Chapter 32- CV/lymphatic Flashcards

1
Q

Normal pericardial fluid amount

A

18 ml

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2
Q

Ventricular thickness - left

A

12-15 mm

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3
Q

Ventricular thickness - right

A

4-5 mm

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4
Q

Atrioventricular valves

A

TRICUSPID (rh)
MITRAL (lh)

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5
Q

Semilunar valves

A

AORTIC
PULMONIC

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6
Q

Coronary artery main branches

A

LCA
LAD
CIRC
RCA

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7
Q

LCA divides into …

A

LAD , CIRC
origin begins aortic valve

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8
Q

LAD feeds…

A

Left and RV, IVS, down anterior ivs surface to apex

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9
Q

CIRC feeds…

A

Travels in groove separating RV/LV. Left heart border, LA, lateral LV

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10
Q

RCA feeds , location

A

R aortic cusp origin
Feeds right heart to posterior surface of atrium and ventricle

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11
Q

Normal ekg values and meaning : PR

A

Atrial to ventricular activation time
0.12- .20 sec

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12
Q

QRS interval and meaning

A

Ventricular depolarization
0.06 to 0.10 sec

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13
Q

ST meaning

A

Neutral period of ventricle

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14
Q

QT interval and meaning

A

Ventricular time from depolarization to repolarization
(0.04 to 0.44)

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15
Q

B1 receptor locations

A

Mostly in heart ❤️, SA/AV nodes, myocardium

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16
Q

B2 Receptor locations

A

Heart ❤️ and smooth muscle

17
Q

Four factors influencing CO

A

Preload
Afterload
Contractility
Heart ❤️ rate

18
Q

What is preload

A

Volume in ventricle at end diastole

19
Q

Factors affecting preload

A

Venous return
End systolic volume

20
Q

Normal CVP
Normal PAWP

A

Cvp 1-5
PAWP 4-12

21
Q

Normal PAWP

22
Q

What is primarily the driver of resting HR

A

Vagus nerve

23
Q

CARDIAC CONTROL CENTERS

A

CV VASOMOTOR
BARORECEPTORS
HORMONES/biochemicals
ATRIAL RECEPTORS

24
Q

CV vasomotor control center components

A

PONS, Medulla, hypothalamus, cortex, thalamus

25
Baroreceptor reflex is where
Aortic arch Carotids
26
Decreased BP stimulates baroreceptors to do what
⬆️ HR ⬆️ CONTRACTILITY ⬆️vasoconstriction arterioles
27
Increased BP stimulates baroreceptors to do what
Stimulate glossoph. Nerve from carotid to vagus to medulla ⬇️ HR ⬆️ dilation (⬇️BP)
28
Atrial receptors are where
Entrance to atria for vena cava , pulmonary veins innervated by vagus Also increase urine output
29
Hormones and biochemicals & CV:
Norepinephrine , epi, hydrocortisone, thyroid hormone ⬆️ myocardial changes and ⬆️ calcium Thyroid hormone ⬇️ causes hypotension and bradycardia
30
Map:
SBP + twice the DBP
31
Normal pulse pressure
(Systolic minus diastolic ) 40 to 50
32
Atrial chemoreceptors sensitive to:
PaO2, PaCo2, pH 🫁important for RR control 🙌🏻Signals medulla
33
Vasoconstriction hormones
Angiotensin 2 Vasopressin Epi, norepi
34
Vasodilator hormones
Natriuretic peptides : ANP, BNP, CNP urodilatin
35
Nitrous oxide is crucial for:
Endothelial stability
36
Lymphatic system xports what
Lymphocytes Antigen presenting cells
37
Lymphatic fluid is mostly…
Water Protein (albumin ) From interstitial Space
38
Lymphatic ducts In thorax :
Right lymphatic duct: r arm, head and thorax  Thoracic duct : remainder of body BOTH DRAIN INTO SUBCLAVIANS