CV Examination Flashcards

1
Q

For a CV disorder, what else would you examine/monitor during benchmark tasks?

A
  • HR
  • BP
  • RPE
  • pulse ox
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2
Q

What is included in lab testing?

A

MI: Troponins; CK MB
HF: BNP
electrolytes: K, Na, Ca
Coags: PTT; PT/INR

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3
Q

what is included in diagnostic testing

A
  • ECG
  • chest x ray
  • cardiac catheterization
  • echocardiogram
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4
Q

What is a normal range for troponin?

A

0- 0.04 ng/mL

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5
Q

what is BNP

A

brain natriuretic peptide- a diuretic

  • BNP released from the stressed LV (volume overload)
  • BNP increases diuresis from kidneys
  • after treatment, BNP levels decline and signifies recovery phase
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6
Q

what does troponin tell us?

A

damage to the heart

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7
Q

what do BNP tell us?

A

stress

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8
Q

what is the effect of exercise and weight loss on HDL and triglycerides?

A

increases HDL

decreases tri

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9
Q

what are the effects of diets low in saturated fats, trans fats and cholesterol on total cholesterol?

A

decreases total cholesterol and LDL

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10
Q

what happens to HDL and LDL after menopause?

A

decrease HDL

increase LDL

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11
Q

what is a non-ST elevation MI? (NSTEMI)

A

more problems in the long term

-positive troponins

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12
Q

what is a ST elevation MI? (STEMI)

A

mores significant heart attack

  • complete blockage
  • may imply a transmural (full thickness of epicardium) to a endocardium injury
  • positive troponins
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13
Q

what kind of troponins does unstable angina present

A

negative

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14
Q

what is the NYHA classification for Class 1?

A

mild limitation
cardiac disease
-no limitations of physical activity
-ordinary activity does not cause any symptoms

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15
Q

what is the NYHA classification for Class 2?

A
mild limitation
cardiac disease
-slight limtation 
-comfy at rest
-ordinary activity results in fatigue, palpation, dyspnea, angina
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16
Q

what is the NYHA classification for Class 3?

A

mod limitation
cardiac disease
-marked limitation
-less than ordinary activity causes symptoms

17
Q

what is the NYHA classification for Class 4?

A
severe limitation
cardiac disease
-inability to carry on any physical activity without discomfort
-angina or symptoms present at rest
-activity increases discomfrt
18
Q

what are the 5 vital signs?

A
HR
BP
RR
temp
pain
19
Q

what are 3 additional vital signs?

A

pulse ox
RPE
gait speed

20
Q

what are normal pulse rangse for newborn?

A

100-130

21
Q

what are normal pulse ranges for child (1-7)?

A

80-120

22
Q

what are normal pulse ranges for adults?

A

60-100

23
Q

what are the diff pulse qualities?

A
3+= full, bounding
2+= normal
1+= weak, thread
0= absent
24
Q

what are contraindictions to taking BP?

A
  • history of breast cancer/mastectomy/lympphedema
  • kidney disease
  • DVT
  • avoid intravascular lines
25
Q

what is the formula for BP?

A

BP= CO x TPR

26
Q

what is MAP?

A

represents tissue perfusion pressure

normal= 70-110

27
Q

what are positive findings for orthostatic vital sign exam?

A
  • decrease in SBP of 20mmHg or more
  • decrease in DBP of 10mmHg or more
  • increase in HR of 20 or greater bpm
28
Q

what are the diff times of edema?

A

trace (+1)= barely perceptible
mild (+2)= skin rebounds less than 15 seconds
mod (+3)= skin rebounds 15-30 sec
severe (+4)= skin rebounds longer than 30 sec

29
Q

What does the presence/lvel of jugular venous distention tell you?

A

RA pressure

30
Q

where is the aortic area for heart sounds?

A

2nd ICS, right sternal border

31
Q

where is the pulmonic area for heart sounds?

A

2nd ICS, left sternal border

32
Q

where is the mitral area for heart sounds?

A

5th ICS, midclavicular line

33
Q

where is the tricuspid area for heart sounds?

A

4th or 5th ICS, left sternal border

34
Q

what is S1?

A

lub

35
Q

what is S2?

A

dub

36
Q

what is S3?

A

HF (decompensated)

37
Q

what is S4?

A

s/p MI; HTN