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Patient Care
Urological and Cardiac rythmn
Term | Definition |
---|---|
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 |