Cardiology Flashcards
Name the left atrioventricular valve
Mitral valve, or bicuspid
Name the right atrioventricular valve
Tricuspid valve
Is the mitral valve bicuspid or tricuspid?
Bicuspid
Blood returning to the right atrium from the periphery has about __ O2 saturation
70%
The semilunar valves are both (bicuspid or tricuspid)
tricuspid
The __ valve connects the right ventricle to the pulmonary artery
pulmonary valve
The __ valve connects the left ventricle to the ascending aorta
aortic valve
Valves prevent __
backflow/regurgitation
The __ artery is the only artery to carry deoxygenated blood
pulmonary artery
The __ veins are the only veins carrying oxygenated blood
pulmonary veins
The __ vena cava delivers deoxygenated blood from the legs, abdominal organs, and lower body to the right atrium
inferior vena cava
Common cardiac symptoms of Down Syndrome include __ and __
AV canal defect and VSD
The primary cardiac symptom of Duchenne’s Muscular dystrophy is __
cardiomyopathy
The primary cardiac symptoms of Marfan syndrome are __ and ___
Aortic aneurism or aortic and/or mitral valve regurgitation
(term) the amount of blood discharged from the L or R ventricle per minute
Cardiac Output - CO
(term) the amount of blood ejected by the Left Ventricle with each heart beat
Stroke volume - SV
The formula for Cardiac Output
CO = SV X HR
The most accurate way to measure cardiac output in children
Fick calculation
HLHS (abbrev)
Hypoplastic Left Heart Syndrome
TGA (abbrev)
Transposition of the Great Arteries
ASO (surgical abbrev)
Arterial Switch Operation
Peripheral edema in babies and toddlers may present in these areas:
eyes, hands, feet, fontanels
If CHF is caused by poor contractility, it may be treated with this class of medications
positive inotropes (Digoxin/lanoxin, dopamine drugs)
If CHF is caused by increased preload, it may be treated with this class of medications
diuretics (Lasix/furosemide, HCTZ)
If CHF is caused by increased afterload, it may be treated with this class of medications
vasodilators (enalapril/vasotec, captopril/Capoten)
Fluid restriction is (rarely/often) recommended in Peds
rarely
Congenital Heart Defects occur in __% of all pregnancies and 1 in ___ live births
1% of all pregnancies, 1 in 170 live births
chronic hypoxia results in __ fingers
clubbed
chronic hypoxia may result in clubbed fingers and ___
polycythemia
polycythemia is increased production of ___
RBCs - red blood cells
Polycythemia results in __ blood, increasing risk of thrombus
thick
Hgb (abbrev)
Hemoglobin
Hg > 15 g/dL
polycythemia
Children with __ may present with poor growth, ShOB, and exercise intolerance
CHF
Babies/toddlers with ___ may present with poor feeding, poor growth, irritability, ShOB, or excessive sweating
CHF
Advanced stages of __ in infants/children may result in peripheral edema or an enlarged liver
CHF
(disease) cardiac muscle becomes dilates, hypertrophied, stiff, or inflamed
cardiomyopathy - CM
The 3 types of cardiomyopathy are:
dilated, hypertrophic, or restrictive
The most common form of cardiomyopathy is
dilated - DCM
The least common form of cardiomyopathy is
restrictive - RCM
This type of CM is defined by having enlargement of all 4 cardiac chambers
DCM
DCM is caused by __
toxins - chemotherapy, nutritional disorders, microbes, bacteria, viruses, immunological defects
This form of cardiomyopathy is usually familial
HCM
This form of cardiomyopathy results in a hyperdynamic pump but poor ventricular filling
HCM
In this form of CM, ventricular walls refuse to relax but are normal in size; atria may be enlarged
RCM
This form of cardiomyopathy is not treated with diuretics and inotropic meds
HCM
Carvedilol’s med class
Beta blocker
Carvedilol will __ HR and BP but __ stroke volume (SV)
decrease, increase
Carvedilol will (improve, reduce) renal blood flow
improve
Often, individuals who suffer rheumatic fever as children require __ replacement in life
valve replacement
Valve replacement lasts __ to __ years
5-10 years
(abbrev) ASD
Atrial Septal Defect
(abbrev) VSD
Ventricular Septal Defect
(abbrev) PDA
Patent ductus arteriosus
(abbrev) PS
Pulmonic stenosis
(abbrev) AVC
Atrioventricular canal defect
(abbrev) CoA
Coarctation of the Aorta
(abbrev) AS or AVS
Aortic Stenosis or Aortic Valve Stenosis
(abbrev) TOF
Tetralogy of Fallot
HTN is (common/uncommon) in children
uncommon
Peds HTN has highest prevalence in (race)
African Americans
HTN in peds may indicate
kidney disease, CoA, LVH, early onset familial HTN
Child post-stent must be monitored for increasing ___ ____
pulse pressure
Aldosterone promotes __ and __ retention
water and sodium
the catecholamines
epi and norepi
Cardiac Output X Systemic Vascular Resistance = ___
MAP Mean Arterial Pressure
Increased Na+ retention leads to release of __ by pituitary gland
ADH
ADH promotes __ retention and __ BP
water retention and increased BP
The 3 stages of shock are
compensatory, progressive, irreversible
normal pulse pressure
30-40 mmHg
Intropin (drug name)
Dopamine
Dobutrex (drug name)
Dobutamine
ecchymoses
bruises