Exam 2 - Cardiovascular Flashcards
perfusion
passage of fluid through the circulatory system or lymphatic system to an organ or tissue
cardiac output
volume of blood pumped out by the heart in one minute
ejection fraction
- the percentage of blood pumped out of the left ventricle with each contraction
- normal: > 50%
- heart failure: < 40%
blood pressure
- force exerted by the blood against the blood vessel walls
- normal: 120/80
pulse pressure
- difference between systolic and diastolic BP
- normal is about 1/3 of SBP
- high: atherosclerosis, exercise
- low: severe heart failure, hypovolemia
pulses alternans
- regular rhythm by strength of pulse varies with each beat
- possible etiology and significance
hypertension
- high blood pressure
- pressure in your arteries is too high
- changes in arterial walls cause increased peripheral vascular resistance
peripheral vascular resistance
- amount of effort that the heart has to overcome in order to get blood out of the heart and into the periphery
hypertension diagnosis
average of two or more readings on at least two subsequent health care visits above 120/80
complications of hypertension
- cardiovascular disease
- myocardial infarction
- heart failure
- stroke
- peripheral vascular disease
- renal disease
- retinal disease
hypertension nursing care
- blood pressure measurement
- implement a patient-centered plan for lifestyle modifications
hypotension
- SBP falls below 90
causes of hypotension
- dilation of arteries
- loss of blood volume
- failure of heart muscle to pump
orthostatic hypotension
- blood pressure drops when standing and changing positions
hyperlipidemia
too many lipids in the body (cholesterol and triglycerides)
lipids
fat-like particles in blood stream
cholesterol
waxy-fat like substance found in all cells of the body
triglycerides
most common fat in the body
hyperlipidemia nursing care
- check, change, control
- maintain healthy weight
- be active
- limit smoking and alcohol
- dietary modifications
- lipid-lowering drug therapy
VTE
- obstruction of a blood vessel by a blood clot that has become dislodged from another site in the circulation
- most commonly starts in legs and moves to lungs (pulmonary embolism)
signs and symptoms of VTE
- localized redness, tenderness, swelling over the vein sites
- warmth, tenderness, firmness in muscle of calf
- complaints about calf pain with ambulation
- usually unilateral
electrocardiogram
- normal sinus rhythm
- originates in SA node, follows normal sequence through conduction system
electrocardiogram placement
Right side: clouds over grass
chocolate close to your heart
left side: smoke over fire