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41 Cards in this Set

  • Front
  • Back

ANgina Pain scale

1 = mild --> 4 unbearable

ABI

checking for PAD: systolic ankle divided by systolic arm BP

ABI: normal

1.0-1.3

ABI: rigid arteries

> 1.3

ABI: mild blockage

0.8-0.99

ABI: moderate

0.4-0.8; level that will be intermittent claudication with activity

ABI: severe

<0.4 severe blockage with intermittent claudication with rest

Korotkoff sounds: Phase I

systolic BP

Korotkoff sounds: Phase V

diastolic BP

Normal BP

120/80 mmHg

Prehypertensive

120-139 / 80-89 mmHg

Stage 1 HTN

140-159 / 90-99 mmHg

Heart Sounds: location for aortic area

2nd intercostal space at the R sternal border

Heart Sounds: location pulmonic area

2nd intercostal space at the L sternal border

Heart Sounds: location mitral area

5th intercostal space medial to left midclavicular line

Heart Sounds: location tricuspid area

4th intercostal space at the left sternal border

Listening for heart sound S1

closure of mitral or tricuspid valves at onset of ventricular systole

Listening for heart sound S2

closure of aortic or pulmonic valves at onset of ventricular diastole

Listening for heart sound S3

vibrations of distended ventricle during filling of atria

Listening for heart sound S4

vibration of ventricular wall with ventricular filling and atrial contraction

Adventitious breath sounds: crackle/rales/crepitations

high pitched, restrictive or obstructive, popping sounds, like the sound of hairs being rubbed together on your fingers; often heard at base of lungs

Adventitious breath sounds: Pleural friction rub

dry, cracking sound from inflamed visceral and parietal pleurae rubbing together; localized to painful area

Adventitious breath sounds: Rhoni/wheeze

continuous low pitched snoring or musical wheezing from turbulent airflow; heard on inspiration or expiration

Adventitious breath sounds: Stidor

continuous high pitched wheeze; indicates upper airway obsturctions

Voice Sounds: Bronchophony

increased vocal resonance with greater clarity and loudness (99)

Voice Sounds: Egophony

form of bronchophony long "E" sound changes to nasal sounding "A"

Voice Sounds: Whispered pectoriloquy

recognition of whispered words

Voice Sounds: normal

muffled, fait and indistinct

BMI: nomal

8.5-24.9

BMI: Overweight

25.0-29.9

BMI: Obesity

>30.0

Absolute indication for termination of Stress test

drop in SBP >10 with increased workload w/ evidence of ischemia; 3/4 angina pain; nervous system S&S; poor perfusion, v tachy (150); 1.0 ST elevation

Relative indication for termination of Stress test

drop in SBP >10 with increased workload w/o evidence of ischemia; > 2 mm ST depression, arrhythmias; fatigue, SOB, leg cramps, conduction delay, increased chest pain, HTN 250/115

Pulmonary Function Tests: FVC time to test

6 sec exhale

FEV1/FVC < ____% is primary indicator of an obstructive impairment.

70

Restrictive ventilatory impairment: FVC is ___ and FEV1/FVC is normal of > ____%

reduced; 80

Rate pressure product: info

index of myocardial oxygen consumption and coronary blood flow; = HR x SBP

Keeping the intensity of exercise ______ will reduce the risk of angina

below the RPP

RPE scales

original 6-20 with 13 being somewhat hard; 0-10 with 4 being somewhat strong

RPE ____ = 70% of max HR

13-14

RPE of ____ = upper limit of prescribed training HR in early cardiac rehab

11-13