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Med Surg Ch 14 Heart & Heart Disease
Ch 14 The Heart & Heart Disease
64
Nursing
Not Applicable
09/16/2010

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Term
______fibrillation is a serious disorder because there is no effective heartbeat
Definition
Ventricular fibrillation
Term
By 70 years of age, the cardiac output may decrease by as much as ____%
Definition
35%
Term
If a valve fails to close tightly and the blood leaks back a_____is heard
Definition
murmer
Term
Efforts to replace a damaged heart with a completely_____heart have not met with long term success so far
Definition
artificial
Term
The next step is to restore blood flow to the ischemid areas by administering______drugs, which act to dissolve the clots blocking the coronary arteries
Definition
thrombolytic drugs
Term
A certain type of_______infections, the type that causes "strep throat" is responsible for rheumatic fever and rheumatic heart disease
Definition
streptococcol
Term
Many people with heart disease undergo_______
Definition
catheterization
Term
Angina pectoris may be accompanied by a feeling of______and a general sensation of forthcoming doom
Definition
suffocation
Term
The P wave represents the activity of the ______
Definition
atria
Term
______is a relatively slow heart rate less than 60 bpm
Definition
bradycardia
Term
Some pacemakers operate at a____ ______, other can be set to stimulate a beat only when the heart fails to do so on its own
Definition
set rate
Term
Sudden occlusion, or closure of a coronary vessel with complete obstruction of blood is commonly known as a _____ _____
Definition
heart attack
Term
People can live with compensated heart failure by attention to diet drug thereapy and a balance of_____and rest
Definition
activity
Term
_____slows and strengthens heart muscle contractions
Definition
digitalis
Term
High blood preasure damages the heart_____
Definition
muscle
Term
_____is the inflammation of the heart muscle
Definition
myocarditis
Term
In coronary _______a flouroscope guides a catheter with a balloon to the affected area
Definition
angioplasty
Term
The death rate for heart attacks is____when treatment is delayed
Definition
high
Term
premature beat also known as _______is a beat that comes before the expected normal beat
Definition
extra systole
Term
Anticoagulants re valuable drugs for____patients
Definition
heart
Term
The incidence of rheumatic heart disease has declined with _____treatment of strep infections
Definition
antibiotic
Term
_____leads to spasm and hardening of the arteries
Definition
smoking
Term
The vessel narrowing leads to______, a lack of blood supply to the areas fed by those arteries
Definition
ischemia
Term
inflammation of the heart lining, may involve the chambers too,particularly seen in people w rheumatic heart disease
Definition
Term
3 complications of endocarditis
Definition
CHF,Thrombus, embolis
Term
CHF is
Definition
congenital heart disease
Term
a traveling clot is
Definition
embolism
Term
stationary clot
Definition
thrombus
Term
inflammation of the heart muscle
Definition
myocarditis
Term
inflammation of the pericardial sac
Definition
pericarditis
Term
congenital heart disease is present at_____
Definition
birth
Term
sxs of rheumatic heart disease
Definition
swollen nodes, fatigue, anorexia, fever, inflammation of joints, rash
Term
tx for rheumatic heart disease
Definition
penicillin, aspirin, rest steroids, tylenol, motrin
Term
complications of rheumatic
Definition
endocarditis, mitral stenosis, CHF
Term
Coronary heart disease is also called_____ _____ ______
Definition
coronary artery disease (CAD)
Term
CAD involves the walls of the blood vessels that supply the _____with blood
Definition
myocardium
Term
what causes CAD
Definition
arteriosclerosis & athrosclerosis
Term
plaque builds up in the arteries
Definition
arterioclerosis
Term
hardening of the arteries
Definition
athrosclerosis
Term
inadequate bloodflow to the heart muscle for a brief time usually less than 5 minutes
Definition
angina pectoris
Term
what can cause angina pectoris
Definition
ischemia
Term
what is ischemia
Definition
deficiency of blood supply
Term
sxs of angina pectoris
Definition
sudden severe substernal chest pain, can radiate down left arm or up in the neck to the jaw, dyspnia, pallor, diaphoreseis,feeling faint
Term
precipitating factors for angina pectoris
Definition
vasoconstrition , exposure to cold, increased activity, heavy meal, stress, stimulant
Term
what causes MI
Definition
occlusion of the coronary arteries
Term
how long does it take to form collateral circulation
Definition
2 weeks
Term
body forms extra blood vessels around an area
Definition
collateral circulation
Term
heart w/out rhythm
Definition
arrhythmias
Term
pulse less than 60
Definition
bradycardia
Term
heart rate less than ____will get you a pacemaker
Definition
40 bpm
Term
pulse greater than _____is tachycardia
Definition
>100
Term
impulsed delayed or stopped
Definition
heart block
Term
fainting
Definition
syncope
Term
pump failure, atria & ventricles cant cant keep up with circulation, cant meet the demands of the body
Definition
congestive heart failure
Term
in _____sided CHF the blood backs up in the lungs, dyspnea on exertion respiratory symptoms fatigue later signs of orthopnea & cyanosis
Definition
left
Term
orthopnea
Definition
cant lay flat to sleep
Term
_____CHF blood from the body causes ankle edema & ascites
Definition
right
Term
how can you treat CHF
Definition
decrease the o2 demands, raise HOB, small feedings, increase CO, digitalis, digoxin
Term
digoxin
Definition
gives you a stronger beat it will slow heart rate so check pulse first
Term
dont gove digoxin if pulse is _____
Definition
<60
Term
uses synthetic or pig valve
Definition
mitral valve replacement
Term
coronary artery bypass
Definition
CABG
Term
in CABG sometimes the ______vein is used to bypass obstructions
Definition
saphenous
Term
cardiac catheterization
Definition
angioplasty
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