cradiopulm Flashcards

1
Q

when does the cario system being to develope

A

19 of gestation

HB 8-10 weeks of gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

heart transition to birth

A

closure of the foramen ovale, ductus venosus, ductus arteriosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

when does the pulm syst begin to develope

A

21 - 28 days gest

full maturation 18-20 yo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what part of the pulm system does not fully develop until we are full term

A

avelolar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

lung transition to birth

A

fluid replaced by air

alvelio continue to grow in numbe and size - until 4 yo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

lung continue to devlope until what age

A

18-20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

first trimester what is developed

A

heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

2nd trimester what is developed

A

lungs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

3rd trimester what is developed

A

brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is a congential heart defect

A

existing at brith

when the blood vessels near the heart or heart do not develop correctly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Congential heart defect two categories

A

cyanotic (blue babies)
and
a-cyanotic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

cyanotic defect characteristics - direction of blood flow

A

right to left

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

cyanotic defect characteristics - condition of blood

A

de-oxy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

cyanotic defect characteristics - cyanosis

A

present

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

acyanotic defect characteristics -direction of blood flow

A

left to right

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

acyanotic defect characteristics - condition of blood

A

oxy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

acyanotic defect characteristics - cyanosis

A

absent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what are the type of cyanotic defects

A

tetralogy of fallot

transposition of the great arteries

tricuspid atresia

hypoplastic left heart syndrome

19
Q

tetralogy of fallot

A

there is a hole between the lower chambers of the heart - aorta is above the whole

obstructs pathway between the heart and the lungs

hypertrophy of right lower chamber

20
Q

transposition of the great arteries

A

two main arteries carrying blood away from the heart are reversed.

  • body–heart –body (without being routed to the lungs for oxygen)
  • lungs–heart–lungs (without delivering oxygen to the body)
21
Q

tricuspid atresia

A

The valve isn’t formed between the two right heart chambers. Instead, a solid sheet of tissue blocks the blood flow between the right heart chambers

22
Q

hypoplastic left heart syndrome

A

left side of the heart is extremely underdeveloped.

right side of the heart must pump blood to the lungs and to the rest of the body.

23
Q

examples of acyan defects

A

coarctation of the aorta

arterial septal defect

ventricular septal defect

patent ductus arteriosus

24
Q

coarctation of the aorta

A

A narrowing of the aorta that carries blood to the body.

  • Decreased blood flow to the upper and lower extremities
  • Causes high blood pressure and possibly heart damage over time
25
Q

arterial septal defect

A

defect in the septum between the heart’s two upper chambers (atria)

oxygen-rich blood to leak into the oxygen-poor blood chambers in the heart

Infants may have poor appetite, impaired growth, shortness of breath, fatigue, and are at a higher risk for lung infections

26
Q

ventricular septal defect

A
  • hole occurs in the wall that separates the heart’s lower chambers (ventricles).
  • Sx:
    o Poor eating
    o Slow or no physical growth (failure to thrive)
    o Fast breathing or breathlessness
    o Easy tiring
27
Q

patent ductus arteriosus

A

A hole that allows the blood to skip the lung
- Allows oxy blood into the pulm vessel
- leads to: stress on the heart
- Sx: SOB, fatigue, rapid breathing

acute cyan - managed acyan

28
Q

new born ribs

A

wide and flared

less lung compliance

29
Q

adult ribs

A

enlongated

30
Q

physiological difference adults and children ribs

A

decreased lung compliance

crease chest wall compliance

irregularity of the respiratory sys

decrease type 1 fibers in the diaphragm

31
Q

decreased lung compliance

A

increased work of bretahing

32
Q

crease chest wall compliance

A

small airway size –> increased risk of airway obstruction

33
Q

irregularity of the respiratory sys

A

increased risk of apnea, brady, destruction events

34
Q

decrease type 1 fibers in the diaphragm

A

respiratory infections

35
Q

does HR increase or decrease with age

A

decrease

high - the volume that we are moving is low

36
Q

does RR increase or decrease with age

A

decrease

37
Q

does sBP increase or decrease with age

A

increase

38
Q

does dBP increase or decrease with age

A

increase

39
Q

new born HR

A

90-180

40
Q

new born RR

A

30-50

41
Q

new born sBP

A

60 +/- 10

42
Q

new born dBP

A

37 +/- 10

43
Q

0-3 chest wall development

A

triangular

44
Q

pediatric condition with decreased activity

A

cerebral plasy

spina bifida

muscular dystrophy

spinal muscle atrophy

obesity