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78 Cards in this Set
- Front
- Back
AACN
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American Association of Critical-Care Nurses
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ANA
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American Nurses Association
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HRSA
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Health Resources and Services Administration
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ICU
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Intensive Care Unit
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IHI
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Institute for Healthcare Improvement
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IOM
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Institute of Medicine
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SCCM
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Society of Critical Care Medicine
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CI
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Cardiac Index
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CO
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Cardiac Output
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CVP
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Central Venous Pressure
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ECG
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Electrocardiogram
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L/min/m2
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Liters/Minute/Square Meters
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MAP
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Mean Arterial Pressure
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PA
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Pulmonary Artery
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PAWP
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Pulmonary Artery Wedge Pressure
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PVR
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Pulmonary Vascular Resistance
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RA
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Right Atrial
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RAP
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Right Atrial Pressure
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RV
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Right Ventricle; Right Ventricular
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SaO2
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Oxygen Saturation
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ScvO2
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Central Venous Oxygen Saturation
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SV
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Stroke Volume
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SvO2
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Oxygen Saturation of Venous Blood
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SVR
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Systemic Vascular Resistance
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(Define:) Absolute refractory period
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The brief period during depolarization of the cardiac cell membrane when the cardiac cells iwll not respond to further stimulation.
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(Define:) Accelerated rejection
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The recipient has been sensitized to some of the donor antigens.
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(Define:) Acute coronary syndrome
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Umbrella term used to describe conditions that cause cheast pain due to inadequate blood flow to the myocardium.
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(Define:) Acute lung injury
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Considered the pulmonary symptom of multiple organ dysfuntion syndrome (MODS). The most severe form of ALI is acute respiratory dystress syndrome (ARDS).
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ALI
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Acute lung injury
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MODS
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Multiple Organ Dysfunction Syndrome
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(Define:) Acute rejection
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A cell-mediated immune response that results in T lymphocytes infiltrating the donated organ and damaging it by secreting lysosomal enzymes and lymphokines.
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ARDS
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Acute respiratory distress syndrome
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(Define:) Acute respiratory distress syndrome
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The most severe form of acute lung injury.
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(Define:) Acute respiratory failure
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Failure of the pulmonary system to provide sufficient exchange of oxygen to supply the body's demands.
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(Define:) Advance directives
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Allow competent patients to indicate in advance the kind of health care treatment they would desire, should they become incapacitated at the end of their lives.
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(Define:) Adverse effect
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Injury caused by medical management rather than the underlying condition of the patient.
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(Define:) Afterload
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The pressure (resistance) against which the right or left ventricle has to pump to eject the blood.
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(Define:) Airways
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(Nasopharyngeal or oropharyngeal); designed to hold the tongue away from the pharynx, preventing occlusion of the upper airway.
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(Define:) Alcohol withdrawal syndrome
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Withdrawal of the depressant effects of alcohol that results in excitability of the cnetral nervous system.
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(Define:) Alcoholic hallucinosis
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The patient experiences perceptual disturbances -- usually visual, auditory, or tactile phenomena -- without sensorial alterations. The patient is fully conscious, aware of the environment, acknowledging that the hallucinations are related to the substance dependence and withdrawal.
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(Define:) Anabolic hormone
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A hormone that synthesizes simple hormones into a more complicated hormone. Insulin is one.
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(Define:) Angina pectoris
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An oppressive pain or pressure in the chest caused by inadequate oxygenation and blood flow to the heart muscle.
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(Define:) Angioedema
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Swelling of the skin and mucous membranes.
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(Define:) Anxiety
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A subjective feeling of distress and anguish
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(Define:) Ascites
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The accumulation of a large amount of protein-rich fluid in the peritoneal cavity.
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(Define:) Astrocytomas
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The most common types of malignant brain tumors
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(Define:) Atherosclerosis
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The most common form of arteriosclerosis marked by cholesterol-lipid-calcium deposits in the walls of the arteries.
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(Define:) Atrioventricular node
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A pacemaker of the heart that is part of the electrical conduction pathway between the atria and ventricles and which, if not stimulated from the SA node, can spontaneously generate electrical impulses at a rate of 40 to 60 beates per minute.
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(Define:) Atutomaticity
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The ability of certain cardiac cells to spontaneously initiate an electrical impulse
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(Define:) Beck's triad
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Signs seen with a pericardial tamponade that include hypotention, distended neck veins, and muffled heart sounds.
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(Define:) Brain death
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The irreversible loss of function of the brain, including the brainstem.
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(Define:) Brain tumors
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Classified as primary or metastatic. Most metastatic arise from the lungs, breast, and skin. Primary may be either benign or malignant.
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(Define:) B-type natriuretic peptide
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A peptide released in response to increased ventricular filing pressures. Normal levels are 0 to 100 pg/mL
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(Define:) Bundle of His
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The initial part of the ventriclular conduction system that penetrates the AV values, and then bifurcates into the right and left bundle branches to bring electrical stimulation to the right and left ventricles.
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(Define:) Carbohydrates
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Monosaccharides, disaccharides, and polysaccharides.
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(Define:) Cardiac cycle
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The sequence of events related to the flow of blood from the beginning of one heartbeat to the beginning of the next.
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(Define:) Cardiac index
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Cardiac output divided by the body surface area
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(Define:) Cardiac output
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The volume of blood ejected by the left ventricle every minute, determined by heart rate and stroke volume.
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(Define:) Cardiopulmonary resuscitation
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Provision of ventilation and compressions in an effort to sustain life.
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(Define:) Cardioversion
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Electrical shocks throught the chest wall and heart that are synchronized with the QRS complex of the patient's cardiac rhythm
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(Define:) Central venous pressure
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Meausres the right-sided preload via a catheter placed in a central vein such as the subclavian or internal juglular.
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ARDS
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Acute respiratory distress syndrome
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ARF
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acute respiratory failure
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AV
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atrioventricular
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CVP
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central venous pressure
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What is normal CVP?
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2 to 6 mm Hg (mean)
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(Hemodynamic Calculations:) Pulse pressure
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Systolic pressure - diastolic pressure
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(Hemodynamic Calculations:) Mean arterial pressure (MAP)
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MAP = [(systolic pressure )+(diastolic pressure x 2)] / 3
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(Hemodynamic Calculations:) Cardiac output
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Heart rate x stroke volume
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(Hemodynamic Calculations:) Cardiac index
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cardiac output / body surface area
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(Hemodynamic Calculations:) Stroke volume
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cardiac output x 1000 / heart rate
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(Normal Values:) MAP
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70 - 105 mm Hg
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(Normal Values:) Cardiac output
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4 - 8 L/min
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(Normal Values:) Cardiac index
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2.8 - 4.2 L/min/m2
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(Normal Values:) Stroke volume
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60 - 100 mL/beat
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What does a Tachycardic rhythm do to CO?
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Tachycardic rhythms shorten the time in diastole when the heart fills, therefore reducing the amount of blood available for ejection, thus lowering CO.
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What does a Bradycardic rhythm do to CO?
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Bradycardic patients have a reduced CO simply due to reduced ejection time.
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What are the primary factors that determine Stroke Volume?
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preload, afterload and contractility
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