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Pathology PTA
cardiology, respiratory, ICU
88
Health Care
Undergraduate 2
06/25/2013

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Cards

Term
CAD Coronary artery disease referred pain?
Definition
short lived jaw or arm
Term
Why is CHF usually left sided?
Definition
Because ventricle can’t pump out enough blood
>ejection fraction: amt of blood heart can squeeze out w/every pump
Symptoms: leg swelling, edema of lungs causing dyspnea, tachycardia (beating too fast)
Term
What is right sided CHF?
Definition
Cor Pulmonare
fr lung pathology blocking blood flow which Backs blood up to the right side of the heart
symptom: LE Edema (excess fluid!!)
Term
The amount of blood pumped by the ventricle in 1 minute is known as:
Definition
RPP
Term
Where is oxygen diffused (spread) within the body’s circulatory system?
Definition
hemoglobin
Term
Filter beds for the body’s interstitial fluid is known as:
Definition
lymph nodes
Term
RPE (Rating of Perceived Exertion) was developed by:
Definition
Borg
Term
What can alleviate intermittent claudication?
Definition
smoking, drinking alcohol, avoid caffeine & anxiety
Term
Cardiac conditions can cause referred pain where?
Definition
Left ear, jaw, neck, shoulder, upper arm, inside of forearm
Term
define Syncope
Definition
temp loss of consciousness or fainting attributed to heart issue
Term
NYHA Classification how many stages of Heart Failure?
Definition
four
I-mild no limitations
II-slight limitations
III-moderate
IV-Severe
Term
what is cor pulmonare?
Definition
right sided CHF
Term
Main area of MI?
Definition
left ventricle
Term
What is short lived pain due to lack of blood (ischemia)?
Definition
Angina
Term
Why might someone get a pacemaker?
Definition
Irregular rhythms or Heart Blocks
Term
What are signs that something is going wrong with the pacemaker?
Definition
1. Chest pain
2. PVC or abnormal Rhythm
3. SOB or fatigue
Term
Signs of CHF?
Definition
usually left sided; shortness of breath (dyspnea), confusion, fever, sweating
Term
Describe A-Fib
Definition
fluttering heart; still beating. anti-arryrthmia drugs helpful
Term
what is MOST COMMON ARRHYTHIMIA?
Definition
PVC which if 3 or more, unstable and could lead to V-fib so don't treat
Term
Raynauds (sensitivity to cold; peripheral vascular disease affects blood vessels) is aggravated by?
Definition
Smoking, emotional stress, and wkg w/vibrating machinery
Term
What is a sign that rehab for your CHF patient is not going well?
Definition
NO increased in BP or HR with exercise is a RED FLAG get HELP immediately
Term
I carry blood to the lungs
Definition
pulmonary artery
Term
I am a surgical procedure that might be done for an occluded artery
Definition
Angioplasty (catheter, stent, balloon)
Term
Number of phases in cardiac rehab?
Definition
Four
Term
What is blue baby syndrome?
Definition
Tetrology of Fallot – congenitive heart defect
Term
Tetrology of Fallot has 4 heart malformations:
Definition
–Ventricular Septal Defect
–Right Ventricular Hypertropy
–Overriding Aorta
–Pulmonary Stenosis
Term
Describe Patient Ductus Arterious
Definition
opening needed for fetal circulation. When it doesn’t close few days after birth, the opening allows oxygen-rich blood from the aorta to mix with oxygen-poor blood from the pulmonary artery.
Term
What is a small mesh tube that's used to treat narrow or weak arteries?
Definition
Stent
Term
What is ultrasound over the heart?
Definition
Echocardiogram. Pinpoints areas not functioning properly, neoplasm, DVTs, valve issues
Term
The nurse says the patient has anemia. What lab value, if too low, would make you not work with him?
Definition
Low hemoglobin 7-8 too low; normal Male 13-16 Female 12-15.
Term
3 signs patient with new pacemaker experiencing problems?
Definition
Chest pain, SOB, PVC or abnormal rhythmChest pain, SOB, PVC or abnormal rhythm
Term
What is entry point for Right Side Cath?
Definition
either femoral or jugular into right side of heart. measures pressure, infection, output (for heart failure), and medication effects. weeks/mos.
Term
What are entry points for Left Side Cath?
Definition
Radial or Femoral Artery
–Approx 6 hr bed rest after the procedure
–Risk of heavy bleeding
Term
Another name for hole in heart?
Definition
Septal defect - ASD Arterial VSD Vetricular Septal Defect (hole in septum)
Term
What is Stenosis?
Definition
flaps of a valve thicken, stiffen, or fuse together. As a result, the valve cannot fully open. Thus, the heart has to work harder to pump blood through the valve.
Term
What is Atresia?
Definition
occurs if a valve doesn't form correctly and lacks a hole for blood to pass through. Atresia of a valve generally results in more complex congenital heart disease.
Term
What is Hemocrit?
Definition
Erythocytes/WBCs as % of total blood volume M 41-50 F 36-42
Term
What is Hemoglobin?
Definition
total RBC count - gets O2 to body
low: anemia high: lung or heart disease
M 13-16 F 12-15
Term
Describe platelet count
Definition
(thrombocytes – clotting) low: sepsis, drug reaction, dialysis
normal 100,000-450,000
Term
What is Prothrombin Time (PT)?
Definition
time for blood to clot
Normal 10-14 seconds
Term
what's a normal WBC count?
Definition
4.5-11 (cells/ml) 4,500-10,000
Term
INR (international normalized ratio) what are normal and abnormal values?
Definition
Normal 1.0 or less
Basic clotting therapy 2.0-3.0
Heavy clotting therapy 2.5-3.5
Term
What is Hemoptysis?
Definition
coughing up blood
Term
Collapse of the lung is known as
Definition
ATELECTASIS
Term
What are visceral pleura?
Definition
two membranes that surround the lungs and reduce friction; attach to the lungs directly
Term
Collapse of lung due to air entering the pleural cavity (between the membranes)
Definition
Pneumothorax
Term
Define aspiration?
Definition
Getting small bits of food &/or fluid in airways, trachea or lungs – not choking. Common w/stroke patients learning to eat again. Also drawing fluid w/a syringe.
Term
Aspiration typically occurs to which lung?
Definition
right
Term
Emphysema is cause by the break down and thinning of what structure?
Definition
alveoli
Term
Patients with Restrictive lung disease have difficulty getting air IN or OUT?
Definition
IN
Term
______ might be a cause of Restrictive Lung disease.
Definition
Multiple Sclerosis
Term
3 signs of a restrictive lung disease are
Definition
1.Dyspnea (shortness of breath)
2.Cachexia (wasting away)
3.Coughing dry and non productive
Term
What are 2 signs of severe heart failure?
Definition
1.sudden fluid buildup
2.palpitations also sudden, severe SOB
Term
What is a Bronchoscopy?
Definition
flexible camera to see into lungs; assist with biopsy
Term
What's it mean when heart is hypertrophied?
Definition
walls get so thick that heart muscle cannot squeeze as it should
Term
Do muscles work only in inhalation, exhalation, or both?
Definition
Inhalation only (main one: diaphragm)
Term
If room SAT is less than 87%, PT/PTA may need what?
Definition
supplemental oxygen (ck w/RN)
Term
What are Systole and Diastole?
Definition
Systole - heart is contracting
Diastole - heart is relaxing
Term
What is most common valve disease?
Definition
Endocarditis of mitral valve
Term
What is Bradycardia?
Definition
slowing of heart rate (not normal)
Term
What is Tachycardia?
Definition
increased heart rate - too fast
Term
the volume in the lungs at maximal inflation (6 liters avg male) is
Definition
Total Lung Capacity
Term
the volume of air remaining in the lungs after a maximal exhalation
Definition
Residual Volume
Term
What is Tidal Volume?
Definition
that volume of air moved into or out of the lungs during quiet breathing
Term
What's the equation for Vital Capacity?
Definition
TLC - RV = VC
Term
75% of pnumonia is caused by what?
Definition
baceria
Term
Emphysema patients are considered pink puffers because they exhibit _____.
Definition
Tachypnea
Term
surgical removal of a whole lung is ____
Definition
Pneumonectomy
Term
Patient with cystic fibrosis must follow a twice daily regime of ______ for a lifetime.
Definition
postural drainage
Term
Reduced mobility of what structure(s) may affect respiratory function?
Definition
Thoracic spine
Term
Cession of breathing is called ____.
Definition
APNEA
Term
Which of the following patients is typically MOST appropriate for ambulation
Definition
patient with a CABG perform 8 hours ago
Term
Which of the following pathologies might cause a patient to have a low WBC count?
Definition
leukema, AIDS, neutropenia
Term
What might be a sign that your patient's PTT (prothrombin time) is too high?
Definition
They bruise easily when you bump them
Term
WBC 500?
Definition
neutropenic precautions
normal 4,500-10,000
Term
WBC 16x103/ml?
Definition
infection
normal: (x103/ml) 4.5-11
Term
atrial fibrillation?
Definition
fatigue and decreased cardiac output
Term
Advanced heart block symptom?
Definition
fainting or dizziness
Term
Neutrophils do what?
Definition
secrete toxins to kill cells and form pus when they die
Term
Which is not part of the tetralogy of fallot?
Definition
right ventriclular atrophy
Term
appropriate activity for a patient 5 days s/p MI?
Definition
riding a bike a half mile to the store and back
Term
BEST describes Neutropenia?
Definition
Frequently causes diminished ability to fight off common illnesses
Term
BEST explanation of acute myleogenous leukemia?
Definition
It attacks immature cells and blood tests will reveal decreased neutrophils and mast cells
Term
a sign/symptom of PAD?
Definition
decreased capillary refill
Term
What type of medication might a patient be taking if their INR = 2.0?
Definition
aspirin
Term
is a sign something is going wrong with a patient with a history of right CHF?
Definition
Their blood pressure goes from 150/92 to 148/85 with exercise
Term
signs of anemia?
Definition
pale skin, dry nails, fatigue, tissue death, dyspnea
Term
COPD often causes what type of CHF?
Definition
right sided failure since the heart has to pump hard to get the blood through the lungs.
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