Cardiovascular 1 Flashcards

1
Q

layers of the heart

A

endocardium - inner layer; myocardium - muscle; pericardium - outside; pericardial sac - fluid

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2
Q

cardiac output

A

amount of blood ejected by ventricles in 1 minute; influenced by heart rate and contractility ; stroke volume x heart rate

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3
Q

preload

A

amount of blood returning to the atrium (venous return) ; volume of blood in the ventricles at the end of diastole (amount of Stretch)

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4
Q

venus return

A

stretching of ventricles to fill with blood; venus return determines preload

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5
Q

starlings law

A

the more of stretch time more forceful contraction

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6
Q

afterload

A

how much work is required for blood to circulate (amount of resistance) heart needs to pump blood to the rest of the body; reflects the end-systolic volume affected by the amount of resistance the ventricles have to contract against (amount of Force to overcome)

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7
Q

sympathetic effect on heart

A

increase heart rate; stimulated when body needs blood (stress)

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8
Q

parasympathetic effect on heart

A

decrease heart rate; can stimulate vagus nerve

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9
Q

base and apex of heart

A

apex <3 base

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10
Q

apical pulse

A

5th intercostal space

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11
Q

pulmonary vein carries

A

rich oxygen blood

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12
Q

septum

A

separates the left and right ventricles; congenital defeats can affect septum and cause shunting

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13
Q

number one leading cause of death

A

heart disease

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14
Q

tricuspid value in

A

right atrium

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15
Q

left ventricle has

A

large muscle mass because it pumps to whole body

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16
Q

right ventricle has

A

pulmonary value - lungs

17
Q

APETM

A

arotic, pulmontic, erpoint, tricuspid, mytrol value

18
Q

right coronary artery

A

helps feed right atrium and right ventricle; also helps feed SA node

19
Q

branches of aorta on left side

A

has 2 vessels 1. coronary artery 2. anterior descending (feeds back portion of heart, circumflex)

20
Q

inspect

A

first!; skin color, masses, breathing rate

21
Q

palpate

A

feel over heart and sternum; PMI

22
Q

PMI

A

point of maximum intensity; 5th intercostal midline of apex; apical pulse; if moves to left then ventricle is enlarged

23
Q

ausulatate

A

aortic area at 2nd intercostal space right at sternum (listen to diagram then go back with bell); pulmonic - 2nd left of sternum (listen to diagram then go back w/ bell); erbs point - 3rd intercostal; tricuspid - 4th left sternum border; mitral - 5th mid clavicle

24
Q

systolic

A

contraction phase s1, lub, closing of atrial and tricuspid values

25
Q

diastolic

A

resting phase, s2, dub, as ventricles contract close of aorta and pulmonary values

26
Q

s3 and s4

A

extra heart sounds

27
Q

s1 louder at

A

apex; closing of mitral and tricuspid values

28
Q

s2 loudest at

A

apex, aoritc,pulmonic close to prevent back flow of blood

29
Q

hear expiration but not inspiration

A

s2

30
Q

will have a split sound of time between closing of vaules

A

s1

31
Q

contractility -

A

force of contraction

32
Q

Heart rate ∆s with

A

temp, pain, exercise