click below
click below
Normal Size Small Size show me how
Ch 28-29
Question | Answer |
---|---|
Acute heart failure | sudden change in the heart's ability to contract |
Acute pulmonary edema | complication of left-sided heart failure when pulmonary capillaries and alveoli become engorged with blood, causing the lungs to rapidly fill with fluid, resulting in acute respiratory distress |
Afterload | force that the ventricle must overcome to empty its diastolic volume |
Aldosterone | adrenal hormone that causes salt and water to be reabsorbed, increasing blood pressure |
Beta-type natriuretic peptide (BNP) | cardio protective neurohormone that functions to decrease blood pressure by increasing excretion of sodium and water, promoting arterial dilation, and counteracting renin, angiotensin, and aldosterone |
Cardiac resynchronization therapy | technique that restores synchrony in the contractions of the right and left ventricles using a biventricular pacemaker |
Cardiogenic pulmonary edema | condition in which the left ventricle becomes incapable of maintaining sufficient output of blood with each contraction |
Cardiomyoplasty | surgical procedure in which a client's own chest muscle (latissimus dorsi) is grafted to the aorta and wrapped around the heart to augment ineffective myocardial muscle contraction |
Chronic heart failure | disorder in which the heart's ability to pump effectively is compromised for an extended period of time |
Congestive heart failure | accumulation of blood and fluid within organs and tissues as a result of ineffective heart contraction |
Cor pulmonale | disorder in which pulmonary disease causes the right ventricle to enlarge or fail |
Destination therapy | mechanical circulatory support when there is no option for a heart transplant |
Ejection fraction | percentage of blood the left ventricle ejects when it contracts |
Heart failure | inability of the heart to pump sufficient blood to meet the body's metabolic needs |
Inotropic medications | drugs that improve myocardial contractility |
Intra-aortic balloon pump | device that acts as a temporary, secondary pump to supplement ineffectual contraction of the heart's left ventricle |
Left-sided heart failure | condition that results from various conditions that impair the left ventricle's ability to eject blood into the aorta |
Multiple gated acquisition (MUGA) scan | most accurate noninvasive test that that can measure the left ventricle's ejection fraction during rest and activity |
Myocardial oxygen demand | amount of oxygen the heart needs to perform its work |
Orthopneic position | sitting position in which the client leans on several pillows on the overbed table -tripod position |
Phlebostatic axis | location at the 4th intercostal space in the midaxillary line |
Preload | degree of stretch of the cardiac muscle fibers at the end of diastole |
Pulmonary vascular bed | capillary network surrounding the alveoli |
Refractory heart failure | heart failure that persists despite maximum medical therapy |
Right-sided heart failure | condition that occurs when the right ventricle fails to completely eject its diastolic filling volume |
Surgical ventricular restoration (SVR) | procedure that decreases the size of the heart to a near-normal size and shape by removing dysfunctional heart muscle that does not contract properly |
Total artificial heart | electrically powered pump that circulates blood into the pulmonary vessels and the aorta thus replacing the functions of the ventricles |
Tripod position | sitting position in which the client leans on several pillows on the overbed table -orthopneic position |
Ventricular assist device | auxiliary heart pump that supplements the heart's ability to eject blood |
Ventricular remodeling | change in the size, shape, structure, and physiology of the heart after myocardial injury |
Annuloplasty | surgical repair of the mitral valve leaflets and their fibrous ring |
Cardiac index | calculation that reflects the cardiac output in relation to a particular client's body size |
Cardiac tamponade | compression of the heart with blood that accumulates within the pericardium |
Cardioplegia | intentional stopping of the heart for a surgical procedure |
Cardiopulmonary bypass | technique in which blood is mechanically circulated and oxygenated outside the body |
Central venous pressure | pressure produced by venous blood in the right atrium |
Commissurotomy | surgical procedure in which adhesions are opened in the cardiac valve cusps |
Coronary artery bypass graft | surgical procedure that improves myocardial oxygenation by bypassing or detouring around the occluded portion of one or more coronary arteries with a relocated blood vessel from a healthy leg vein or chest artery |
Drug-eluting stent | scaffolding device that keeps a coronary artery open and releases a drug that prevents reocclusion |
Embolectomy | surgical removal of an embolus |
Endarterectomy | surgical removal of the atherosclerotic plaque lining an artery |
Extracorporeal circulation | technique in which blood is mechanically circulated and oxygenated outside the body |
Hemodynamic monitoring | procedure used to assess the volume and pressure of blood within the heart and vascular system by means of a peripherally inserted catheter |
Hybrid revascularization | combination of minimally invasive coronary artery bypass as well as percutaneous balloon angioplasty with placement of a stent for multi vessel disease |
Left ventricular end-diastolic pressure | retrograde pressure from the fluid on the left side of the heart at the end of left ventricular diastole |
Myocardial revascularization | surgical procedure that improves the delivery of oxygenated blood to the myocardium by using one or more coronary artery bypass grafts |
Nomogram | chart that calculates body surface area on the basis of height and weight |
Pulmonary capillary wedge pressure | retrograde pressure from the fluid on the left side of the heart at the end of left ventricular diastole |
Thrombectomy | surgical removal of a thrombus |
Valvuloplasty | surgical procedure in which an incompetent cardiac valve is repaired |
Hemoptysis | expectoration of blood or bloody sputum |