Assessment of the Heart, Neck, and Peripheral Vascular System Flashcards
The focus on the Heart
Structure and Function
The hollow, muscular, four-chambered organ located in the middle of the thoracic cavity
Heart
Characteristics of the Heart
About the size of a clenched fist
Weighs approximately 255g in women and 310g in men
Extends vertically from the second to the left fifth intercostal space and horizontally from the right edge of the sternum to the left midclavicular line
An inverted cone
Fundamental organ of the Cardiovascular System
Space of the Heart
Mediastinum
Upper portion, near the left second intercostal space
Base
Lower portion, near the left fifth intercostal space
Apex
Anterior chest area overlying the Heart
Precordium
Pumps blood to the Lungs
Right Side of the Heart
Removes CO2 between the alveoli and blood of the Lungs
Pulmonary Circulation
Pumps blood to all other parts of the body
Left Side of the Heart
Renders blood between everything
Systemic Circulation
Flow of blood to tissues and organs promoting the diffusion of oxygen and carbon dioxide
Perfusion
Carries deoxygenated blood away from the Heart
Great Vessels
Returns deoxygenated blood to the Right Atrium
Superior and Inferior Vena Cava
Carries oxygenated blood to the Lungs
Pulmonary Artery
Returns oxygenated blood to the Lungs
Pulmonary Veins
Transports oxygenated blood from the Left Ventricle to the rest of the body
Aorta
Four Chambers of the Heart
Right Atrium
Right Ventricle
Left Atrium
Left Ventricle
Partition between the right and left side of the Heart
Septum
Two Septums of the Heart
Interatrial Septum
Interventricular Septum
Receives blood
Thin-Walled Atrium
Pumps blood
Thick-Walled Ventricles
Entrance to the Ventricles
Atrioventricular Valves
Two Atrioventricular Valves
Tricuspid Valve
Bicuspid Valve / Mitral Valve
Three flaps of the Heart
Tricuspid Valve
Two flaps of the Heart
Bicuspid Valve / Mitral Valve
Exit of each Ventricles
Semilunar Valves
Two Semilunar Valves
Pulmonic Valve
Aortic Valve
Blood exits the Right Ventricle
Pulmonic Valve
Blood exits the Left Ventricle
Aortic Valve
Fingerlike projections
Papillary Muscles
Stringlike projections
Chordae Tendinea
Tough, inextensible, loose-fitting, fibrose-rough sac that attaches to the great vessels
Pericardium
Serous membrane secreting a small amount of pericardial fluid
Parietal Pericardium
Outer surface of the Heart
Visceral Pericardium / Epicardium
Thickest layer of the Heart
Myocardium
Inner surface of the Heart
Endocardium
Generates an electrical impulse and conduct it through the Heart
Cardiac Muscle Cells
Generation and conduction of electric impulses
Cardiac Cycle
Generates electrical impulses at Atrium
Sinoatrial Node / SA Node
Slows impulses
Atrioventricular Node / AV Node
Continues impulses
Purkinje Fibers
Generates electrical impulses at Ventricles
Bundle of His
Electric impulses throughout the cardiac conduction circuit
Electrocardiography
Phases of Electrocardiography
P
Q
R
S
T
Relaxation of the Ventricles / ‘Filling’
Diastole
Contraction of the Ventricles / ‘Emptying’
Systole
Early, rapid passive filling of Diastole
Protodiastolic Filling
Final active filling phase
Presystole
Closure of the Atrioventricular Valves
S1
Prevents blood from flowing background
Regurgitation
End of Systole signalling
S2
‘Lub-Dub’
Normal
Extra sounds / Ventricular Gallop and Atrial Gallop
S3 and S4
Blood normally flows through the heart
Murmurs
AV closed / SA opened / AS-MR
Systole Murmurs
AV opened / SA closed / AR-MS
Diastole Murmurs
Amount of blood pumped during a given period of time
Cardiac Output
Amount of blood pumped during a contraction
Stroke Volume
The essential examination
Health Assessment
Subjective Data
Activities of Daily Living / ADLs
Fulfillment of roles and responsibilities
Objective Data
Preparing the Client
Equipment
Physical Assessment
Diminished pulse pressure
Small, Weak Pulse
Increased pulse pressure
Large, Bounding Pulse
Double systolic peak
Pulsus Bisferiens
Regular rhythm
Pulsus Alterans
Regular, irregular rhythm
Bigeminal Pulse
Quiet inspiration
Paradoxical Pulse
Right Ventricular Hypertrophy
Lift
Severe Aortic Stenosis and Systemic Hypotension
Thrill
Pressure overload
Accentuated Apical Impulse
Volume overload
Laterally Displaced Apical Impulse
The involvement of the Carotid Artery and Jugular Veins
Neck
The focus on the Neck
Structure and Function
Extends from the brachiocephalic trunk and aortic arch
Right and Left Carotid Artery
Centrally located arterial pulse
Carotid Artery Pulse
Lie deep and medial to the sternocleidomastoid muscle
Internal and External Jugular Veins
Determines the hemodynamic of the right side of the Heart
Jugular Venous Pulse
Raised pressure and volume
Jugular Venous Pressure
The leaning towards rendered health significance
Biological and Cultural Behavior Variations
Increased stiffness of Carotid Arteries
Hispanics
Blacks
Increased diameter of Carotid
Hispanics
Heart Diseases
United States
The function of the arteries and veins of the arms and legs, Lymphatic System, and capillaries
Peripheral Vascular System
The focus on the Peripheral Vascular System
Structure and Function
Blood vessels that carry oxygenated nutrient-rich blood from the Heart to the capillaries
Arteries
Each heartbeat forcing blood through arterial vessels
Arterial Pulse
Accessible to the examination
Peripheral Arteries
Major artery of the arm / Brachial Pulse
Brachial Artery
Blood to the hand / Radial Pulse
Radial Artery
Blood to the hand / Ulnar Pulse
Ulnar Artery
Provides extra protection to the hands
Palmar Arches
Major artery of the leg
Femoral Pulse
Femoral Artery
Blood to the knee / Popliteal Pulse
Popliteal Artery
Blood to the top of the foot / Dorsalis Pedis Pulse
Dorsalis Pedis Artery
Blood to the bottom of the foot / Posterior Tibial Pulse
Posterior Tibial Artery
Provides extra protection to the feet
Dorsal Arches
Blood vessels that carry deoxygenated nutrient-depleted blood from the tissues to the Heart
Veins
Three Types of Veins
Deep Veins
Superficial Veins
Perforator Veins
Great and small veins
Saphenous Veins
Impeded nurturing mechanisms
Venous Stasis
Small blood vessels that form connections between the arterioles and veins
Capillaries
Integral and complementary part of the Circulatory System
Lymphatic System
Joined capillaries
Lymph Nodes
Lymph drains to the right side of the body
Right Lymphatic Duct
Lymph drains to the rest of the body
Thoracic Duct
Lymph drains to lower arm and hands
Epitrochlear Nodes
Lymph drains to leg, external genitalia, and lower abdomen
Superficial Inguinal Nodes
The leaning towards rendered health significance
Biological and Cultural Behavior Variations
Venous Insufficiency
United States
The essential examination
Health Assessment
Subjective Data
Signs and Symptoms
Objective Data
Preparing the Client
Equipment
Physical Assessment
Arterial ulcer
Necrotic Great Toe with Blisters on Toes and Foot
Blanching fingers
Raynaud Disease
Thrombus formation in Superficial Veins
Superficial Thrombophlebitis