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HA Chpt. 19 - Heart
HA Chpt. 19 - Heart
38
Nursing
Undergraduate 3
10/14/2014

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Term
What do the semilunar valves do during pumping or systole?
Definition
They are open to allow blood to be ejected from the heart.
Term
What do the AV valves do during the filling phase or diastole?
Definition
They are open to allow the ventricles to fill with blood.
Term
S1 is loudest..
Definition
at the apex; also coincides with carotid artery pulse.
Term
S2 is loudest..
Definition
at the base of the heart.
Term
S1 signals the beginning of
Definition
systole
Term
S2 signals the end of
Definition
systole
Term
carotid artery & jugular veins reflect what..
Definition
the efficiency of the cardiac function
Term
Hemodynamic Changes w/ Aging
Definition
^ systolic BP, ^ Lft ventricle wall thickness, decreased ability of heart to augment CO
Term
A carotid bruit is audible when
Definition
the lumen is occluded by 1/2 to 2/3
Term
The absence of a bruit..
Definition
does not endure absence of a carotid lesion
Term
Aortic Valve Area
Definition
2nd Right ICS, RSB
Term
Pulmonic Valve Area
Definition
2nd Left ICS, LSB
Term
Erb's Point (2nd Pulmonic)
Definition
3rd ICS, LSB
Term
Tricuspid Valve
Definition
4th ICS, LSB
Term
Mitral Valve
Definition
5th ICS, LSB
Term
S1 & S2 heart sounds are diminished with
Definition
conditions that place increased amount of tissue b/w the heart & stethoscope
Term
emphysema
Definition
hyper-inflated lungs
Term
Conditions that diminish heart sounds
Definition
emphysema, obesity & pericardial fluid
Term
Cardiac enlargement
Definition
^ ventricle volume, wall thickness, HTN, CAD, HF & cardiomyapathy
Term
Timing of Murmur
Definition
occurrence in systole or diastole
Term
Diastolic murmurs always indicate
Definition
Heart Disease
Term
Systolic Murmurs may occur with
Definition
normal heart or with heart disease; are common and occur in over 50% of aging people
Term
S3 is..
Definition
a ventricular filling sound. It occurs in early diastole during rapid filling phase immediately after S2S4.
Term
Pericardial Friction Rub
Definition
Inflammation of the pericardium gives rise to a friction rub.
Term
Murmurs
Definition
some conditions create turbulent blood flow & collision currents.
Term
Valves can be replaced with..
Definition
Porcine (pig) or Bovine (cow)
Term
Preload
Definition
The length to which the ventricular muscle is stretched at the end of diastole just before contracting.
Term
Afterload
Definition
It is the resistance against which the ventricle must pump its blood.
Term
Jugular Veins
Definition
give information about the activity on the right side of the heart.
Term
Hemodynamic Changes in Aging
Definition
^ in systolic BP, stiffening of large arteries, left ventricular wall thickness, decreased ability to augment CO w/ exercise.
Term
Nocturia
Definition
Recumbency at night promotes fluid reabsorbtion & excretion; occurs in HF patient.
Term
Heave or Lift
Definition
It occurs with ventricle hypertrophy as a result of increased workload.
Term
Cardiac Enlargement occurs in
Definition
HTN, CAD, HF & cardiomyopathy
Term
Tricuspid Regurgitation
Definition
Backflow of blood through incompetent tricuspid valve into the RA.
Term
Pulmonic Stenosis
Definition
Calcification of pulmonic valve restricts forward flow of blood.
Term
Aortic Stenosis
Definition
Calcification of aortic valve cusps restricts forward flow of blood during systole; LV hypertrophy develops.
Term
Mitral Regurgitation
Definition
Stream of blood regurgitates back into LA during systole through incompetent mitral valve.
Term
S4
Definition
end of diastole & presystole, noncompliant ventricles, vibration just before S1.
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