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EMTC Chapter 20 - Complete Basic Worktext - Patients with Cardiac Problems

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(CHD) Coronary heart disease is   the single leading cause of death in America today.  
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Angina   chest pain  
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cardiac arrest   the stopping of the heart resulting in a loss of effective circulation  
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Automated external defibrillator (AED)   electrical device that automatically analyzes the heart rhythm, and if appropriate provides a measured dose of electricity through the heart in an attempt to defibrillate or convert the heart into a normal rhythm.  
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Circulatory System   the system made up of the heart, the blood vessels, and the blood. Also called the cardiovascular system (cardio referring to the heart; vascular referring to the blood vessels)  
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Perfusion   the adequate supply of well oxygenated blood to the body tissues, especially the vital organs (Hypoperfusion is inadequate perfusion)  
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Atria   the two upper chambers of the heart. There is a right atrium (which receives unoxygenated blood returning from the body) and a left atrium (which receives oxygenated blood returning from the lungs)  
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Ventricles   the two lower chambers of the heart. There is a right ventricle (which sends oxygen poor blood to the lungs) and a left ventricle (which sends oxygen rich blood to the body)  
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Automaticity   the ability of all heart muscle cells to generate an electrical impulse  
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Conduction pathway   the pathway of electrical impulses through the heart, which causes the heart to beat. The cardiac conduction pathway begins at the sinoatrial node and flows down the center of the heart eventually branching across both ventricles.  
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Sinoatrial node   beginning of the cardiac conduction pathway located at the top of heart near the right atrium  
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Signs of good perfusion include:   Normal Skin Signs, Normal Mental signs, normal vital signs.  
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Signs of bad perfusion include:   abnormal skin signs(pale cool temp), altered mental status(sluggishness, confusion, decreased responsiveness), abnormal vital signs (increased pulse and resp rate, and decreased blood pressure)  
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Arteries   tiny blood vessels carrying blood away from the heart  
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Veins   tiny blood vessel returning blood to the heart  
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Arterioles   the smallest kind of artery  
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Venules   the smallest kind of vein  
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Capillaries   tiny vessels that connect arterioles and venuoles  
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Aorta   the largest aretery in the body it is attached directly to the left ventricle. It is responsible for carrying oxygenated blood directly from the heart to the major areas of the body  
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Venae caveae   they are the largest veins of the body and deliver deoxygenated blood from the body directly into the heart through the right atrium  
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Coronary arteries   theya re the small arteries that carry oxygenated blood to the heart muscle itself. A disruption in flow through these areteries can cause pain and damage to the heart muscle  
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Pulmonary arteries   these are the only aerteries in the body that carry deoxygenated blood. They carry blood from the heart and into the lungs to be oxygenated  
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Pulmonary veins   the only veins in the body that carry oxygenated blood they bring freshly oxygenated blood back from the lungs into the left atrium  
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Carotid arteries   found in the neck along both sides of the trachea, these arteries carry blood to the head  
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Brachial arteries   located on the inside of each arm between the armpit and the elbow, these arteries carry blood to each arm.  
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Radial arteries   located on the thumb side of the anterior wrist, these arteries carry blood to the hands.  
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Femoral arteries   located in the anterior groin area, these arteries supply blood to the lower extremities  
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Plasma   this is the clear yellowish fluid in which the other components of blood are suspended  
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Red blood cells   these are disc shaped cells responsible for transporting oxygen and carbon dioxide to and from the tissues  
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White blood cells   these are any of the colorless or white cells in the blood that help protect the body from infection and disease  
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Platelets   these are the irregularly shaped cell fragments that are responsible for promoting rapid blood clotting  
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Myocardial infarction (MI)   occlusion or blockage of one or more of the coronary arteries resulting in damage to the heart muscle. Also called a heart attack  
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Angina   literally a pain in the chest occurs when one or more of the coronary arteries are unable to provide an adequate supply of oxygenated blood to the heart muscle.  
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Congestive Heart failure (CHF)   an overload of fluid in the bodys tissues that results when the heart is unable to pump an adequate volume of blood  
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Dyspnea   shortness of breath  
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