Cardiac / Peripheral Vascular Assessments Flashcards

1
Q

Conduction

A

electrical impulses of the heart

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2
Q

What does conduction precede?

A

mechanical events

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3
Q

SA Node

A

pacemaker

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4
Q

AV Node

A

backup pace maker 40-60 bpm

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5
Q

Bundle Branches

A

Last resort 20-40 bpm

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6
Q

2mx4p Rule

A

ideal serum is 2 magnesium and 4 potassium

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7
Q

Telemetry

A

continuous monitor of the heart

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8
Q

Telemetry Placements

A

snow over grass (right)
smoke over fire (left)
chocolate in the middle (4th intercostal space)

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9
Q

Electrophysiology

A

specialist that deals with electrical issues of the heart

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10
Q

Ischemia

A

lack of oxygenated blood, not permanent

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11
Q

Infarction

A

tissue death

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12
Q

Angioplasty

A

smashed blockage out with a balloon, can put stent in

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13
Q

Heart Cath

A

put in artery

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14
Q

Most important assessment after heart cath placement

A

check pedal pulse

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15
Q

Cardiac Output

A

SV x HR

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16
Q

Left Sided Heart Failure

A

most common
fluid backs up in lungs
crackles
dyspnea
decreased O2 sat
S3

17
Q

Right Sided Heart Failure

A

fluid backs up to body
JVD
edema in extremities

18
Q

Systole

A

contraction of ventricles, closure of AV valves

19
Q

AV valves

A

mitral and tricuspid

20
Q

Diastole

A

relaxation of the ventricles, closure of semilunar valves

21
Q

Semilunar Valves

A

aortic and pulmonic

22
Q

Bruit

A

hearing murmur outside of heart

23
Q

Thrill

A

feeling blood flow outside the heart, usually from dilaysis

24
Q

Systolic Murmur

A

benign, usually in women
“lub-swish-dub”

25
Q

Diastolic Murmur

A

malignant
“swish-lub-dub”

26
Q

S3

A

“Ken-tuck-y” can be normal in athletes, heard after S2

27
Q

S4

A

“ten-nes-see” almost never normal, indicated CAD, HTN, heard before S1

28
Q

MONA

A

morphine
oxygen
nitroglycerin
asprin

29
Q

Which vascular disease has painful sores?

A

Arterial

30
Q

Raynauds Disease

A

smaller arteries supplying blood to the skin in narrow and limiting vessesl

31
Q

Intermittent Claudication

A

pain when walking after walking a certain amount

32
Q

Allens Test

A

occlude both radial and ulnar artery, have Pt. make a fist and open hand, then release one artery and watch for reperfusion of the palm then repeat with other artery. Positive= bad

33
Q

Unilateral Edema

A

DVT

34
Q

Homans Sign

A

knee slightly bent, dorsiflex foot, ask if pt. has pain- if there is pain it is a positive result; checks for DVT