First Aid pg 271-275 Cardio Flashcards

1
Q

What is the O2 saturation of umbilical vein/arteries?

A

Vein = 80% saturation, A= very low

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2
Q

pO2 of umbilical saturation?

A

pO2 = 20 mmHg

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3
Q

What is the change in pressure that allows the foramen ovale to close?

A

At birth, the infant takes a breath - there is a decreased resistance in pulmonary a/v and the LA pressure increases versus the R atrial pressure makes the foramen ovale closes

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4
Q

What process leads to the closure of ductus arteriosus?

A

Higher levels of O2 from respiration and decrease in prostaglandins due to placental seperation lead to closure of ductus arteriosus?

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5
Q

Which drug aids in closing PDA? What keeps it open?

A

Close PDA - Indomethacin

Keep PDA open - PGE1 & PGE2

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6
Q

With what disease would you want to keep a PDA open?

A

Transposition of vessels, Pulm atresia

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7
Q

What is the origin of the nucleus palposis?

A

Notochord

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8
Q

Occlusion of which artery with lead to nodal dysfuntion? Symptoms?

A

RCA - brady, heart block

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9
Q

When is peak coronary blood flow?

A

early diastole

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10
Q

Most common location of coronary a occlusion?

A

LAD

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11
Q

Hoarseness or dysphagia can occur with enlargement of which chamber?

A

Left atrium

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12
Q

How is CO maintained in early and late stages of exercise?

A

Early - inc HR, SV

Late - only inc HR (SV plateaus)

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13
Q

What leads to inc pulse pressure?

A
Hyperthyroidism
Aortic Regurgitation
Aortic stiffening (isolate systolic HTN in elderly)
Obstructive sleep apnea (Inc SANS tone)
Exercise
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14
Q

Which conditions lead to dec pulse pressure?

A

Aortic stenosis
Cardiogenic shock
cardiac tamponade
advanced CHF

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15
Q

SV is inc by which parameters?

A

inc Contractility
dec Afterload
inc Preload

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16
Q

What dec contractility?

A

BB, systolic HF, acidosis, hypoxia, hypercapnia, non-dihydropyridine CCB, loss of myocardium (MI), dilated cardiomyopathy

17
Q

What inc contractility?

A

catecholamines, inc IC Ca2+, dec EC Na+, Digitalis

18
Q

What parameters will inc O2 demand?

A

Inc contractility, afterload, HR, diameter of ventricle

19
Q

What parameter estimates preload?

A

EDV

20
Q

Drug to decrease preload? afterload?

A

Preload - venodilators (Nitroglycerin), ACE, ARBS

Afterload - vasodilators (Hydralazine), ACE, ARBS

21
Q

delta P =?

A

Q x R

22
Q

How does organ removal affect TPR and CO?

A

Inc TPR, dec CO - bc an organ is in series.

23
Q

Viscosity depends on what blood parameter?

A

Hct

24
Q

What inc/dec viscosity?

A
Inc = Hyperproteinemic states, polycythemia
dec = anemia
25
Q

Which type of vessel affects TPR most?

A

arterioles

26
Q

How will uncompensated CHF affect contractility and VR?

A

Dec contractility, no effect on VR

27
Q

How does exercise affect TPR/CO?

A

decrease TPR (thereby inc CO/VR)

28
Q

How does an AVs shunt affect CO?

A

AV shunts will dec TPR –> inc CO

29
Q

How do narcotics affect CO/VR? affect RA pressure? EDV? how?

A

Narcotics dec venous tone –> dec CO/VR and RA pressure –> dec EDV?