Cardiovascular Flashcards

1
Q

contractility

A

strength of heart muscle contractions

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2
Q

hemodynamics

A

the study of forces and flow of blood in the cardiovascular system
- how blood circulates through the heart and vessels

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3
Q

what is blood pressure

A

force exerted by blood on the walls of blood vessels

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4
Q

diastole

A

filling phase of ventricles (relaxation of ventricles)
- heart at rest

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5
Q

systole

A
  • ejection phase
  • ventricles contract
  • blood pumped out to the body and lungs
  • force of blood against artery walls
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6
Q

hemodynamic monitoring

A

blood pressure, cardiac monitors, pulse oximetry, central venous catheters

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7
Q

hemodynamic disorders

A

hypertension - can lead to complications
- shock - not enough blood to organs
- heart failure - unable to pump blood for body needs
- atherosclerosis - build up of plaque

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8
Q

consequences of untreated hypertension

A

heart disease, stroke, kidney disease

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9
Q

primary hypertension

A
  • chronic elevated BP with end organ disfunction
  • don’t know cause
  • vascular disease, diabetes, obesity
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10
Q

secondary hypertension

A

related to another condition and can be corrected
- sleep apnea, thyroid dysfunction

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11
Q

severe hypertension with end organ dysfunction signs and symptoms

A

fatigue, reduced actiivty, dizzy, angina, dyspnea

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12
Q

hypertension treatment

A
  • exercise
  • weight
  • reduced smoking
  • alcohol
  • stress
  • drugs (diuretics, ACE inhibitors)
  • diet
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13
Q

nutritional therapy for hypertension

A

DASH
- fruits, veg, low fat, fibre, grains, proteins
- restrict sodium, cholesterol, fats
- maintain potassium, calcium, magnesium

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14
Q

left sided heart failure

A

inability of left ventricle to pump blood out
- blood goes back into lungs
- SOB
- DROWNING

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15
Q

right sided heart failure

A

right ventricle unable to pump into pulmonary vessels
- blood flows back to venous system (edema, peripheral)
- SWELLING

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16
Q

heart failure medications

A
  • ACE inhibitors
  • ARBS
  • diuretic
  • B1 Blocker
17
Q

coronary artery disease

A

coronary arteries are narrowed or blocked by plaque build-up - can’t provide heart with blood and nutrients

18
Q

CAD risk factors

A
  • DM
  • HF
  • Hyperlipidemia
  • hypertension
  • previous MI
  • 65 older
19
Q

stable angina

A
  • during exertion
  • predictable
  • relieved by rest and nitroglycerin medication
  • underlying CAD and can lead to future heart attacks
20
Q

unstable angina

A
  • unpredictable
  • more severe and lasts longer
  • not received easily
  • can lead to heart attack if not treated
21
Q

prinzmetals angina

A
  • at rest in morning or at night
  • coronary artery spasms
  • medication relief
22
Q

microvasculature angina

A
  • pain and discomfort
  • problems with small arteries of heart
  • persistant and longer lasting pain
  • more difficult to treat
23
Q

acute coronary syndromes

A

conditions Brough bout by sudden reduced blood flow to the heart, is a spectrum: angina, NSTEMI, STEMI

24
Q

STEMI

A
  • full blockage of coronary artery, ST elevation on ECG
  • requires rapid intervention
  • diagnosed with ECG
25
Q

NSTEMI

A

less severe form of STEMI - inflicts less damage to heart
- narrowing of artery pathways not full blockage

26
Q

post Cath lab care: monitoring

A

vitals, pain, catheter site

27
Q

post Cath lab medications

A

beta blockers, ACE inhibitors, antiplatlet (reduce formation of clots), statins