Cardio Flashcards
Cardiac output
4-8 l/min
Cardiac index
2.5-5 l/min
Strove volume
Affected by pre load contractility and after load
Pre load
Load that stretches cardiac tissue before contraction
Amount of blood returned to the right heart from body
Amount of blood returned to the left heart from lungs
Contractility
Frank starling: stroke volume increases in response to increase in volume of blood filling heart
After load
Right heart afterload is affected by pulmonary arteries
Left heart afterload affected by Systemic vascular resistance
PVR
Measures afterload of the right heart
Increased: acidosis
Decrease: alkalosis
SVR
Measures afterload of the left heart
S1
Bicuspid/tricuspid valve closure
S2
Aortic/pulmonic valve closure
S3
Excess filling of ventricles
S4
Blood being forced into non compliant ventricle
Before s1
Sodium
Flows into cell to initiate depolarization
Potassium
Hypokalemia: increased cardiac irritability
Hyperkalemia: decreased automaticity/conduction
RCA
Supplies right ventricle and SA mode
PDA
Inferior wall, ventricular septum and papillary muscles
Left coronary artery
Widow maker of blocked
Left anterior descending
Supplies left ventricle and anterior septum
Left circumflex
Lateral left ventricle/posterior left ventricle
Inferior MI
RCA
papillary muscle dysfunction
V4r
Anterior MI
Caused from occlusion of LAD
Anterioseptal MI
LAD FONA/Mona
Lateral Mi
LCX
Posterior MI
PDA
Beta blockers for AMI
Reduce heart rate, reduce oxygen demand
Heparin/lovenox
Decrease clot formation in coronary arteries
A1
Vasoconstrict
B1
Increase hr and contractility
B2
Dilate bronchioles and blood vessels
Dopaminergic
Gut kidney vessel dilation
Cholinergic
Decrease hr
Dobutamine and miltinone
Used for cardiogenic shock
Increase SVR
Dopamine, epi, levo
Decrease SVR
Nitroprusside
Vasodilators
PA catheter
1.5,, air
>15seconds or 3 breaths
Monitoring/lab sample blood
CVP
2-6 mmhg
Measures right heart pre load
RV
15-25 systolic
PA pressure
15-25
PAWP
8-13
CPP
50-60
Effects of IABP
Increase coronary perfusion
Decrease heart workload
IABP placement
Distal left subclavian and above renal artery
Gold flakes
Rupture
Late deflation
Worst timing error
Kernigs sign
Stiff hamstring
Meningitis
Brudzinkis sign
Lifting leg when lift head
Meningitis
MAP
70-110
ICP
0-15
CPP
70-90
MAP
(2xdp) +s/3
CPP
Map-icp
Cushings triad
WIidened pulse pressure
Bradycardia
Respiratory changes
ICP
Kehrs sign
Splenic rupture
Liver/colon
Most inj solid organ
Most injured hollow
Coppernail sign
Scrotal or labial redness