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78 Cards in this Set

  • Front
  • Back
AACN
American Association of Critical-Care Nurses
ANA
American Nurses Association
HRSA
Health Resources and Services Administration
ICU
Intensive Care Unit
IHI
Institute for Healthcare Improvement
IOM
Institute of Medicine
SCCM
Society of Critical Care Medicine
CI
Cardiac Index
CO
Cardiac Output
CVP
Central Venous Pressure
ECG
Electrocardiogram
L/min/m2
Liters/Minute/Square Meters
MAP
Mean Arterial Pressure
PA
Pulmonary Artery
PAWP
Pulmonary Artery Wedge Pressure
PVR
Pulmonary Vascular Resistance
RA
Right Atrial
RAP
Right Atrial Pressure
RV
Right Ventricle; Right Ventricular
SaO2
Oxygen Saturation
ScvO2
Central Venous Oxygen Saturation
SV
Stroke Volume
SvO2
Oxygen Saturation of Venous Blood
SVR
Systemic Vascular Resistance
(Define:) Absolute refractory period
The brief period during depolarization of the cardiac cell membrane when the cardiac cells iwll not respond to further stimulation.
(Define:) Accelerated rejection
The recipient has been sensitized to some of the donor antigens.
(Define:) Acute coronary syndrome
Umbrella term used to describe conditions that cause cheast pain due to inadequate blood flow to the myocardium.
(Define:) Acute lung injury
Considered the pulmonary symptom of multiple organ dysfuntion syndrome (MODS). The most severe form of ALI is acute respiratory dystress syndrome (ARDS).
ALI
Acute lung injury
MODS
Multiple Organ Dysfunction Syndrome
(Define:) Acute rejection
A cell-mediated immune response that results in T lymphocytes infiltrating the donated organ and damaging it by secreting lysosomal enzymes and lymphokines.
ARDS
Acute respiratory distress syndrome
(Define:) Acute respiratory distress syndrome
The most severe form of acute lung injury.
(Define:) Acute respiratory failure
Failure of the pulmonary system to provide sufficient exchange of oxygen to supply the body's demands.
(Define:) Advance directives
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.
(Define:) Adverse effect
Injury caused by medical management rather than the underlying condition of the patient.
(Define:) Afterload
The pressure (resistance) against which the right or left ventricle has to pump to eject the blood.
(Define:) Airways
(Nasopharyngeal or oropharyngeal); designed to hold the tongue away from the pharynx, preventing occlusion of the upper airway.
(Define:) Alcohol withdrawal syndrome
Withdrawal of the depressant effects of alcohol that results in excitability of the cnetral nervous system.
(Define:) Alcoholic hallucinosis
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.
(Define:) Anabolic hormone
A hormone that synthesizes simple hormones into a more complicated hormone. Insulin is one.
(Define:) Angina pectoris
An oppressive pain or pressure in the chest caused by inadequate oxygenation and blood flow to the heart muscle.
(Define:) Angioedema
Swelling of the skin and mucous membranes.
(Define:) Anxiety
A subjective feeling of distress and anguish
(Define:) Ascites
The accumulation of a large amount of protein-rich fluid in the peritoneal cavity.
(Define:) Astrocytomas
The most common types of malignant brain tumors
(Define:) Atherosclerosis
The most common form of arteriosclerosis marked by cholesterol-lipid-calcium deposits in the walls of the arteries.
(Define:) Atrioventricular node
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.
(Define:) Atutomaticity
The ability of certain cardiac cells to spontaneously initiate an electrical impulse
(Define:) Beck's triad
Signs seen with a pericardial tamponade that include hypotention, distended neck veins, and muffled heart sounds.
(Define:) Brain death
The irreversible loss of function of the brain, including the brainstem.
(Define:) Brain tumors
Classified as primary or metastatic. Most metastatic arise from the lungs, breast, and skin. Primary may be either benign or malignant.
(Define:) B-type natriuretic peptide
A peptide released in response to increased ventricular filing pressures. Normal levels are 0 to 100 pg/mL
(Define:) Bundle of His
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.
(Define:) Carbohydrates
Monosaccharides, disaccharides, and polysaccharides.
(Define:) Cardiac cycle
The sequence of events related to the flow of blood from the beginning of one heartbeat to the beginning of the next.
(Define:) Cardiac index
Cardiac output divided by the body surface area
(Define:) Cardiac output
The volume of blood ejected by the left ventricle every minute, determined by heart rate and stroke volume.
(Define:) Cardiopulmonary resuscitation
Provision of ventilation and compressions in an effort to sustain life.
(Define:) Cardioversion
Electrical shocks throught the chest wall and heart that are synchronized with the QRS complex of the patient's cardiac rhythm
(Define:) Central venous pressure
Meausres the right-sided preload via a catheter placed in a central vein such as the subclavian or internal juglular.
ARDS
Acute respiratory distress syndrome
ARF
acute respiratory failure
AV
atrioventricular
CVP
central venous pressure
What is normal CVP?
2 to 6 mm Hg (mean)
(Hemodynamic Calculations:) Pulse pressure
Systolic pressure - diastolic pressure
(Hemodynamic Calculations:) Mean arterial pressure (MAP)
MAP = [(systolic pressure )+(diastolic pressure x 2)] / 3
(Hemodynamic Calculations:) Cardiac output
Heart rate x stroke volume
(Hemodynamic Calculations:) Cardiac index
cardiac output / body surface area
(Hemodynamic Calculations:) Stroke volume
cardiac output x 1000 / heart rate
(Normal Values:) MAP
70 - 105 mm Hg
(Normal Values:) Cardiac output
4 - 8 L/min
(Normal Values:) Cardiac index
2.8 - 4.2 L/min/m2
(Normal Values:) Stroke volume
60 - 100 mL/beat
What does a Tachycardic rhythm do to CO?
Tachycardic rhythms shorten the time in diastole when the heart fills, therefore reducing the amount of blood available for ejection, thus lowering CO.
What does a Bradycardic rhythm do to CO?
Bradycardic patients have a reduced CO simply due to reduced ejection time.
What are the primary factors that determine Stroke Volume?
preload, afterload and contractility