |
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Definition
Cardiac tests (procedural) available (4) |
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Term
Cardioversion corrects Atrial fibrillation D-fib corrects Ventricular fibrillation |
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Definition
Cardioversion v Defibrillation: purpose |
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Term
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Definition
Chamber that anchors the chordae tendineae of the mitral valve |
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Term
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Definition
Chamber that pumps "blue" blood to the lungs |
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Term
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Definition
Chamber that pumps oxygenated blood into the aorta |
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Term
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Definition
Chamber that receives blood from the venae cavae |
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Term
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Definition
Chamber that receives oxygenated blood from four pulmonary veins |
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Term
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Definition
Chest pain resulting from myocardial ischemia |
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Term
- Fowler's position - obtain order for O2 |
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Definition
Chest pain: nursing intervention |
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Term
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Definition
Chest wall into superior vena cava |
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Term
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Definition
Cholesterol: reference range |
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Term
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Definition
Chordae tendineae are not associated with this valve.
A) aortic B) mitral C) tricuspid D) bicuspid |
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Term
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Definition
Circulation maintained by the left side of the heart |
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Term
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Definition
Circulation maintained by the right side of the heart |
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Term
higher fibrinogen levels and greater fibrinolytic activity with advancing age |
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Definition
Clots can form more easily in women's coronary arteries due to ___________ |
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Term
Chronic oxygen deficiency
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Definition
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Term
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Definition
Complete the blood flow sequence:
pulmonary capillaries
-> pulmonary veins
-> left atrium
-> left ventricle
-> ____ |
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Term
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Definition
Condition of decreased supply of oxygenated blood to body part or organ. |
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Term
Mitral and bicuspid valves |
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Definition
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Term
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Definition
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Term
Sedentary lifestyle, poor dietary habits, and increasing stress levels |
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Definition
Contributing to an increased incidence of cardiovascular disorders in younger people. |
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Term
carries O2 and nutrients to myocardium |
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Definition
Coronary arteries: function |
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Term
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Definition
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Term
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Definition
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Term
Arteries and veins are usually in a state of slight constriction that helps maintain normal blood pressure.
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Definition
Define peripheral resistance |
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Term
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Definition
Degree of stretch of ventricles before contraction (systole) |
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Term
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Definition
Denotes Atrial contraction: positive deflection |
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Term
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Definition
Denotes main part of ventricular contraction: Highest positive |
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Term
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Definition
Disease in which lipids are deposited on and in the walls of arteries over a period of years, narrowing them and decreasing blood flow, and forming rough surfaces that may lead to arterial clots. |
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Term
Coronary artery disease (CAD) |
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Definition
Disease of the arteries surrounding the heart |
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Term
Common iliac branches into internal iliac artery |
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Definition
Distributes blood to Pelvic muscles, bladder, rectum, prostate, reproductive organs |
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Term
Brachiocephalic (innominate) branches into Right subclavian Right common carotid |
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Definition
Distributes blood to Right upper extremity and Right side of head and neck |
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Term
Left and right coronary arteries |
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Definition
Distributes blood to the heart muscle |
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Term
Axillary, brachial, subclavian |
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Definition
Drainage area: Arms veins? |
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Term
ephalic, basilic, median cubital |
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Definition
Drainage area: Hand, forearm, elbow Veins? |
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Term
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Definition
Drainage area: Hands veins? |
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Term
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Definition
Drainage area: Skull Vein? |
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Term
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Definition
Drainage area:Lower extremities vein? |
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Term
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Definition
Drug of choice for symptomatic bradicardia |
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Term
NONE! Don't treat asymptomatic bradycardia
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Definition
Drug of choice for treatment of asymptomatic bradycardia |
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Term
Starling's law of the heart
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Definition
During exercise, venous return increases and stretches the ventricular myocardium, which in response contracracts more forcefully. What is this called? |
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Term
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Definition
During which "phase" of the heartbeat is the mitral valve closed? |
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Term
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Definition
Each ventricle empties through |
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Term
Decrease in bundle of His (AV bundle) fibers |
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Definition
Effect of aging that contributes to increased incidence of heart block |
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Term
Increased rigidity of vessels from decreased elasticity |
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Definition
Effect of aging that results in increased BP and left ventricle hypertrophy |
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Term
Changes on electrocardiogram (ECG) Bradycardia (decreased HR) and/or irregular heart rate Fatigue Signs/symptoms of heart failure are possible Abnormal heart sounds |
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Definition
Effects of Fibrosis in the conduction system and heart calcification of the valves Increased size of myocardium and atria Decreased cardiac output |
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Term
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Definition
Electrical impulse move randomly through out of atria |
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Term
sinoatrial node (SA node or sinus node) |
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Definition
Embedded in the wall of the right atrium at the junction of the SVC |
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Term
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Definition
End stage of ventricular contraction. Starts netative and reflects positive before returning to the isolectric line. |
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Term
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Definition
Excess vagal stimulation to the SA node is most apt to cause |
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Term
a. Diffusion and filtration |
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Definition
Exchange of nutrients, salts, gases, and wastes across capillary walls occurs by: a. Diffusion and filtration b. Osmosis and filtration c. Pinocytosis and diffusion d. Pinocytosis and osmosis |
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Term
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Definition
Failure of the S-wave to return to the isoelectric line (stays in positive) indicates what? |
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Term
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Definition
Fibrosis of heart valves causes them to thicken, as indicated by what sound? |
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Term
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Definition
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Term
CO = SV x HR cardiac output is stroke volume times heart rate. |
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Definition
Formula for calculating cardiac output |
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Term
inflammation of pericardium |
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Definition
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Term
- have patient sitting, leaning forward - listen to left upper sternum |
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Definition
Friction rub: how best to find (2) |
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Term
After Myocardial Infarction |
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Definition
Friction rub: when best found |
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Term
HDL: high-density lipids (good cholesterol) LDL: low-density lipids (bad cholesterol) |
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Definition
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Term
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Definition
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Term
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Definition
Heart rate and stroke volume determine what? |
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Term
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Definition
Heart rythm originating in the sinoatrial node with the resting rate of 60/100 beat/minute |
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Term
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Definition
Heart's first back-up, firing at 40-60 bpm. |
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Term
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Definition
Hearts 2nd back-up, firing at 20-35 bpm (med-surg, pg 348) |
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Term
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Definition
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Term
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Definition
High CVP and interpretation |
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Term
- 10 cardiac leads - patient takes monitor home - monitors 1-2 days - Diary gives MD info relating patient action to heart response |
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Definition
Holter monitor: Description (4) |
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Term
give patient teaching - focus on diary |
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Definition
Holter monitor: nursing interventions |
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Term
- take daily diary - no shower while wearing leads - press "event" button during cardiac event (palpitations, chest pain, SOB) - return box and diary when instructed |
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Definition
Holter monitor: patient teaching (4) |
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Term
Dyspnea only - no other symptoms |
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Definition
How might a myocardial infarction present in an older client? |
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Term
- pulse: at least 60 - EKG: normal P-wave |
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Definition
How to know if SA node is working (2) |
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Term
Prevent venous stasis and pressure ulcers. |
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Definition
How to reduce Risk for varicose vein formation |
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Term
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Definition
Hypertension has the greatest effect on what part of the heart? |
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Term
NONE. BP drop triggers sympathetic response (increase HR). O2 sat increase triggers parasympathetic response (decrease HR). The two would cancel each other out.
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Definition
If BP drops and O2 sat rises, what change in heart rate should we see? |
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Term
backflow of blood (regurgitation) into the atria |
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Definition
If the AV valves, chordae tendineae, or papillary muscles become damaged, what can occur with ventricular contraction? |
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Term
The arm that gave the higher reading |
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Definition
If the BP readings from each of a client's arms is different, which is used for subsequent assessments? |
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Term
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Definition
If the terms systole and diastole are used without specific reference to either atria or ventricles, they usually imply the contraction and relaxation of the |
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Term
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Definition
Impairment of conduction within the heart |
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Term
narrowing (stenosis) of a valve or to blood regurgitating through a valve that does not close properly |
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Definition
In adults, murmurs are most typically due to ____ |
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Term
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Definition
In some people the PDA comes off the LCX to supply blood to these areas. This arrangement is known as |
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Term
Extremities - especially the legs, because of the need to fight against gravity
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Definition
In what area of the body do veins have the most valves? |
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Term
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Definition
Intermitten attack of vasoconstriction of the arterioles, causing pallor of the finger or toe. |
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Term
Place where electrical tracing is at zero (neutral)
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Definition
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Term
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Definition
It lies in the thoracic cavity in the mediastinal space |
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Term
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Definition
|
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Term
- triponin test - CK - CK-MB - Myoglobulin |
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Definition
Lab tests that indicate heart attack (4) |
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Term
premature ventricular contractions |
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Definition
Lack of oxygen to the heart can cause what? |
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Term
1- Intima: inner layer of endothelial cells: prevents clotting 2- Medial layer: smooth muscle: maintains BP 3-Adventitia: outer layer of fibrous connective tissue: prevents rupture |
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Definition
Layers of the arteries: names, descriptions and responsibilities |
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Term
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Definition
Leading cause of death in the US |
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Term
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Definition
Length of a normal QRS interval |
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Term
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Definition
Life threatening situation may result in sudden cadiac death or arrest |
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Term
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Definition
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Term
Mediastinum between lungs - thoracic cavity |
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Definition
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Term
Aortic and corotid arteries |
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Definition
Locations of barorecptors |
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Term
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Definition
Low CVP and interpretation |
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Term
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Definition
Lower half of body; begins with union of two common iliac veins |
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Term
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Definition
Name for the atrioventricular valve on the left side of the heart |
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Term
|
Definition
Name for the atrioventricular valve through which blood flows from the left atrium into the left ventricle |
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Term
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Definition
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Term
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Definition
Normal cardiac output of resting adult |
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Term
- systolic drop of up to 15pts
- diastolic change (up or down) of 3-10 pts
- 15-20 bpm increase in pulse
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Definition
Normal expectation from a client moving from lying position to sitting, or from sitting to standing (3) |
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Term
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Definition
Normal heartbeat originates in the ____ |
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Term
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Definition
Normal rate of fire of the SA node |
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Term
- ejection fraction
- about 60%
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Definition
Normal ventricular efficiency (2) |
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Term
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Definition
One estimate of the total length of blood vessels in the body is |
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Term
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Definition
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Term
Pillows (report how many)
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Definition
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Term
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Definition
Outer slinglike structure that supports the heart |
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Term
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Definition
Oxygenated blood returns to the left atrium via |
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Term
- Time it takes the contraction signal to get from SA node to AV node
- 0.12 - 0.2 sec |
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Definition
P-R interval:
What is it?
How long is it? |
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Term
- transcutaneous - temporary - permanent |
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Definition
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Term
|
Definition
Pain in the patient’s calf or behind the knee when the foot is quickly dorsiflexed with the knee in a slightly flexed position. |
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Term
atrial fibrilation(AV) Common synptom |
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Definition
Palpitations: uncomfortable sensation in the chest from missed heart beat( fatigue and SOB. |
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Term
|
Definition
Part of the brain that contains the cardiac centers |
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Term
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Definition
Pentoxifylline (Trental)(increases microcirculation and tissue perfussion) |
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|
Term
- myocardial infarction
- electrolyte imbalance
- athleticism (that's a good thing)
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|
Definition
Possible causes of bradicardia (3) |
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Term
Pericardial sac may be inflamed (pericarditis) |
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Definition
Possible implication of a "rub" sound during S1. |
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Term
Degree of stretch of ventricles before contraction (systole)
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|
Definition
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|
Term
Mitral (or left AV) valve
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|
Definition
Prevents backflow from left ventricle to pulmonary veins |
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Term
|
Definition
Prevents backflow from pulmonary artery to right ventricle |
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Term
Tricuspid (or right AV) valve
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|
Definition
Prevents backflow from right ventricle to right atrium |
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Term
|
Definition
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|
Term
|
Definition
Rapid but regular constraction usually of the atrial(250-300 beat / min) |
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Term
Decreased ability of cells to absorb oxygen |
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Definition
Reason heart rate takes longer to return to normal after exercise in elderly |
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Term
|
Definition
Receives venous blood from Adrenal glands |
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Term
|
Definition
Receives venous blood from Dorsal part of trunk and spinal cord |
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|
Term
|
Definition
Receives venous blood from Intestines |
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|
Term
|
Definition
Receives venous blood from Kidneys |
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Term
|
Definition
Receives venous blood from Liver |
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Term
|
Definition
Receives venous blood from Pancreas |
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Term
|
Definition
Receives venous blood from Pelvis and legs |
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Term
|
Definition
Receives venous blood from Sex organs |
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Term
|
Definition
Receives venous blood from Spleen |
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Term
|
Definition
Receives venous blood from Stomach |
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Term
Ventricular depolarization |
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Definition
Referring to the ECG the QRS complex represents ________ |
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Term
|
Definition
Referring to the ECG, the P wave represents _______ |
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Term
Constriction and dilation of the arterioles |
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Definition
Regulates blood pressure and flow |
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Term
|
Definition
Relax smooth muscles of blood vessels causing vasodilation and decreased blood pressure. |
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Term
|
Definition
Right ventricular hypertrophy develops in response to stenosis of this semilunar valve |
|
|
Term
Dilation of blood vessels due to weakening muscle tone |
|
Definition
Risk for varicose vein formation |
|
|
Term
HMG-CoA Reductase inhibitors
|
|
Definition
|
|
Term
- fatigue
- fainting
- LOC changes
- chest pain
|
|
Definition
|
|
Term
|
Definition
Select all that apply: Decreased blood flow through the coronary arteries is most apt to cause A) valve damage B) pulmonary edema C) angina pectoris D) bradycardia |
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|
Term
C) is a positive wave between two negative waves
E) is one of the three waves that collectively denote ventricular depolarization
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|
Definition
Select all that apply: In a normal sinus rhythm, the R wave
A) is a negative wave between two positive waves
B) is on of three consecutive positive waves
C) is a positive wave between two negative waves
D) denotes ventricular diastole
E) is one of the three waves that collectively denote ventricular depolarization |
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Term
|
Definition
Select all that apply: Sympathetic stimulation to the heart A) decreases stroke volume B) increases heart rate C) causes bradycardia D) decreases cardiac output |
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|
Term
|
Definition
Serves the upper half of body; it is formed by the union of both brachiocephalic veins |
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|
Term
|
Definition
Sinus tachycardia: what to do first |
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|
Term
|
Definition
Site of blood cell production |
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|
Term
|
Definition
Smooth, shiny innermost lining of the heart |
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Term
|
Definition
Special sensory receptors in blood vessel walls, stimulated by a change in blood pressure |
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Term
|
Definition
Special sensory receptors in blood vessel walls, stimulated by a change in blood pressure |
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|
Term
|
Definition
Specialized cells in the carotid and aortic bodies that detect changes in blood oxygen content |
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|
Term
|
Definition
Specialized cells in the carotid and aortic siunses that detect changes in blood pressure |
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Term
|
Definition
Specialized conduction tissue within the interventricular septum; divides into the right and left branches |
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|
Term
|
Definition
Stenosis of a valve or blood regurgitating through a valve that does not close properly causes what abnormal heart sounds? |
|
|
Term
- amount of blood pumped by a ventricle in one beat
- 60-80ml |
|
Definition
|
|
Term
A) cause a (+) inotropic effect |
|
Definition
Sympathetic nerve stimulation of the myocardium
A) cause a (+) inotropic effect
B) decreases cardiac output
C) decreases heart rate
D) decreases stroke volume |
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|
Term
|
Definition
Systemic veins and venules house approximately _____ of the body's blood volume at rest |
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|
Term
|
Definition
Systole and diastole describe the function of the _____ |
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|
Term
|
Definition
|
|
Term
|
Definition
Takes up one third of the cardiac cycle |
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|
Term
|
Definition
The LCX supplies blood to the sinoatrial (SA) node in approximately ____ of the population |
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|
Term
|
Definition
The SA node sends multiple signals, confusing the AV node. Result? |
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|
Term
|
Definition
The amount of blood pumped by the left ventricle in one minute |
|
|
Term
|
Definition
The aorta receives blood from here |
|
|
Term
|
Definition
The atrioventricular valve on the right side of the heart |
|
|
Term
|
Definition
The atrioventricular valve through which blood flows from the right atrium into the right ventricle |
|
|
Term
|
Definition
The autonomic nerve that slows the heart rate |
|
|
Term
|
Definition
The coronary arteries supply blood to the: a. Lungs b. Head c. Heart d. Intestines |
|
|
Term
|
Definition
The difference between systolic and diastolic pressure |
|
|
Term
|
Definition
The electrical signal arises in this structure in normal sinus rhythm |
|
|
Term
CHF (congestive heart failure) |
|
Definition
The heart is unable to pump its required amount of blood (more blood enters the heart from the veins than leaves through the arteries. |
|
|
Term
|
Definition
The inferior (lower) point |
|
|
Term
|
Definition
|
|
Term
|
Definition
The left atrium receives oxygenated blood through how many pulmonary veins? |
|
|
Term
|
Definition
The left coronary artery passes along the ______ and divides into two branches |
|
|
Term
|
Definition
The main branch of the RCA that supplies the right side of the heart |
|
|
Term
|
Definition
The myocardium is thickest in this chamber |
|
|
Term
|
Definition
The normal adult heart rate is set by the: a. Atrioventricular node b. Purkinje fibers c. Septum d. Sinoatrial node |
|
|
Term
|
Definition
The normal sinus impulse is transmitted over the heart via specialized fibers known as the ______ |
|
|
Term
|
Definition
The only veins with oxygenated blood. |
|
|
Term
|
Definition
The pacemaker of the heart |
|
|
Term
|
Definition
The pacemaker of the heart is located in the upper wall of the _______ |
|
|
Term
|
Definition
The pericardium is a part of the ________ |
|
|
Term
D) right ventricle: diastole
|
|
Definition
The pulmonary semilunar valve prevents backflow of blood into the ______ during ________.
A) right atrium: systole
B) right ventricle: systole
C) right atrium: diastole
D) right ventricle: diastole |
|
|
Term
|
Definition
The purpose of this structure is to momentarily delay the spread of the signal from the atrium to the ventricles. |
|
|
Term
|
Definition
The right ventricle pumps blood to the _____ |
|
|
Term
|
Definition
The semilunar valve through which blood leaves the right ventricle |
|
|
Term
|
Definition
The smallest of the arteries |
|
|
Term
|
Definition
The space between the visceral and parietal layers |
|
|
Term
Endocardium,
myocardium,
epicardium
|
|
Definition
The three layers of the heart wall, from inside to outside |
|
|
Term
the right and left ventricles |
|
Definition
|
|
Term
|
Definition
The two types of circulation in the body |
|
|
Term
|
Definition
|
|
Term
|
Definition
The upper chambers of the heart |
|
|
Term
mitral valve (bicuspid valve) |
|
Definition
The valve between the left atrium and the left ventricle |
|
|
Term
|
Definition
These conducting fibers rapidly spread the electrical signal throughout the ventricles |
|
|
Term
the superior vena cava (SVC) and inferior vena cava (IVC) |
|
Definition
These two large veins return blood to the right atrium |
|
|
Term
|
Definition
These vessels carry blood from the pulmonary capillaries to the left atrium |
|
|
Term
|
Definition
This is the hardest working cardiac chamber and therefore has the thickest myocardium |
|
|
Term
|
Definition
This layer of the heart allows it to act as a pump. |
|
|
Term
WHAT: vibration felt in pulse
WHY: bulging or narrowed vessel wall
|
|
Definition
|
|
Term
- P-R interval
- 0.12 - 0.2 sec |
|
Definition
Time it takes the contraction signal to get from SA node to AV node (name and length) |
|
|
Term
|
Definition
|
|
Term
|
Definition
To what are the superior and inferior vena cava connected? |
|
|
Term
|
Definition
Tough bands of tissue that anchor the cusps of the atrioventricular valves to the walls of the ventricles |
|
|
Term
|
Definition
Trademark symptom of left-sided heart failure |
|
|
Term
|
Definition
Trademark symptom of right-sided heart failure |
|
|
Term
- external - patient feels every shock - Isuprel may be tried first |
|
Definition
Transcutaneous pacemaker: description (3) |
|
|
Term
|
Definition
Triglycerides: reference range |
|
|
Term
to diagnose (or rule out) heart attack |
|
Definition
|
|
Term
C) an insufficient mitral valve |
|
Definition
Under what condition is blood most likely to flow "backward" (e.g., from the left ventricle back into the left atrium)?
A) pulmonary artery hypertension B) left ventricular hypertrophy C) an insufficient mitral valve D) pulmonary edema |
|
|
Term
Superior and inferior vena cava
|
|
Definition
Unoxygenated blood enters the heart through these vessels |
|
|
Term
|
Definition
Vagal stimulation to the heart causes |
|
|
Term
|
Definition
Volume of blood ejected with each heartbeat |
|
|
Term
|
Definition
Volume of blood ejected with each heartbeat. |
|
|
Term
- Cardiac output
- 4-6 L/min |
|
Definition
Volume of blood heart pumps in 1 minute (2) |
|
|
Term
W-where it is
H-how it feels
A-aggravating/alleviating factors
T-timing
S-severity
U-usful data for associated symptoms
P-patient perception of problem
|
|
Definition
WHAT'S UP? assessment of cardiovascular symptoms |
|
|
Term
C) conducting an electrical signal throughout the ventricles |
|
Definition
What are the Purkinje fibers "doing"? |
|
|
Term
|
Definition
What are the four chambers of the heart made of? |
|
|
Term
|
Definition
What are ventricles "doing" during atrial systole? |
|
|
Term
Ventricular depolarization
|
|
Definition
What does the QRS interval denote? |
|
|
Term
B) an increase in the pressure within the ventricle |
|
Definition
What event causes the pulmonic valve to open? |
|
|
Term
- Fibrosis in the conduction system and heart
- Calcification of the valves
- Increased size of myocardium and atria
- Decreased cardiac output |
|
Definition
What happens to heart valves and conduction system as an effect of aging (4)? |
|
|
Term
Poikilothermy: it drops to room temp
|
|
Definition
What happens to the temperature of an area of the body absent of sufficient arterial blood flow? |
|
|
Term
|
Definition
What happens to the temperature of an area of the body absent of sufficient venous blood flow? |
|
|
Term
Dizziness, fainting possible, postural hypotension can occur |
|
Definition
What happens when receptor (baroreceptor) responses in the arteries become less sensitive to stimuli? |
|
|
Term
|
Definition
What interval denotes ventricular depolarization? |
|
|
Term
|
Definition
What is at each end of the pulmonary veins?
A) lungs and right ventricle
B) upper body and right atrium
C) lungs and left atrium
D) upper body and left atrium |
|
|
Term
- AV valves are closing.
- Ventricles are contracting.
- Atria are filling. |
|
Definition
What is occuring during S1? (3) |
|
|
Term
S2 sound. Closure of the pulmonic and aortic valves and opening of AV valves with ventricles filling. |
|
Definition
What is occurring during "dub" sound? |
|
|
Term
Closing of the heart valves |
|
Definition
What is the cause of the heart sounds "lubb-dupp"? |
|
|
Term
- ventricular repolarization
- heart is "resting"
- ventricles are filling |
|
Definition
What is the heart doing during the T-wave? (3) |
|
|
Term
|
Definition
What is the name of the valve that prevents backflow of blood into the right atrium when the right ventricle contracts? |
|
|
Term
D) it slows the heart rate |
|
Definition
What is the primary effect of vagal stimulation of the heart? |
|
|
Term
|
Definition
What is the term for the sequence of events that occur during one heartbeat? |
|
|
Term
A) starling's law of the heart |
|
Definition
What is the term that refers to an increase in stroke volume in response to the stretching of the heart? |
|
|
Term
|
Definition
What prevents the AV valves from inverting during systole? |
|
|
Term
As the ventricles contract, the papillary muscles also contract, tightening the chordae tendineae. |
|
Definition
What prevents the the valve cusps from everting (turning inside-out)? |
|
|
Term
Vasomotor center in the medulla |
|
Definition
What regulates peripheral resistence?
|
|
|
Term
|
Definition
What separates the left and right atria? |
|
|
Term
|
Definition
What separates the left and right ventricles? |
|
|
Term
|
Definition
What separates the right ventricle from the pulmonary artery |
|
|
Term
|
Definition
What term refers to the amount of blood pumped by the ventricle in one beat? |
|
|
Term
- Decrease intake of fat and reduce sodium.
- Assess client on multiple medications (including antihypertensives and diuretics) for hypotension. |
|
Definition
What to do for increased BP and LV hypertrophy in aging client |
|
|
Term
Pace activities to provide for rest periods. Teach client how to take own pulse rate and to recognize client's own “normal” pulse rate. Teach what to do in case of dizziness. |
|
Definition
What to do if client experiences ECG changes, Bradycardia and/or irregular heart rate, fatigue, Signs/symptoms of heart failure, or abnormal heart sounds |
|
|
Term
Teach client to get up and move slowly. Teach client what to do in case of dizziness. Assess all medications the client is taking, including antihypertensive and diuretic medications. Assess electrolyte levels. |
|
Definition
What to do if client suffers dizziness and/or postural hypotension |
|
|
Term
|
Definition
What to do if heart rate takes longer to return to normal after exercise |
|
|
Term
Leg BPs typically 10 pts higher |
|
Definition
What to remember when taking BP readings from legs |
|
|
Term
Possible ischemia (that means insufficient blood supply, Ngoc)
|
|
Definition
What would a negative T-wave indicate? |
|
|
Term
Possible hyperkalemia (high potassium)
|
|
Definition
What would a spiked T-wave indicate? |
|
|
Term
|
Definition
What you usually have to avoid with most BP meds. |
|
|
Term
|
Definition
What term refers to the amount of blood pumped by the heart in one minute? |
|
|
Term
During ventricular contraction |
|
Definition
When does the blood from the left ventricle exit through the aortic valve into the aorta and out to the systemic circulation |
|
|
Term
b. The pressure of blood within the arteries. |
|
Definition
When measuring BP, the nurse is assessing:
a. The pressure of blood within the veins.
b. The pressure of blood within the arteries.
c. The pressure of blood within the heart.
d. The pressure of blood within the lungs. |
|
|
Term
bundle of His (pronounced hiss) (AV bundle) |
|
Definition
When the ventricles are ready to receive the impulse, the AV node transmits it through the |
|
|
Term
|
Definition
Where does the cardiac action potential (cardiac impulse) normally originate? |
|
|
Term
left mid-clavicular line, 5th intercostal space. (at the nipple line) |
|
Definition
Where to auscultate for apical pulse |
|
|
Term
|
Definition
Which cavity first receives unoxygenated blood from the vena cava?
A) right ventricle B) left atrium C) left ventricle D) right atrium |
|
|
Term
|
Definition
Which chamber pumps with the most force? |
|
|
Term
D) parts of the conductionL SA node, AV node, Bundle of His, Purkinje Fibers, Medulla Oblongata |
|
Definition
Which group is incorrect?
A) atrioventricular veins: tricuspid, bicuspid, mitral B) layers of the heart: epicardium, myocardium, endocardium C) abnormal heart rates: tachycardia, bradycardia D) parts of the conduction system: SA node, AV node, bundle of His, Purkinje fibers, medulla oblongata |
|
|
Term
D) Structures that carry unoxygenated blood: right ventricle, venae cavae, pulmonary veins |
|
Definition
Which group is incorrect?
A) semilunar valves: pulmonic, aortic B) atrioventricular valves: triscuspid, bicuspid, mitral C) oxygenated blood: pulmonary veins, left ventricle, aorta D) unoxygenated blood: right ventricle, venae cavea, pulmonary veins |
|
|
Term
D) Abnormal heart rates: tachycardia, bradycardia, sinus rhythm |
|
Definition
Which group is incorrect? A) semilunar valves: pulmonic, aortic B) oxygenated blood: pulmonary veins, left ventricle, aorta C) layers of the heart: epicardium, myocardium, endocardium D) abnormal heart rates: tachycardia, bradycardia, sinus rhythm |
|
|
Term
B) 24/12
note: pulmonary circulation is ONLY between the heart and lungs (not to be confused with SYSTEMIC circulation) |
|
Definition
Which is a normal arterial pressure of pulmonary circulation
A) 118/76
B) 24/12
C) 144/93
D) 80/60 |
|
|
Term
|
Definition
Which layer of the heart has actin, myosin and intercalated discs? |
|
|
Term
|
Definition
Which of gthe following "sees" oxygenated blood?
A) vena cava
B) pulmonary veins
C) right atrium
D) pulmonic valve |
|
|
Term
C) an average stroke volume |
|
Definition
Which of the following contains 70ml?
A) the cardiac output B) the volume of a ventricle C) an average stroke volume D) the amount of blood that flows through the pulmonary capillaries in one minute. |
|
|
Term
C) Blood is pumped into the pulmonary artery and the aorta |
|
Definition
Which of the following is a result of ventricular systole?
A) the AV valves open B) the semilunar valves close C) blood is pumped into the pulmonary artery and the aorta D) blood flows back into the atria |
|
|
Term
|
Definition
Which of the following is an electrical event? Select all that apply
A) "lubb-dupp"
B) systole
C) murmur
D) depolarization |
|
|
Term
|
Definition
Which of the following is descriptive of the vagus nerve?
A) fight or flight B) parasympathetic C) sympathetic D) adrenergic |
|
|
Term
|
Definition
Which of the following is least related to the mitral valve?
A) left heart
B) bicuspid
C) semilunar
D) chordeae tendineae |
|
|
Term
B) it is located in the upper part of the right atrium |
|
Definition
Which of the following is true of the atrioventricular node (AV node)?
A) it is the pacemaker of the heart B) it is located in the upper part of the right atrium C) its rate is normally faster than the SA node D) it delays the electrical signal coming from the atria into the ventricles. |
|
|
Term
D) they are the same valves |
|
Definition
Which of the following is true of the mitral and bicuspid valves?
A) the are semilunar valves B) they are both located on the right side of the heart C) they "see" only unoxygenated blood D) they are the same valves E) all of the above |
|
|
Term
D) they are semilunar valves |
|
Definition
Which of the following is true of the pulmonic and aortic valves?
A) they are atrioventricular valves B) they "see" only oxygenated blood C) they are attached to the ventricular walls by chordae tendineae D) they are semilunar valves E) all of the above |
|
|
Term
|
Definition
Which of the following most accurately describes the vagus nerve?
A) "fight or flight" B) norepinephrine C) parasympathetic D) causes tachycardia |
|
|
Term
C) ventricular depolarization |
|
Definition
Which of the following must precede ventricular systole?
A) ventricular diastole
B) "Lubb-dupp"
C) ventricular depolarization
D) closing of the AV valves |
|
|
Term
D) an increased myocardial contraction |
|
Definition
Which of the following refers to a positive inotropic effect?
A) heart block B) a slow heart rate C) a rapid hearbeat D) an increased myocardial contraction |
|
|
Term
|
Definition
Which of the following structures "sees" unoxygenated blood?
A) aorta B) left ventricle C) pulmonary artery D) pulmonary veins |
|
|
Term
|
Definition
Which of the following supplies oxygenated blood to the heart muscle?
A) coronary arteries B) pulmonary artery C) pulmonary veins D) cardiac veins |
|
|
Term
B) left vent. wall actually gets THICKER
C) collagen in cardiac muscle INCREASES
G) number of pacemaker cells DECREASES
J) arterial distensibility (elasticity) DECREASES
|
|
Definition
Which of these does NOT occur in the aging adult? (Select all that apply)
A) Decrease in heart size
B) Thinning of left ventricular wall
C) Decreased collagen in the cardiac muscle
D) Decreased elastin in the cardiac muscle
E) Stiffer and thicker cardiac valves
F) Fibrosis of the SA node
G) Increased number of pacemaker cells
H) Calcification of blood vessels
J) Increased arterial distensibility
K) More tortuous vessels
L) Decreased response to baroreceptors |
|
|
Term
- pulmonary semilunar
- aortic
|
|
Definition
Which valves are closed during ventricular diastole? |
|
|
Term
- tricuspid
- mitral (left AV)
|
|
Definition
Which valves are closed during ventricular systole? |
|
|
Term
C) closing of heart valves |
|
Definition
With which of the following is the "lubb-dupp" associated?
A) myocardial contraction B) ventricular depolarization C) closing of heart valves D) diffusion of O2 from the lungs to the blood in the pulmonary capillaries |
|
|
Term
|
Definition
Women's hearts are on the average ___________ than men's hearts |
|
|
Term
|
Definition
____ descends along the anterior intraventricular groove to provide blood to most of the ventricular septum and the anterior portion of the left ventricle |
|
|
Term
|
Definition
_____ supply blood to the anterior papillary muscles, the apex of the left ventricle, and the right and left bundle branches. |
|
|
Term
|
Definition
a localized area of dead tissue caused by a lack of blood supply |
|
|
Term
|
Definition
a membrane lining the heart's interior wall |
|
|
Term
|
Definition
a sac that surrounds and protects the heart |
|
|
Term
|
Definition
amount of blood the ventricles pump out in one minute |
|
|
Term
The number of pacemaker cells in the SA node decreases |
|
Definition
an effect of aging that increases the likelihood of sinus node dysfunction |
|
|
Term
|
Definition
area outside the SA node that gives rise to an electrical signal |
|
|
Term
Femoral Popliteal Tibial Dorsalis pedis |
|
Definition
arteries that distribute blood to: Thigh Knee Leg, ankle, heel |
|
|
Term
gallops, rubs, and murmurs |
|
Definition
basic types of Abnormal heart sounds |
|
|
Term
|
Definition
blood flows into the left ventricle when this valve is incompetent |
|
|
Term
|
Definition
blood vessels that supply the myocardium |
|
|
Term
|
Definition
carry blood away from the heart |
|
|
Term
|
Definition
carry blood toward the heart |
|
|
Term
|
Definition
|
|
Term
|
Definition
complete the sequence: blood flows from the right atrium -> right ventricle -> pulmonary artery -> _________ |
|
|
Term
|
Definition
denotes rest period for the heart: last positive deflection. |
|
|
Term
|
Definition
dilation of an arteries form at weaken point that baloon out with each pulsation of the artery |
|
|
Term
|
Definition
distributes blood to Adrenal glands |
|
|
Term
Axillary arteries Brachial Radial Ulnar |
|
Definition
distributes blood to Axilla Arm proper Thumb side of forearm and wrist Medial side of hand |
|
|
Term
|
Definition
distributes blood to Diaphragm |
|
|
Term
|
Definition
distributes blood to Esophagus |
|
|
Term
|
Definition
distributes blood to Kidneys |
|
|
Term
Left common carotid artery |
|
Definition
distributes blood to Left side of head and neck |
|
|
Term
|
Definition
distributes blood to Left upper extremity |
|
|
Term
|
Definition
distributes blood to Lungs |
|
|
Term
|
Definition
distributes blood to Muscles and other structures of chest wall |
|
|
Term
|
Definition
distributes blood to Musculature of the abdominal wall |
|
|
Term
|
Definition
distributes blood to Posterior and superior surfaces of diaphragm |
|
|
Term
Inferior mesenteric artery |
|
Definition
distributes blood to Second half of large intestine |
|
|
Term
Ovarian (female) or testicular (male; formerly spermatic) arteries |
|
Definition
distributes blood to Sex glands |
|
|
Term
Superior mesenteric artery |
|
Definition
distributes blood to Small intestine and first half of large intestine |
|
|
Term
|
Definition
drainage area: Face and neck |
|
|
Term
Iliac, internal and external |
|
Definition
drainage area: Pelvis and legs veins? |
|
|
Term
|
Definition
drainage area: Union of subclavian and jugular veins |
|
|
Term
Femoral, popliteal, tibial |
|
Definition
drainage areas: Thigh, knee, and leg veins? |
|
|
Term
|
Definition
elastic and smooth (involuntary) muscular tubes |
|
|
Term
VF ( ventricular fibrillation) |
|
Definition
electrical impulse move randomly throughout the ventrical |
|
|
Term
|
Definition
enlarged, superficial veins, a twisted, dilated vein with incompetent valves. |
|
|
Term
|
Definition
extends around the left side of the heart, along the groove between the left atrium and the left ventricle |
|
|
Term
|
Definition
found in the lower part of the right atrium near the ventricle |
|
|
Term
|
Definition
heart sound produced by the closure of the semilunar valves when the ventricles relax |
|
|
Term
vasoconstriction (contraction) of veins |
|
Definition
helps to compensate for blood loss during hemorrhage |
|
|
Term
|
Definition
high-pressure chambers because they pump blood out of the heart |
|
|
Term
|
Definition
left anterior descending artery |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
maximum relaxation of the heart |
|
|
Term
pressure points or pulse points |
|
Definition
may be used to arrest severe bleeding |
|
|
Term
great cardiac vein, middle cardiac vein |
|
Definition
most blood enters the venous system via these two main veins. |
|
|
Term
|
Definition
needs only to pump blood into the low-pressure lungs and therefore is a thinner-walled chamber |
|
|
Term
|
Definition
negative deflection (sometimes not visible) |
|
|
Term
|
Definition
normal blood pressure ranges |
|
|
Term
|
Definition
normal heart sound produced by closure of the AV valves when the ventricles contract |
|
|
Term
|
Definition
occurs when two vessels that nourish the same area interconnect |
|
|
Term
|
Definition
one-way flaps of tissue that open and close in response to pressure changes within the chambers |
|
|
Term
|
Definition
|
|
Term
|
Definition
picks up the message like a receiving station and holds onto it until the atria have contracted and emptied blood into the ventricles |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
rapid, random inefficient and irregular contraction of atrial or ventricles(350 beat or more per minute |
|
|
Term
Norepinephrine and epinephrine |
|
Definition
released by the sympathetic nervous system, they improve the ability of the ventricles to overcome resistance and to empty their contents, by increasing the strength of contractions. |
|
|
Term
systemic vascular resistance |
|
Definition
resistance in the blood vessels of the body |
|
|
Term
|
Definition
results in an increased storage capacity of the veins |
|
|
Term
|
Definition
returns the blood to the right atrium |
|
|
Term
myocardial insufficiency ischemia |
|
Definition
reversible cell injury due to decreased blood and oxygen supply |
|
|
Term
|
Definition
rhythmic expansion of arteries as the heart pumps blood to the body |
|
|
Term
the superior and inferior vena cava and the coronary sinus |
|
Definition
right atrium receives venous (deoxygenated) blood from |
|
|
Term
|
Definition
sequence of dual contractions, the atria followed by the ventricles |
|
|
Term
|
Definition
serve as “inbetween” channels |
|
|
Term
Angina ( sign and symptom) |
|
Definition
severe pain and constrictionof the heart, usually radiating to the left shoulder and down to the left arm. |
|
|
Term
|
Definition
states that the greater the stretch, the greater the following force of contraction |
|
|
Term
|
Definition
stretching of (mostly left side of) heart to compensate for increased volume of blood left in ventricle. |
|
|
Term
|
Definition
supplies blood to the left atrium and the lateral and posterior portions of the left ventricle |
|
|
Term
|
Definition
takes up two thirds of the cardiac cycle, allowing time for the chambers to adequately fill with blood |
|
|
Term
|
Definition
tendon-like strands connecting the mitral valve to papillary muscles located on the inner surface of the ventricles |
|
|
Term
|
Definition
the ECG deflection that indicates ventricular depolarization |
|
|
Term
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Definition
the ability to contract spontaneously and regularly (without neural input) |
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Definition
the amount of pressure or " stretching force" against the ventricularwall at end diastole.(aka "filling pressure") |
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Definition
the amount of pressure or resistace the ventriclesof the heart must overcome to empty their contents |
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Definition
the amount of pressure or resistance the ventricles must overcome to empty their contents |
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Definition
the amount of pressure or resistance the ventricles must overcome to empty their contents. |
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Definition
the amount of pressure or “stretching force” against the ventricular wall at end-diastole |
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Definition
the amount of pressure or “stretching force” against the ventricular wall at end-diastole (maximum relaxation of the heart). |
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Term
ascending aorta, aortic arch, thoracic aorta, and abdominal aorta |
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Definition
the aorta is divided into the ______, _______, ______, and _______. |
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Definition
the fibers of the the right and left bundle branches penetrate the ventricular muscle and terminate in the |
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Term
Systemic vascular resistance (SVR) or total peripheral resistance |
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Definition
the force opposing the movement of blood through the blood vessels |
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Definition
the middle and thickest layer |
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Definition
the only arteries in the body that carry deoxygenated blood |
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Definition
the only arteries with Deoxygenated blood. |
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Definition
the only veins that carry oxygenated blood |
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Definition
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Definition
the smallest vessels of all |
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Definition
the thickest chamber of the heart |
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Definition
they stimulate the ventricles to contract |
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Definition
thin outer layer of the cardiac wall (also called the visceral layer of the serous pericardium). |
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Definition
this valve prevents backflow of blood from the aorta during ventricular diastole |
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Definition
usually result of atherosclerosis( fatty compound on the inner lining of the coronary arteries |
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Definition
what separates the left ventricle from the aorta, the body's largest artery |
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Definition
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- hold if apical pulse below 60 - hold if digoxin level above 2.0 |
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Definition
Digoxin: nursing considerations |
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Term
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Definition
Digoxin: therapeutic level |
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Term
- increases cardiac contractility WITHOUT increasing O2 consumption - increases cardiac output - diuretic effect |
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Definition
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Term
- symptomatic bradycardia - tx digoxin toxicity - tx full arrest |
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Definition
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