ch. 19 heart and neck vessels Flashcards

1
Q

diastole

A
  • ventricle is relaxed and heart fills

- AV valves are open (S2-S1)

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2
Q

Systole

A
  • heart is contracted
  • AV valves are closed (S1-S2)
  • first heart sound
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3
Q

S3

A
  • extra heart sound.
  • will be heard sometimes
  • vibration of the ventricle that resists the early rapid filling of the ventricle, immediatly after S2
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4
Q

S4

A
  • Vibrations of the ventricles when the atrium contracts and pushes the blood into a non-compliant ventricle
  • heard at the end of diastole and presystole
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5
Q

murmurs

A
  • turbulent blood flow, collision currents

- blowing swooshing sound

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6
Q

Condition resulting in murmurs

A
  • velocity of blood flow in murmurs
  • viscosity of blood decreases
  • structural defects in valves or opening in chambers
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7
Q

Heart sounds are described by?

A
  • Frequency (pitch)
  • Intensity (loudness)
  • Duration (short)
  • Timing (systole or diastole
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8
Q

Conduction

A

the heart contracts because of electrical currents. currents begin in the SA node

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9
Q

Pumping ability

A

4-6 liters p/m

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10
Q

cardiac output

A

SV x # of beats per min.

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11
Q

preload

A

venous return that builds during diastole. length in which ventriular muscle can be stretched

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12
Q

Afterload

A

opposing pressure the ventricle must generate to open the aortic valve against the higher aortic pressure

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13
Q

dev. care

A

-70% of women say flu like symptoms
-aging adult
+blood pressure increases, systolic usually elevates, stiffening of the arteries, arrhythmia increases with age
+ decreased output of the heart

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14
Q

foramen ovale

A

+closes shortly after birth (fetal circulation)
+heart function starts at about 3 weeks of pregnancy
+2/3rds of blood is pumped through aorta

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15
Q

Ductus arteriosus

A
  • remaining third, out through the pulmonary artery and detoured straight to the aorta
  • closes about 10-15 min after birth
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16
Q

Location of heart

A

infant- 4th interspace

child- 5th interspace

17
Q

normal heart rate

A

50-90

18
Q

auscultatory areas

A
  • aortic & pulmonic area= 2nd intercostal space
  • erb’s point=3rd intercostal space
  • tricuspid and mitral area= 5th intercostal space
19
Q

murmurs are characterized by

A
  • timing
  • loudness
  • pitch
  • pattern
  • quality
  • location
  • raiation
  • posture