220 heart and neck vesels

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elevatedsound7
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210148
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220 heart and neck vesels
Updated:
2013-04-20 06:03:51
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220 heart neck vessels
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220 heart and neck vessels
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  1. path of blood
    • superior vena cava
    • right atria
    • tricuspid valve
    • right ventricle
    • pulmonary artery
    • lungs
    • pulmonary veins
    • left atria
    • mitral valve
    • left ventricle
    • aortic valve
    • aorta
  2. heart extends
    • from the second to the fifth intercostal space
    • angle of louis marks the second intercostal space
  3. when you listen to the heart what o you hear at the second intercostal space
    the aortic and pulmonic valves
  4. what is the pacemeaker of heart
    sinus node
  5. which node is next after the SA node
    the AV node
  6. Diastole =
    the heart at rest
  7. systole =
    the heart muscle when it pumps is in systole
  8. the coronary arteries fill when
    the heart is in diastole
  9. how does respiration effect the heart sounds
    when you take a breath it changes the intrathoracic pressure and you could hear a second slight heart sound
  10. fourth heart sound sounds like
    tennessee
  11. S3 third heart sound =
    kentucky
  12. s3 heart sound is indicative of
    rapid filling of the heart
  13. S1 heart sound what happens
    the ventricle contract and the AV valves are closing
  14. S2 you hear what
    the closure of the semilunar valves
  15. S4 =
    presystole heart sound
  16. frequency =
    the pitch of a sound
  17. intensity of a sound =
    the loudness
  18. what should you talk about when describing the characteristics of a sound in the heart
    • frequency
    • intensity
    • duration
    • timing
  19. what should you describe about a murmur
    • characteristic
    • pattern - crescendo, decrescendo, C-D
    • quality
    • location
    • radiation
  20. MCL
    Mid clavicular line
  21. MAL =
    midaxillary line
  22. xx ICS
    2nd intercostal space
  23. Cardiac output
    how many liters of blood the heart pumps in a minute
  24. afterload =
    the resistance the heart pumps against
  25. an engorged internal jugular vein at a 45o angle =
    • too much fluid in the body
    • it is usually engorged when lying down but it deflates when upright
  26. subjective questions about the heart
    • —Have you ever had any problems with your heart?
    • —Chest pain?
    • —Shortness of breath?
    • —Palpitations?
    • —Dizziness?
    • —Orthopnea?
    • —PND—
    • Family History of Heart Disease
    • —Exercise, Cholesterol, Congenitial heart disease?
    • —Do you smoke or use any tobacco products.
    • —Have you ever had hypertension?
    • —Diabetes?—
    • Syncope?—
    • Any history of murmur?—
    • History of irregular heart rhythms?—Cough—
    • Orthopnea—
    • Edema
    • —Cyanosis
    • —Nocturia
    • —Fatigue—
    • Stairs
    • —Exercise intolerance
    • —Personal Habits – cardiac risk factors
    • —History of any prior cardiac testing —ECG, Stress test, Cardiac Cath.
  27. orthopnea =
    SOB when lying down
  28. PND
    • paroxsysmal nocturnal dyspnea
    • intermittant SOB at night
    • symptom of heart failure
  29. PMI =
    point of maximal impulse
  30. when listen to vascular sounds you use
    the bell of the stethescope
  31. what is the hepatojugular reflux
    when excess fluid in body you can palpate the liver and the jugula veins will bulge
  32. when you need to hear the heart better what position should you place the patient in
    on their left side
  33. S1 heard best at
    THE APEX
  34. S2 is heard best at the
    the second intercostal space
  35. when ausculating the heart what sounds do you hear at each site
    • 1. (right side of sternum- 2nd intercostal space) = AORTIC
    • 2. (left side of sternum - 2nd intercostal space) = pulmonic area
    • 3. (3rd intercostal space) - Erbs point
    • 4. (4th intercostal space) - tricuspid valve
    • 5. (5th intercostal space) - mitral area - apex of the heart
  36. Ascites =
    fluid in the peritoneal cavity
  37. systolic murmur =
    murmur heard with the pulse
  38. diastolic murmur
    heard when heart it at rest
  39. modified allens test
    occluding the radial and the ulnar arteries and then letting go of one the see if both are patent to obtain a blood gas
  40. popliteal pulse is where
    in the back of the kneee
  41. dorsalis pedis pulse =
    felt at the top of the foot
  42. posterior tibial pulse felt
    • felt at the medial malleolus
    • behind the ankle bone
  43. what helps the blood return to the heart
    • skeletal muscle pressure
    • intrathoracic pressure changes
  44. what are the lymphatics dependent on to move fluid along
    the muscles
  45. the job of the lymphatic system
    during blood circulation more fluid leaves the capillaries than the veins can absorb. The lymphatic system helps collect and return this fluid into the blood stream
  46. right lymphatic duct drains
    the right side of head, shoulde and arm
  47. thoracic duct drains
    the left side of the body and the inferior portion of the body
  48. functions of the lymphatic system =
    • —conserve fluid and plasma proteins that leak out of the capillaries
    • —to form a major part of th immune system that defends the body against disease—
    • to absorb lipids form the intestinal tract.
  49. organs of the lymphatic system
    spleen, tonsils, thymus
  50. ischemia =
    not getting enough blood to a muscle
  51. If you have poor circulation in the legs what can happen to the hair
    it will fall out
  52. venous problems in extremities color =
    brownish color
  53. good cap refill =
    when blanched pink comes back within 3 seconds
  54. arterial ulcers are
    small and round with not much blood
  55. venous disease
    not well circumscribed with weeping
  56. claudication =
    A condition in which cramping pain in the leg is induced by exercise, typically caused by obstruction of the arteries.
  57. Reynaud's syndrome =
    • peripheral vascular disease in the arms
    • often have one or more fingers with pallor
  58. varicose veins =
    inefficeint valves in the veins
  59. DVT =
    • deep vein thrombosis
    • calf pain
    • edema
    • asymetry of the leg
    • risk for pulmonary embolus

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