Cardiovascular assessment-vol1 p380-383
Terms
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- pulmonary circulation
- o2 poor blood goes from the heart to the lungs where it is oxygenated and returned to the heart
- systemic circulation
- 02 rich blood is pumped through the body
- what is teh largest part of the heart? What is its purpose?
- the left ventricle. It pumps blood into the systemic curculation via the arterial system
- Coronary circulation
- circulation of blood through the heart itself--it is part of systemic circulation
- when the atria are contracting the ventriclas are ____
- relaxing
- Systole
- contraction or emptying of the ventricles
- Diastole
- relaxation or filling of the ventricles
- where does the heart sit in the chest?
- at the 3rd, 4th and 5th intercostal spaces
- What are the three positions to place the client for cardiac assessment?
- sitting, supine and left lateral recumbent
- What is teh pericordium and what (and where) do you assess it for?
- it is the area of the chest over the heart, and you assess it for visible pulsations at the 5th ICS/midclavicular line.
- Where are pulsations visible?
- PMI (apical)
- What would visible pulsations that were not at the PMI indicate? What are they called?
- an enlarged ventricle. They are called heaves and lifts.
- What is a Thrill? What does it indicate?
- a vibration or pulsation palpated in any area except the PMI. It is associated with abnormal blood flow and usually has an accompanying murmur.
- murmur
- turbulent blood flow through the heart
- pulmonary arteries
- cary 02 poor blood from the right ventricle to the lungs
- pulmonic veins
- cary 02 rich blood from the lungs into the left atrium.
- why should you not message the carotid artery?
- because increased pressure on the carotids will lead to a drop in the pulse rate
- what is a bruit?
- turbulent blood flow through the carotid artery---it produces a whoosh sound
- what types of things would cause a bruit?
- carotid stenosis, increased cardiac output due to fluid overload, use of stimulants, hyperthyroidism.
- If you hear a bruit what can you do?
- lightly palpate the neck for thrills.
- the jugular veins are ___when the client is in an upright position and ___when the client lies flat.
- flat, and distended
- What is JVD?
- it is seen when the right side of the heart is congested due to inadequate pump function.
-
systemic circulation
02 rich blood is pumped through the body -
what is teh largest part of the heart? What is its purpose?
the left ventricle. It pumps blood into the systemic curculation via the arterial system -
Coronary circulation
circulation of blood through the heart itself--it is part of systemic circulation -
when the atria are contracting the ventriclas are ____
relaxing -
Systole
Diastole
-
contraction or emptying of the ventricles
relaxation or filling of the ventricles