Cardiovascular Conditions pt. 1: Eval thru Telemetry

Question 1

what does the ability of the heart to pump depend on

Answer 1

automaticity
excitability
conductivity
contractility
rhythmicity

Question 2

what pressure system is the R side of the heart

Answer 2

low pressure system

Question 3

what pressure system is the L side of the heart

Answer 3

high pressure system

Question 4

atrial systole

Answer 4

period of atrial emptying

includes atrial kick

Question 5

atrial diastole

Answer 5

period of atrial filling

Question 6

ventricular systole

Answer 6

period of ventricular contraction

1st reading of BP

Question 7

ventricular diastole

Answer 7

period of ventricular filling

2nd reading of BP

Question 8

ejection fraction is normally at what %

Answer 8

60

Question 9

what are the 3 things included in the perfusion triangle

Answer 9

heart
blood vessels
blood

Question 10

what is the pump function in the perfusion triangle

Answer 10

heart

damage to the heart by disease or injury, it cannot move blood adequately to support perfusion

Question 11

what is the container function in the perfusion triangle

Answer 11

blood vessels
if all vessels dilate at once, the normal amount of blood volume is not enough to fill the system and provide adequate perfusion to the body

Question 12

what is the content function in the perfusion triangle

Answer 12

blood

if blood or plasma is lost, the volume in the container is not enough to support the perfusion needs of the body

Question 13

what is a major dysfunction of the pump fxn

Answer 13

CHF

Question 14

what is a major dysfunction of the container fxn

Answer 14

HTN

Question 15

what is a major dysfunction of the container fxn

Answer 15

sustained bleeding/hemmorrhage

Question 16

information about cardiac dysfunction to take down during a cardiac eval

Answer 16

• presence of chest pain
• location, quality, characteristics of pain
• angina
• previous MI
• meds
• hx of cardiac conditions
• syncope, dizziness
• cardiac risk factors

Question 17

if a pt has any risk factors for a cardiac condition what should vthe physical therapist do

Answer 17

provide education on how to manage those risk factors

Question 18

what is a key component of a cardiac eval

Answer 18

the observation

Question 19

what does the observation portion of a cardiac eval include

Answer 19

skin color/tone 
diaphoresis
edema 
RR
signs of trauma 
jugular distention

Question 20

what are you checking with palpation

Answer 20

pulse for circulation
HR
rhythm
pitting edema

Question 21

how do you measure irregular HR

Answer 21

use care with pressure during pulse palpation

Question 22

when do you count HR for a full 60secs

Answer 22

if <60 or >100

Question 23

1+ on edema scale

Answer 23

trace
slight
barely perceptiple depression

Question 24

2+ on edema scale

Answer 24

mild
0 - 0.6cm
easily identified depression
rebounds in 15secs

Question 25

3+ on edema scale

Answer 25

moderate
0.6-1.3cm
EID
rebound in 15-30secs

Question 26

4+ on edema scale

Answer 26

severe
1.3-2.5
EID
rebound in >30secs

Question 27

telemetry

Answer 27

allows for continuous monitoring of HR and rhythm along with RR
five color coded leads placed on chest: electrical signals converted to radio waves and allow for central monitoring at nurse’s station

Question 28

what is the green on telemetry

Answer 28

HR

Question 29

what is the red on telemetry

Answer 29

BP from an arterial line

measuring pressure in real time

Question 30

what is the purple on telemetry

Answer 30

also BP from a cuff

measuring last 5 readings

Question 31

what is the yellow on telemetry

Answer 31

pulmonary artery pressure (PAP) via a swan ganz catheter

Question 32

what is the blue on telemetry

Answer 32

oxygen saturation

Question 33

what is the white on telemetry

Answer 33

RR