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Cardiac Unit 1

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Question
Answer
EKG   Graphic representation of electrical conduction through the heart  
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Isoelectric Line   Baseline, no electrical activity.  
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P Wave   Atrial depolarization or contraction  
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PR Interval   The time it takes the impulse to travel from SA node to ventricular muscle (AV Node)  
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QRS Complex   Ventricular depolarization or contraction  
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T Wave   Ventricular repolarization or relaxation after contraction.  
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ST Segment   Time between the end of contraction and repolarization or relaxation of ventricular muscle.  
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Normal Sinus Rhythm (NSR)   PQRST present P waves look alike in front of QRS. regular rate R-R intervals the same. atrial and ventricular rate are equal 60-100 conduction PRI 0.12-0.20 sec. QRS <0.12  
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Sinus Bradycardia   PQRST present, same appearance Reg rhythm Rate: <60 bpm conduction: Normal PRI, QRS normal in athletes, dec cardiac output others TX: Atropine if symptomatic  
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Sinus Tachycardia   PQRST present, same appearances Rhythm: Regular Rate: 100-150 bpm Conduction: Normal PRI, QRS PT response: Decreased cardiac output TX: treat cause first (pain, low 02, hypovolemia, anxiety, bronchodilator)  
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Acapella   small hand held device, combines PEP (positive expiratory pressure) and airway vibrations to mobilize pulmonary secretions  
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Anti-tussive   cough suppressant  
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Asthma   chronic inflammatory disorder of the airways lead to recurrent wheezing, breathlessness, chest tightness, and cough, especially at night and early morning.  
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Bronchitis   inflammation of the bronchi in lower respiratory tract, usually with or after a viral URI  
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Bronchoscopy   bronchi visualized through fiber optic tube  
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Bronchospasm   increase in bronchial smooth muscle tone with resultant closure of small airways. Airway edema develops causing secretion build up. Wheezing, dyspnea, use of accessory muscles, hypoxia, and tachypnea.  
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Laryngospasm   spasm of laryngeal muscle.  
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COPD   chronic obstructive pulmonary disorder. A preventable, treatable disease state with chronic airflow limitations that is not fully reversible. Airflow limitation usually progressive and associated with abnormal inflammatory response of the lungs to noxious  
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Cor pulmonale   enlargement of the right ventricle secondary to diseases of the lung, thorax, or pulmonary circulation.  
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Crackles (rales)   fine-short duration, discontinuous, high-pitched sounds heard just before end of inspiration. Rice krispie like. Coarse-long duration, discontinuous, low-pitched sounds caused by air passing through airways intermittently occluded by mucus, unstable bronc  
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Crepitus   crackling or rattling sound made by a part of the body, either spontaneously or during physical exam.  
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Dyspnea   air hunger in labored or difficult breathing, sometimes accompanied by pain.  
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Emphysema   a COPD marked by abnormal increase in size of air spaces distal to terminal bronchiole with destruction of alveolar walls.  
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FEV1 second   forced expiratory volume in one second  
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Expectorant   an agent such as Guaifenesin that promotes clearance of mucus from resp tract.  
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Hemoptysis   expectoration of blood that arises room the larynx, trachea, bronchi, or lungs.  
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Hypercapnia   increase in partial pressure of carbon dioxide in the blood, typically to levels greater than 45-50 mmHg. ↑CO2 in blood result from inadequate ventilation or massive mismatches between ventilation and perfusion of the blood.  
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Hypercarbia   see hypercapnia.  
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Hypoxia   oxygen deficiency in body tissues.  
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Hypoxemia   decreased oxygen tension (O2 concentration) of arterial blood, measured by the arterial oxygen partial pressure (PaO2) values.  
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ISE   spirometry where visual and vocal stimuli are given to produce maximum effort during deep breathing.  
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Mucolytic   pertaining to a class of agents that liquefy sputum or reduce its viscosity.  
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Orthopnea   labored breathing occurs when lying flat and improves when standing or sitting up.  
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PEFR (peak expiratory flow rate)   maximum rate of exhalation during forced expiration, measured in liters per second or liters per minute. Used to test airway obstruction.  
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Pneumothorax   collection of air or gas in the pleural cavity. Gas enters as a result of perforation through the chest wall (trauma, iatrogenic injury) or pleura.  
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Postural drainage   passive airway clearance technique in which patients are positioned so that gravity will assist with removal of secretions from specific lobes of lung, bronchi, or lung cavities.  
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Pulmonary function test   test to evaluate condition of respiratory system. Measures expiratory flow and lung volumes and capacities.  
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Rhonchi   low-pitched wheezing, snoring or squeaking sound heard in a person with partial airway obstruction.  
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Status asthmatics   persistent and intractable asthma.  
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Thoracentesis   inserting a needle through the chest wall and into pleural space usually to remove fluid for diagnostic or therapeutic purposes.  
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Tidal volumes   volume of air inspired and expired in a normal breath.  
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Tracheostomy   surgical opening of trachea to provide and secure an open airway.  
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V/Q scan   used in diagnoses of PE. Microscopic spheres of radioactive particles inhaled to evaluate ventilation and perfusion.  
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Wheezes   continuous musical sound heard predominantly on expiration caused by narrowing of the lumen of respiratory passageway.  
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