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Patient Care

Urological and Cardiac rythmn

Function of heart To pump oxygen rich blood throughout the body
Carbon Dioxide A by product of the function of the heart
100 thousand times a day Healthy heart beat beats
1,800 gallons The heart pumps this much of blood throughout the bodys circulatory system
Atria Upper chambers
Ventricles Lower chambers
Right side Receives blood from the body and sends the blood to the lungs where it is replenisdhed by o2
Left side blood travels into atrium and then through the ventricle where it is pumped to teh rest of the body
Normal Heart Rate 60-100 bpm
Small mass of muscle in upper right chamber Heart beat controlled by
Wave Contraction of the atria, depolarization of R/L atria
RS Contraction of the ventricles, depolarization of R/L ventricles
Sinus Bradycardia Regular rhythm, rate less than 60, normal PR and QRS
Atrial Flutter Could be regular or irregular, 250-350 bpm, QRS is normal
V-Fib (ventricular fibrillation) Rhythm is irregular and chaotic, No P wave or QRS
3rd Degree AV Block (complete heart block) Atrial and ventricular are regular but act independent of each other, PR interval is irregular, no more P or QRS
Sinus Bradychardia Problems Decreased consciousness, angina, hypotention, SOB
Atrial Flutter Problems Chest pain, SOB, decreased BP, electrical conversion may be nessicary
V Fib Problems Life threatening, immediate defibrillation, no beat or puls
3rd Degree AV Block (complete heart block)Problems May or may not have symptoms, SOB, chest pain, decreased BP, light headed
Retention Catheter (Folly) Have the inflatable balloon and a double lumen long term
Straight Catherer No balloon, single lumen, used to get a sample of urine
Condom Catheter external sheet that fits over penis for people who have incontinence and wont leave it in
Suprapublic Catheter Placed directly into ureter, permanent, closed drainage system
Collection Bag Has clamp at end to drain
French Scale avg male catheter 16-20 french, females 14-16 catheter
1 French .33 mm
Transport with catheter and collection bag keep bag bellow level of bladder, avoide tention on tubbing, always make sure bag is clamped and empty
Cystograpghy Watch bladder fill with contrast and see what happens, maybe reflux
VCUG fill there bladder and watch pee out
IVP Intravenous pyleogram, imject contrast in vein wait for kidneys to fill and ureter and bladder then watch pee, KUB function
Retrograde pyleogram assesing obstruction of ureters, put in scope in OR and fill bladder
Incontinence Inablilty to refrain from deification or urination
Hematuria Blood in the urine, do IVP
Reflux backward unnatural flow, traveling up ureters instead of down
Urinary retention unable to pee
Hydronephrosis Dialation of collection or system of kidneys maybe stone in ureter
Residual Urine Urine left in bladder after peed
Retrograde backward flow of pee
lithrotripsy stone crushing
ESWL extra corporeal shockwave lithrotripsy
Void to urinate
Post evacuate poop
Ureteral sents Rubber devices that get put in ureters to leave them open, maybe inserted retrogradely or surgically
CT Radiation cross sections
MRI No radiation
Ultrasound No radiation, sound waves
Nuclear Medicine Radionuculide and pharmaceuticals ingested inhaled or injected
Systole contraction
diastole relaxation
SA node natural pacemaker,sets rate and rhythmn
AV node Atrioventricular, conducts impulses to atrium and ventricular.
What can cause Arrythmyas anxiety,CAD,hypertension,fevers, stress
Symptoms of arrythmyas palpations,pounding, sob, dizziness
bradycardia bets under 60bpm
tachycardia bets over 100bpm
V tach 120-220, have to shock them
sinus arrythmia 45-100, distance between each heart beat is different
sinus tachycardia 100-150bpm,
atrial fibrillation 300-600, atria and ventricles contact at different times
asystole stand still
pourpouse of a defibrillator to shock back to a normal rhythmn, stops heart so SA node can kick back in and start agian
Created by: 100001472026772