Medical Terminology (P-Z) Flashcards
P50
hemoglobin P50, the partial pressure of oxygen where hemoglobin is 50% saturated with oxygen, normally about 27mmHg
PA
pulmonary artery
PAC
premature atrial contraction
PaO2
the partial pressure exerted by O2 dissolved in arterial (a) plasma and RBC water, (in the venous blood- PvO2)
PFO
patent foramen ovale
PaCO2
the partial pressure exerted by CO2 dissolved in arterial (a) plasma and RBC water, (in venous blood- PvCO2)
palliative
to relieve the symptoms of without fixing or repairing the underlying condition
partial pressure
the pressure exerted by a gas dissolved in plasma and RBC water, for example PO2 is the partial pressure exerted by dissolved oxygen
pCO2
The partial pressure (tension) exerted by CO2 in mmHg. The respiratory component. CO2 is produced by metabolism and carried by the blood to the lungs where it diffuses into the alveoli and is eliminated by exhaled breath. The amount of CO2 dissolved in the blood is measured by the partial pressure it exerts and is reported in mmHg. When CO2 dissolves in H20 it combines to form H2CO2 the most important acid in the body. The [H2CO2] is directly proportional to the CO2 dissolved in the blood (paCO2) and the paCO@ is component of the acid-base balance. As w. pH, the body maintains the pCO2 within strict limits. THe normal pCO2 is 35-45 mmHg with a mean of 40 mmHg
PCWP
pulmonary capillary wedge pressure
PDA
- patent ductus arteriosus
2. posterior descending artery
PE
- pulmonary embolus
- pulmonary edema
- peripheral edema
PTCA
percutaneous transluminal coronary angioplasty; compression of an athromatous lesion by inflating an intracoronary balloon catheter to dilate the vessel
PERLA
pupils equal and reactive to light and accomodation
perfusion
- flowing over or through
- blood flow through the organs and tissue of the body
- the profession of the study and implementation of blood flow through an extracorporeal circuit for life support
perfusion scan
a test to determine the status of blood flow to an organ
perfusion balloon angioplasty
a variation of PTCA in which a catheter is inserted in the artery that permits blood flow during balloon inflation
perfusionist
see perfusion technologist
perfusion technologist
perfusionist; the health professional educated to operate the heart lung machine and other life support devices
peri-
surrounding, around
pericardium
the tough non-elastic membrane surrounding the heart that attached to the great vessels and other anatomical structures in the mediastinum
pericarditis
inflammation of the pericardium
pH
the inverse log of the hydrogen ion activity; a measure of hte alkalinity or acidity of hte blood or solution on a 14 point scale with 1 being acidic and 14 being alkaline. The body normally maintains the [H+] and therefore the pH within very strict limits. Normal pH is 7.35-7.45 with a mean of 7.40
pH2O
water vapor pressure, the partial pressure exerted by the presence of water vapor
phagocyte
a while blood cell that engulfs and destroys foreign organisms and debris in the blood
pharmacologic stress test
a test of heart function during intentional drug-induced stress
pH stat
ventilation scheme where the total CO2 increases as the temperature falls and the temperature corrected ABG appears normal. So called because the temperature-corrected, actual blood pH equals 7.40 during all temperatures of CPB.
PI
pulmonary insufficiency
PICU
pediatric intensive care unit
PJC
premature junctional contractions
pK
a constant that describes the rate or degree to which a chemical reaction goes to completion, depending on temperature and pH
plasma free hemoglobin
hemoglobin released from dying or damaged RBCs
plasma
the acellular, colorless liquid portion of the blood
plasmin
the substance found in the blood that digests fibrin resulting in a clot dissolution
plasminogen
the precursor to plasmin that is activated by tissue plasminogen activator (TPA)
platelet
thrombocyte
PND
paroxysmal nocturnal dyspnea
pO2
partial pressure of oxygen; oxygen is used by the body as a metabolic substrate to produce energy. A constant supply of oxygen is needed to maintain living tissue. 21% of the air we breath is oxygen and at sea level it exerts a pO2 of ~159mmHg. The air is taken into lungs with each inhalation and moved into the alveoli where the pO2 is ~100mmHg. The O2 diffuses into the blood and dissolves in teh plasma where it exerts a pO2 of ~95mmHg. In normal arterial blood with a pO2 of ~95mmHg the blood is ~98% saturated with oxygen. THe oxygen is carried to the tissue by the blood and by the time the venous blood returns to the lungs it has a pO2 of ~40 mmHG and is ~75% saturated. The paO2 is assessed on the ABG to provide a measure of the arterial oxygenation.
poikilothermic
cold blooded; heterothermic; animals whose body temperature changes with the environment.
polycythemia
a serious condition characterized by too many RBCs in the circulation
pooled platelets
platelets collected from multiple donors and mixed together for use in transfusion
post-MI angina
angina occurring from 1 to 60 days after an acute MI
PR interval
ECG PR segment, interval of time between the P wave and the R wave on the ECG
prime (pump)
- to fill the extracorporeal circuit with fluid
- the fluid that is required to initially fill and debubble the extracorporeal circuit before connection to the patient’s vascular system
prinzmetal’s angina
variant angina, a clinical syndrome of rest pain and resersible ST-segment elevation without subsequent enzyme evidence of acute MI. In some patients the cause of this syndrome appears to be coronary vasospasm alone of ten at the site of an insignificant coronary plaque, btu a majority of patients with variant angina have angiographically significant CAD
PS
pulmonary valvular stenosis
PT
prothrombin time, protime
PTCA
percutaneous transluminal coronary angioplasty
PTT
partial thromboplastin time
pulmonary
referring to the lung or the bicuspid valve separating the right ventricle and the pulmonary artery to prevent back flow into the ventricular during diastole
pulmonary edema
condition, usually acute, but sometime chronic, where fluid builds up in the lungs. This often occurs as a response to left ventricular failure in ischemic heart disease, hypertension, or aortic valve disease
pulmonary atresia
small or underdeveloped pulmonary valve
pulmonary insufficiency
pulmonary valvular incompetence; back flow or regurgitation of flow through the pulmonary valve during ventricular diastole
pulmonary stenosis
pulmonary valvular stenosis; narrowing of the normal area of the pulmonary valve causing a pressure drop across the valve during left ventricular systole
pump
- the blood propulsion device included in the extracorporeal circuit to replace the left ventricular function
- slang for the heart
pumptech
- slang for the technologist that is a perfusionist
- a technician that is responsible for operating heart lung machine during surgery
- a member of the “pump team”
PV
pulmonary valve
PVC
premature ventricular contraction
PVD
peripheral vascular diease
PVR
- pulmonary vascular resistance
- peripheral vascular resistance
- pulmonary valve repair
Pulmonary vascular resistance
resistance to the flow of blood through the pulmonary vascular beds
Peripheral vascular resistance
resistance to the flow of blood through the peripheral vascular beds
Pulmonary valve repair (or replacement)
open heart surgery to repair or replace a diseased pulmonary valve with a prosthesis or artificial heart valve
QIP
quality improvement process
RA
right atrium
radionuclide test
a diagnostic test in which a radioactive substance is injected into the bloodstream and the emitted radioactivity is detected by a scanner; used to visualize the heart and vessels
RBBB
right bundle branch block
RBC
red blood cell; erythrocyte
RCA
right coronary artery
renal
referring to the kidney(s)
renal failure
failure of the kidney to cleanse the blood causing the build up of waste products in the blood
respiration
the chemical processes that occur at the tissue cellular level converting oxygen and water to heat, ATP and carbon dioxide
respiratory acidosis
an abnormal physiology process in which there is a primary reduction in alveolar ventilation relative to the rate of CO2 production. Reflected by a high pCO2 and low pH. (pCO2 greater than 45 mmHg) Treat by increasing ventilation
respiratory alkalosis
an abnormal physiological process in which there is a primary increase in the rate of alveolar ventilation relative to the rate of CO2 production. reflected by the low pco2 and high pH. (pco2 less than 35 mmHg) treat by decreasing ventilation
re-stenosis
the recurrence of a stenosis
retrograte
against the normal direction of flow
revascularization
restoration, to the extent possible, of normal blood flow to the myocardium by surgical or percutaneous means or with removal or reduction of an obstruction as occurs when CABG or PTCA is performed