cradiopulm Flashcards

1
Q

when does the cario system being to develope

A

19 of gestation

HB 8-10 weeks of gestation

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2
Q

heart transition to birth

A

closure of the foramen ovale, ductus venosus, ductus arteriosis

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3
Q

when does the pulm syst begin to develope

A

21 - 28 days gest

full maturation 18-20 yo

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4
Q

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

A

avelolar

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5
Q

lung transition to birth

A

fluid replaced by air

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

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6
Q

lung continue to devlope until what age

A

18-20

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7
Q

first trimester what is developed

A

heart

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8
Q

2nd trimester what is developed

A

lungs

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9
Q

3rd trimester what is developed

A

brain

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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

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11
Q

Congential heart defect two categories

A

cyanotic (blue babies)
and
a-cyanotic

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12
Q

cyanotic defect characteristics - direction of blood flow

A

right to left

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13
Q

cyanotic defect characteristics - condition of blood

A

de-oxy

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14
Q

cyanotic defect characteristics - cyanosis

A

present

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15
Q

acyanotic defect characteristics -direction of blood flow

A

left to right

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16
Q

acyanotic defect characteristics - condition of blood

A

oxy

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17
Q

acyanotic defect characteristics - cyanosis

A

absent

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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
arterial septal defect
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
ventricular septal defect
- 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
patent ductus arteriosus
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
new born ribs
wide and flared less lung compliance
29
adult ribs
enlongated
30
physiological difference adults and children ribs
decreased lung compliance crease chest wall compliance irregularity of the respiratory sys decrease type 1 fibers in the diaphragm
31
decreased lung compliance
increased work of bretahing
32
crease chest wall compliance
small airway size --> increased risk of airway obstruction
33
irregularity of the respiratory sys
increased risk of apnea, brady, destruction events
34
decrease type 1 fibers in the diaphragm
respiratory infections
35
does HR increase or decrease with age
decrease high - the volume that we are moving is low
36
does RR increase or decrease with age
decrease
37
does sBP increase or decrease with age
increase
38
does dBP increase or decrease with age
increase
39
new born HR
90-180
40
new born RR
30-50
41
new born sBP
60 +/- 10
42
new born dBP
37 +/- 10
43
0-3 chest wall development
triangular
44
pediatric condition with decreased activity
cerebral plasy spina bifida muscular dystrophy spinal muscle atrophy obesity