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Cardiovascular & Pulmonary Review

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Normal pH, whole blood   show
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Normal SaO2 Value   show
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When does a person usually require supplemental O2?   show
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show 5,000-10,000 cells/mm^3  
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Type of exercise for pt with WBC > 5,000 cells/mm3   show
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Type of exercise for pt with WBC < 5,000 cells/mm^3 and a fever   show
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show 4.7-6.1 10^6/mm^3  
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Normal RBC value for adult female   show
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show 42-52%  
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show 37-47%  
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Type of exercise for pt with < 25% Hematocrit value   show
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show Light exercise only  
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Normal Platelet count value   show
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Define Atherosclerosis   show
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show Pain in chest, jaw or L arm secondary to temporary, localized ischemia  
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show Failure or hypertrophy of R ventricle resulting from disorders of the lungs, pulmonary vessels or chest wall; lung pathology produces pulm artery HTN, usually chronic  
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show Nausea, Anorexia, Wt gain, Fullness in Abdomen, Venous stasis, Peripheral edema  
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show Weakness, Fatigue, SOB, DOE, Cough, Orthopnea, Crackles  
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show When edema is present  
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Define R-sided Heart Failure   show
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show Reduced Cariac Output with blood not being adequately pumped into systemic circulation due to inability of L Ventricle to pump  
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show Diuretics, Digitalis  
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Effects of Digitalis   show
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Effects of Diuretics   show
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show Vasodilator, Reduce BP & preload, Reduce O2 demand of heart  
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show Deep visceral pain of aching or pressure, radiating to jaw and L arm, more severe than angina & unimproved with nitroglycerin  
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Which medication will pt will most likely be given if they have a heart block?   show
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show Increases HR by inhibiting vagal influence on heart  
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show PR prolongation  
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show Third degree AV block = complete heart block  
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show Creatine phosphate, Lactate Dehydrogenase, Serum Glutamic Oxalacetic Transaminase  
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show Low stroke volume  
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show Shortened ventricular systole & Decreased peripheral pressure  
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A bruit heard on auscultation most likely indicates...   show
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show Normal closure of mitral/tricuspid (AV) valves (beginning of systole)  
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The second heart sound (S2) or dub is made by...   show
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The Right Coronary Artery supplies...   show
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If Right Coronary Artery is blocked, could cause...   show
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The Left Coronary Artery supplies...   show
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show L ventricular failure which leads to pulmonary edema  
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show Unstable angina, Resting SBP >200 or DBP > 110, Orthostatic BP drop >20 with symptoms, Acute systemic illness or fever, Uncontrolled atrial/vent arrhythmias, sinus tachycardia, active pericarditis/myocarditis, recent embolism, thromboembolism...  
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show SBP >orequal to 220, DBP >orequal to 110, Decr in SBP >20 mmHg, Signif vent/atrial dysrhythmias, ST displacement(2mm horiz/downsloping), >+3PVCs, 2nd or 3rd degree heart block  
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Signs & Symptoms of Exercise Intolerance in Cardiac pts   show
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show Ischemia  
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ST segment elevation indicates   show
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Ventricular tachycardia will have what appearance on EKG?   show
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Define Hyperventilation   show
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show Increased RR, Decreased BP, vasoconstriction, possible syncope, marked anxiety, wrist cramping  
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show Anaerobic infection; COPD, Pneumonia, TB  
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show Infection; Bronchitis, Cystic Fibrosis  
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show Pulmonary edema  
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show Cystic fibrosis or conditions with chronic cough; Asthma, Bronchitis  
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show Blood in sputum  
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show Vital Capacity & FEV1  
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show Total Lung Capacity, Forced Respiratory Capacity, Residual Volume, Vital Capacity, PaCO2  
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Define Cystic Fibrosis   show
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show Freg resp infections, inability to gain wt, positive sweat electrolyte test, rales, wheezing, productive large amounts of mucoid, may have hemoptysis  
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Define Crackles   show
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Define Rhonchi   show
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show continuous adventitious sound of inspiration assoc with upper airway obstruction  
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Define Wheezes   show
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show Away from the affected side  
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show Prolongs exhalation to slow breathing rate, Relieves SOB, Reduces work of breathing  
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Effects of Glossopharyngeal Breathing   show
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Effects of Segmental Breathing   show
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show Hyperventilation, Anxiety, & Stuttering  
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show High Spinal Cord Injury  
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show Emphysema  
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Effects of Diaphragmatic Breathing   show
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show 75-100 mmHg  
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Techniques to Improve gas exchange & Increase lung volumes   show
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show Pursed lip breathing, Pacing of breath with activity or exercise, Diaphragmatic breathing  
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Techniques to Increase Expiratory force or cough   show
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One MET equals...   show
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Total Normal Cholesterol Values should be...   show
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Describe Phase I (acute)of Cardiac Rehabilitation   show
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Describe Phase II (subacute, OP or Home program) Cardiac Rehabilitation   show
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show Intensity: must function at 5 METs in order to begin this phase; progress to 50-80% functional capacity Freq: 3-4xs/wk; Duration: 45 min per session Type: progress supervised to self-regulated  
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Define Vital Capacity   show
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Define Total Lung Capacity   show
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Residual Volume   show
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Functional Residual Volume   show
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Forced Vital Capacity   show
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show The amount of additional air that can be pushed out after the end expiratory level of normal breathing  
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Inspiratory Reserve Volume   show
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show The maximal volume that can be inspired following normal expiration  
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show Amount of air left in lungs after tidal breath out  
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show Are closer to 1 OR > 70%  
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