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Genral Cardio pulm

Cardio/pulm

QuestionAnswer
HR max equation 220-age
THR formula HR max x % of max
karvonean equation if for? imapired ppl
Which pulmonary vessel has O2 Veins returning to heart
R coronory artery branches R marginal post descending
L coronary artery branches Circumflex L ant descending
chemoreceptors reflex detect what and where/ change in pH and O2 aortic bodies
baroreceptors detect what and where? chang ein pressure in the neck
baroreceptor/carotid massage does what decrease sympathetic stimulous and increase parasympathetic impulse --> decrease BP
normal QRS complex width? 3 little boxes
preload pressure at end of diastole
after load pressure impede flow out of heart
Normal SV 60-80 ml
CO equation and normal SV x HR 4.5-5 L/min
Polycythemia red blood cells to high
thrombocytopenia vs thrombocytheia openia: low cytheia: high
Leukopenia: low WBC
Leukocytosis infection
exercises testing absolute termiante criteria? SBP < 10 mmHg mod- sever angian poor perfusion sustained tachycardia sustained ST elevation without Q waves
elevated blood creatine kinase indicates MI
w CAD what cholesteraol will be elevated v
Most MI when can you start exercsies after 2 days
if the superior lung is involved what position may increase O2 prone
technique to increase expiratory orce or cough? resisted breathing into device or manual resistnace
technique to improve gas exchange and increase lung volume diaphragmatic breathing segmental breathing max inspiratory effort
decrease SOB and increae effeciancy pursed lip breathing pacing of breathing w activity diaphragmatic breathing
UE exercise does what to BP and O2 consumption compated to LE? increase BP O2 decrease
S&S of endocarditis? fever, chill, murmur, fatigue, SOB, wt loss, blood in urine, kin petichiae
cor pulmonale? failure or hypertrophy of RV
S&S wiht patent ductus arteriosus (PAD) tachy resp distress poor eating wt loss
Tetrollogy of fallot conditions? R ventricular hypertrophy VSD Pulmonary stenosis Aorta overriding the ventriclar septal defect
Rheumatic Fever is from? poorly treated strep A throat that dmages heart valves and cause heart failure
where systole? between S1 & S2
causes of murmur Pregnant and increaed blood flow Abnormal valve: aortic sclerosis or stenosis abnormal flow between: VSD or mitral regurge
ejection sound is heart when? regurgitaiton when opening
Snap sound heard when? mitral valveu open that is stenotic
S3 heart when and Meaning? beginnning of dyastole and CHF (blood filling enlarged vent) vent gallop
S4 heard whne and meaning? end of diastole atria pushing blood into stenotic vent hypertension
systolic cleard heard when mitral valve shut but leaking
ASD heard when at S2 it sounds liek it is splitting
calcium channel blockers do what? s=could have what adverse effect? vasodilate relieve coronary spasm ischemic effect
what does digitalis do? slow HR
what do nitroglycerins do? dilate blood vessels v BP v Prelad V o2 demand on heart
depolarizing is when? chamber emptying
repolarizing is when chamber is filling
how to figure out HR from strip 300/ # big boxes between QRS
Normal PR interval should be? Less than 1 big box
Sinus brady rate < 60 bpm
Sinus tachy rate > 100 bpm
saw tooth EKG? atrial flutter
Long PR interval means? AV block
wide QRS means bundle branch heart block
ST depression or inverted T wave means? ischemia
ST eleation or significant G waves means? MI
when all EKG coordination is gone what does it mean? ventiruclar fibrillation and no CO
R CHF S&S RV insult jugular distension periph edema
L CHF S&S LV insult backup into LA and lungs SOB cough v OC
NYHA CHF stages I S&S doc says II some w daily III some w exertion IV at rest
stages og CHF TX w mets I 6.5 II 4.5 III 3 IV 1.5
Bike METS compared to walking double mph
1.5 met activity standing
Subacute CHF rehab is done where? OP or home
Post Acute CHF rehab is done where? community program
what is active in instpiration Diaphragm external intercostals
FVC? volume of air expired w max forced expirtion after forced max inspiration
Normal breath sounds? Bronchial Vocal
rales/crackles.crepitaitons during inspiraiton usually from? Bubbles/fibrotic atelectasis fibrosisi pulmonary edema
Wheezing durig expiraiotn usually from airway obstruction astham, COPD, Foreign body
rhonchi low pitched snoring or gurlging from obstruction
strider high pitchd airway obstruciton
Pleural friction rub heard when? inspire and expire inflammed visceral and pariet
Orthopenea difficulty brathing except in sitting or standing
frothy sputum menas pulmonary edema
Respiratory Alkalosis S&S dizzy tigling syncope numbness Hyperventilaiton
Respiratory acidosis S&S anxiety confusion restless coma hypoventilaiton
Metabolic akalosis S&S hypoventilation
metabolic Acidosis S&S hyperventilaiton
Obstructive pulmonary disease S&S FEV1 low cant get out hyperinflated functional testing< 70% ratio low
Restrictive Pulonary disease characteristics? FEV1 and FCV low Functional testing > 70% ration normal can't get air in
Emphysema characteristics and Tx? pink puffer cant get air out lean forward pursed lip breathing MOI: smoking
Cystic fibrosis inhereted obstructive, restrictive or mixed cant get air put get mucus out w airway breathing
Chronic brochitis blue bloater cant get air out lean back mucus production paced breathing
Bronchiectais abnormal dilation progression chronic infection where walls weaken PN, whooping cough, measles, TB, fungal
RDS MOI Alveolar collapse in premature infant
Bronchopulmonary dsplaia from high pressure mechanical ventilation premature infants cor pulmonal
Pneumothorax and hemothorax what direction does the trachea move away
flail cest> 2+ fx of ribs that are adjacent
SARS respiraoty virus
TB tx meds 10 days to 2 weeks tx
Bacterial vs viral PN B: productive cough V: dry cough
atelectasis? partial or complete collapse of lung
Cheyne stokes breathing? waxes and wanes alt periods of apnea
percussions should be done how long 3-5 min per position
bed tendelenburge positon head tipped down
BP pressure that qualifies as hypertension SBP > 140 DBP > 90
cycstic fibrosis is on what chromosone of each parent? 7
Created by: KelsM