Cardivascular overview Flashcards
1
Q
Issues of Pressure?
A
Hyper and hypotension
Heart failure
2
Q
Issues of Rhythm?
A
Electrical function
Arrhythmias
3
Q
Issues of blood, its processes and problems?
A
Formation
Bleeding and clotting
Anaemias
4
Q
Describe Hyper and hypotension
A
- Excessive or insufficient intravascular pressure
- Causing vessel and organ damage if excessive
- Hypertension is silent and so monitoring is essential
5
Q
Describe Lead up to Heart failure
A
- Compensatory mechanisms due to inadequacy of circulation
- Increased heart rate, hypertrophy of heart muscle, arrhythmia from excessive calcium release
6
Q
Describe Electrical function
A
- Sinoatrial node fires
- Triggers atrioventricular node to fire
- Travels down the bundle branches and through Purkinje fibres
7
Q
Describe Dangers Arrhythmias
A
- Palpitation vs genuine arrhythmia
- Dangerous presentations Dizziness or loss of consciousness, unexplained blackout or collapse, associated chest pain, known history of heart disease , family history of arrhythmia or sudden death
8
Q
Describe Blood components & formation
A
- Plasma, formed elements, haemoglobin
- Lipids, amino acids, glucose, iron, copper, zinc, B vitamins
- RBC lifecycle 120 days from erythropoiesis in bone marrow to macrophage destruction and removal
9
Q
Describe Bleeding and clotting
A
- Stages of haemostasis vasoconstriction, platelet plug formation, coagulation
- Hypocoagulability haemophilia, thrombocytopaenia, liver disease etc.
- Hypercoagulability inherited thrombophilia or acquired e.g. surgery, oral contraceptive pill Anaemias
- Clots – stroke and TIA
10
Q
Describe Anaemia and Types
A
- Deficiency – iron, B12 (megaloblastic)
- Intrinsic or extrinsic haemolytic destruction
- Aplastic e.g. autoimmune
- Anaemia of chronic disease e.g. inflammation, malignancy
11
Q
Describe impairments of circulation
A
- Abnormality of or damage to vessels
- Abnormality of or damage to valves
- Inappropriate vasospasm or vasodilation
- Occlusion of vessels due to atherosclerosis
Problems arise as a result of tissue hypoxia and direct damage to adjacent tissues from inflammation and pressure
12
Q
Named Issues with pressure:
A
- Hypertension
- Hypotension
- Heart failure
- Pre-eclampsia
13
Q
Named Issues with rhythm:
A
- Tachycardia
- Bradycardia
- POTS
- Cardiac arrest
- Atrial fibrillation
14
Q
Named Issues with coagulation:
A
- Embolism
- Clot
- Stroke
- Haemophilia
- Anaemias
15
Q
Issues with circulation:
A
- Venous insufficiency
- Raynauds
- Varicose veins
- CAD
- Intermittent claudication