T1: Cardiovascular Assessment (1) Flashcards

1
Q

Blood flow through the heart:

A
R. Atrium
Tricuspid valve
R. Ventricle
Pulmonic valve
Pulmonic circuit
L. Atrium
Mitral valve
L. Ventricle
Aortic valve
Aorta
Systemic circuit
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2
Q

Name the AV valves:

A

(Remember: God put his TradeMark on the heart)

  • Tricuspid
  • Mitral (aka Bicuspid)
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3
Q

Name the semilunar valves:

A
  • Pulmonic valve

- Aortic valve

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4
Q

Murmurs come from ____ flow of blood across the ___.

A

turbulent

valve

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5
Q

First heart sound “lub” occurs when the ___ valves close.

A

AV

tricuspid & mitral

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6
Q

Second heart sound “dub” occurs when the ___ valves close.

A

semilunar

pulmonic & aortic

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7
Q

Cardiac cycle:

Phase 1

A

Atrial contraction

Atrial systole

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8
Q

Cardiac cycle:

Phase 2:

A

S1: Mitral valve closes “lub”
Isovolumetric contraction
begins ventricular systole

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9
Q

Cardiac cycle:

Phase 3:

A

Rapid ejection from ventricles

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10
Q

Cardiac cycle:

Phase 4

A

Reduced ejection

S2: Aortic valve closes “dub”

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11
Q

Cardiac cycle:

Phase 5

A

Isovolumetric relaxation

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12
Q

Cardiac cycle:

Phase 6

A

Rapid filling

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13
Q

Cardiac cycle:

Phase 7

A

Reduced filling

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14
Q

What part of the ECG reflects atrial depolarization?

A

P-wave

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15
Q

What part of the ECG reflects ventricular depolarization?

A

QRS complex

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16
Q

What part of the ECG reflects atrial repolarization?

A

It’s in the QRS complex but hidden

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17
Q

What part of the ECG reflects ventricular repolarization?

A

T-wave

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18
Q

What happens during systole?

A

The ventricles contract

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19
Q

What happens during diastole?

A

Atria & ventricles are relaxed; AV valves are open

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20
Q

What triggers the atria to contract?

A

SA node

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21
Q

What triggers the ventricles to contract?

A

Purkinje fibers

22
Q

What is atrial kick?

A

The atria squeeze the last bit of blood into the ventricles

23
Q

What is the formula for BP?

A

BP = SV x SVR

  • SV is stroke volume
  • SVR is systemic vascular resistance
24
Q

What is the formula for mean arterial pressure (MAP)?

A

SBP + (DBP x 2) / 3

25
What is Mean Arterial Pressure?
Average perfusion pressure
26
What is normal MAP?
70 - 100 mmHg | must have at least 60 mmHg to perfuse the tissues
27
Central Venous Pressure measures filling pressures on which side of the heart?
Right
28
What is normal central venous pressure (CVP or RAP)?
2 - 5 mmHg | also 3-8 cmH20, but older version
29
Formula for cardiac output?
HR x SV = CO
30
What is normal resting CO?
4-6 L/min
31
What is cardiac output?
amount of blood pumped out by the ventricle PER MINUTE
32
What is the difference between CO and cardiac index (CI)?
CI adjusts for body size
33
What is the formula for CI?
CO / BSA = CI
34
What is normal CI?
2.2 - 4.0 L/min/m2
35
What is stroke volume (SV)?
amount of blood ejected by ventricle with each HEART BEAT
36
Formula for SV?
(CO / HR) x 1000 = SV
37
Normal SV?
60 - 70 ml
38
What is the definition of systemic vascular resistance (SVR)? What is another name for this?
The resistance against which the LV must pump to eject its volume. (AKA: "after load")
39
Formula for SVR?
(MAP - CVP) / CO x 80 = SVR
40
Normal SVR?
800 - 1400 dynes/sec/cm
41
What 4 ways can BP be regulated?
1) Autonomic nervous system - --> baroreceptors - --> chemoreceptors 2) Renal system 3) Endocrine system 4) External factors
42
Parts of a CV system assessment:
- pt history - nutritional history - family history & genetic risk - current health problems
43
What current health problems factor in to a CV system assessment?
- pain/discomfort - dyspnea, DOE, orthopnea, PND - fatigue - palpitations - edema - syncope - extremity pain
44
The best indicator or fluid balance is _____.
weight
45
2.2 lb = ___ kg = ___ L of fluid
2.2 lb = 1 kg = 1 L of fluid
46
Cardiovascular system: | PHYSICAL assessment
- General appearance - Skin (cyanosis, rubor) - Extremities (clubbing, edema) - Blood pressure (hypo/hypertention, orthostatic hypotention, pulse pressure)
47
What is pulse pressure?
difference between systolic & diastolic
48
Cardiovascular system: | PRECORDIAL assessment
- Inspection 1st | - Auscultation 2nd
49
What sounds are you assessing for when auscultating the precordium?
(Think: NPGP) - normal heart sounds - paradoxical splitting - gallops & murmurs - pericardial friction rub
50
``` Cardiovascular system: LAB assessment (hint...there are 8) ```
(Hairy Fat CAMELS) 1) H & H 2) F & E 3) Coagulation (PT/INR, PTT) 4) ABG 5) Microalbuminemia 6) Erythrocyte count 7) Leukocyte count 8) Serum biomarkers
51
Cardiovascular system: | DIAGNOSTIC assessment
- PA & lateral CXR - angiography or arteriography - cardiac cath - ECG - Electrophysiologic study (EPS) - Stress test - Echo (Pharm stress echo, TEE) - Myocardial nuclear perfusion imaging (MNPI)