Cardiac Basics Flashcards

Outcomes Measures Cardiac Auscultations Lung Sounds Vocabulary

1
Q

Normal Heart Rate for Adults?

A

60-100 bpm

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2
Q

How much does HR rise during exercise?

A

Typically, HR will increase 10 bpm per MET level increase in activity

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3
Q

Normal Respiratory Rate for Adults

A

12-20 breaths per minutes

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4
Q

Blood Pressure Equation

A

BP = CO (Cardiac Output) x TPR (Total Peripheral Resistance)

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5
Q

What do Pulse Ox readings less than 90% indicate?

A

Potential Hypoxemia

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6
Q

What is Hypoxemia?

A

An absence of enough oxygen in the tissues to sustain bodily function

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7
Q

Paroxysmal Nocturnal Dyspnea

A

Sensation of Shortness of Breath that awakens patient, often 1 or 2 hours of sleep and is usually relieved in upright position

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8
Q

Orthopnea

A

Sensation of breathlessness in the recumbent position relieved by sitting or standing.

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9
Q

Trepopnea

A

Dyspnea that occurs in one lateral decubitus position

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10
Q

Platypnea

A

Refers to breathlessness that occurs in the upright position and is relieved with recumbency

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11
Q

Dyspnea scale

A

0 = No dyspnea
1 = Mild Noticeable
2 = Mild some difficulty
3 = Moderate difficulty but can continue
4 = severe difficulty, cannot continue

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12
Q

Presentation of Angina symptoms ?

A

Classic sign: Substernal chest pressure & Levine sign
Other: Heaviness in shoulders, jaw, arm, elbow, or upper back between scapulae

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13
Q

Angina Scale

A

0 = No angina
1 = Light, barely noticeable
2 = Moderate, bothersome
3 = Severe, very uncomfortable: periinfarction pain
4 = Most pain ever experienced: infarction pain

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14
Q

S1 indicates

A

Closure of Mitral and Tricuspid Valve - beginning of systole

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15
Q

S2 indicates

A

Closing of Aortic and Pulmonic valve - end of systole

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16
Q

Aortic valve is best auscultated?

A

Second intercostal space on right sternal boarder

17
Q

Pulmonic valve is best auscultated?

A

Second intercostal space on left sternal boarder

18
Q

Where to auscultate Tricuspid Valve?

A

Fourth intercostal space, left sternal board

19
Q

Where to auscultate Mitral Valve?

A

Fifth intercostal space, along midclavicular line

20
Q

S3 Heart Sound

A

Ventricular gallop which occurs after S2 and is associated with Acute Heart Failure decompensation

21
Q

S4 Heart Sound

A

Atrial gallop that occurs before S1 and is associated with MI and Chronic HTN

22
Q

Clinical Manifestations of Right Ventricular failure?

A

Weight Gain (2-3lbs a day)
S3 sound
Ascites
RUQ Pain

23
Q

What population is S3 sound considered normal?

A

Pediatrics and pregnant women populations

24
Q

What population is S4 sound considered normal?

A

Athletes - endurance

25
Q

Hallmark signs for Left sided Heart Failure?

A

SOB and coughing (think more pulmonary symptoms)

26
Q

What are the hallmarks for Right sided Heart Failure?

A

Jugular vein distention and peripheral edema