Cardiology Numbers to Know Flashcards
Normal adult SV
60-80 mL
Males > females
Adult > child
Activity increases SV
Normal CO for adult male
4.5 - 5.0 L/min
increases up to 25 L/min with exercise
-Women have slightly less CO
Average ejection fraction
50-70% (75% from different source)
Borderline ejection fraction
41-49%
Low ejection fraction
<40%
Normal Adult BP
SBP <120
DBP <80
Prehypertensive Adult
SBP 120-139
DBP 80-89
Stage I hypertension Adult
SBP 140-159
DBP 90-99
Stage II hypertension Adult
SBP > or equal to 160
DBP > or equal to 100
Children (3-17) Normal BP
SBP and DBP <90th percentile
Children (3-17) Prehypertension
SBP or DBP > or equal to 90th - <95th percentile
Children (3-17) Stage I hypertension
SBP and/or DBP > or equal to 95th percentile to < or equal to 99th percentile +5 mmHg
Children (3-17) Stage II hypertension
SBP and/or DBP >99th percentile +5mmHg
Ankle Brachial Index (ABI) Normal
- 1.0-1.30 = normal; no blockage
ABI mild blockage
- 0.8-0.99 = Mild blockage; beginnings of peripheral artery disease
ABI Moderate blockage
- 0.4-.79 = Moderate blockage; may be associated with intermittent claudication during exercise
est
ABI Severe blockage
- <0.4 = Severe blockage suggesting severe peripheral artery disease; may have claudication pain at rest
ABI indicating rigid arteries
-Greater than or equal to 1.30 = rigid arteries and the need for US test to check for peripheral artery disease
Angina pain scale 1
Mild, barely noticable
Angina pain scale 2
Moderate, bothersome
Angina pain scale 3
Moderately severe, very uncomfortable
Angina pain scale 4
Most severe or intense pain ever experienced
ABI procedure
- Compares Systolic BP of ankle and arm to check for peripheral vascular disease
- Measure SBP in all four extremities
- Divide higher of 2 BP measurements in ankle by higher of 2 BP measurements in arms (highest ankle/highest arm)
Bladder size of sphygmomanometer for child under 13
encircle 100% of arm
Bladder size of sphygmomanometer for adult
encircle 80% of arm
If sphygmomanometer is to small…
- BP reading may be false high
- When in doubt, use larger cuff
How high do you inflate sphygmomanometer?
above anticipated systolic pressure (>200???)
Rate of deflating cuff
2-3 mmHg/second
BMI calculation
1) weight (kg)/ height (m^2)
2) weight (lb)/ height (in^2) x 703
Underweight Adult BMI
<18.5
Normal Adult BMI
18.5 - 24.9
Overweight Adult
25.0 - 29.9
Obesity (Class 1) Adult
30.0 - 34.9
Obesity (Class 2) Adult
35.0 - 39.9
Extreme Obesity (class 3) Adult
> or equal to 40.0
BMI Children and adolescents
1) BMI between 85th - 95th percentile for age and sex = at risk for becoming overweight
2) BMI > or equal to 95th percentile considered overweight or obese
Normal capillary refill time
< 2 seconds; full color returns
Abnormal capillary refill time
< 2 seconds; indicates capillary compromised (eg. arterial occlusion, hypovolemic shock, hypothermia)
Normal infant HR
100-130 beats/min
Normal child HR
80-100 beats/min
Normal adult HR
60-100 beats/min
Bradycardia
< 60 beats/min
Tachycardia
> 100 beats/min
Large bounding pulse
3+
normal average pulse
2+
small or reduced pulse
1
absence of pulsation
0
Lower Target heart rate using % of HR max
Lower THR = HRmax x 55%
Upper Target HR using & of HR max
Upper THR = HRmax x 90%
Lower Target HR using Karvonen formula
Lower THR = ([HRmax - HRrest) x 40%] + HRrest
Upper Target HR using Karvonen formula
Upper THR = ([HRmax - HRrest) x 85%] + HRrest