Cardio Rehab Beast 1 remix Flashcards

1
Q

Blood flow through heart

A
Superior Vena cava
Right Atrium
Tricuspid Valve
Right Ventricle
Pulmonary Valve
Pulmonary Artery
Lungs
Left Atrium
Left Ventricle
Aorta
Rest of body
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2
Q

Cardiac Output

A

Amount of blood pumped through the ventricles per minute

Stroke volume x HR

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3
Q

Stroke Volume

A

The volume of blood ejected with each contraction of the heart

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4
Q

Path of Normal Sinus Rhythm

A
Sinus Node
Atria
A-V node
Bundle of His
Purkinje fibers
Septum
Ventricles
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5
Q

P Wave

A

Sinus node and atrial depolarization

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6
Q

PR segment

A

Conduction through the AV node

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7
Q

QRS complex

A

Electrical Flow through ventricles»>Ventricular depolarization

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8
Q

ST segment

A

Initiation of ventricular repolarization

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9
Q

T wave

A

Completion of Ventricular repolarization

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10
Q

MVO2

A

HR x Systolic BP

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11
Q

HTN is persistent elevation of

A

Systolic BP> 140 mmHG or

Diastolic BP> 90 mmHG

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12
Q

Dont begin if resting BP is

A

Systolic>170-180

Diastolic>90

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13
Q

Primary HTN

A

no known cause

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14
Q

Secondary nonessential HTN

A

caused by a identifiable medical problem

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15
Q

Variant or Prinzmental angina

A

vasospasm of coronary artery in absence of occlusive disease

calcium channel blockers

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16
Q

Most common cause of an MI

A

Atherosclerosis

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17
Q

Complicated MI

A

ischemia left ventricle failure

post MI period

18
Q

Cardiogenic shock

A

extreme complication after an MI

left ventricle failure leads to inadequate cardiac output and insufficient arterial BP to perfuse major organs

MENTAL CONFUSION

19
Q

Levine sign

A

clenching fist on sternum

occurs with angina

20
Q

Beta blockers (lol)

A

Decrease HR, contractility and BP

Decrease energy deman

21
Q

Calcium Channel Blockers (pine)

A

Decrease BP

Increase myocardial blood supply

22
Q

Nitrates

A

Vasodilator decreases preload and afterload

Decreases BP

23
Q

Vasodilatory, ACE Inhibitors, angiostensin II blockers, alpha adrenergic blockers

A

Decrease BP

Effect on HR varies

24
Q

Nicotine

A

Increase BP

possible increase HR

25
Most common cause of heart failure
Cardiac muscle dysfunction Altered Systolic and or diastolic activity
26
Left sided heart failure
reduced cardiac output leads to backup of fluid in left atrium and lungs SOB and cough
27
Right sided Heart Failure
Blood is not ejected from right ventricle and backs up into the right atrium and venous vasculature Jugular venous distention Peripheral Edema
28
Pulmonary Edema flow
Cardiac muscle dysfunction Ventricle is ejecting low blood volume blood accumulates within the ventricle and causes congestion LV pressure increases and causes an increase in pressure in the LA and pulmonary veins increase in hydrostatic pressure in pulmonary veins causes fluid to move from veins to the interstitial space of the lungs
29
2 goals of CHF pharma
increase pumping ability (contractility) decrease workload by reducing total volume of fluid (preload) or vascular resistance (afterload)
30
Pharma meds
Digoxin: increase contractility ACE inhibitors: afterload reducer Diuretics: preload reducer
31
Stenosis
Narrowing of heart valve chamber behind valve will hypertrophy
32
Prolapse
Heart valve cusps behind enlarged and floppy...bulges backward progression is regurgitation
33
Regurgitation
forward/backward movement valve doesnt close completely blood flows back behind valve
34
Inflammatory conditions
myocarditis pericarditis endocarditis rheumatic fever
35
ectopic beats
beat originates from site other than sinus node irregular rhythm
36
supraventricular ectopy
rapid firing of ectopic focus above the ventricles
37
Ventricular ectopy
premature ventricular contractions less than 6per minute benign more than 6 STOP PT
38
Ventricular tachycardia
4 or more PVCs in a row
39
sustained V-tach
HR > 100bpm | and lasts for >30 30 seconds
40
Ventricular fibrillation
quivering of ventricles due to inadequate stimulation insufficient cardiac output could need implantable cardiac defibrillator
41
Atrial Fibrillation
quivering of atria due to inadequate electrical stimulation