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26 Cards in this Set
- Front
- Back
What is the Sinoatrial node (sinus Node)
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pacemaker of the heart, initiates heart beat, generates impulses in a resting heart at a rate of 60-100 beats per minute
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Diastole
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relaxation of the ventricles (ventricular filling) AV valves open and blood rushes from the atria into the ventricles.
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Systole
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pressure caused by blood now in the ventricles causes the AV valves (mitral and tricuspid) to shut. Producing the first heart sound S1
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Systole prevents blood from flowing backwards into _____ during ventricular contraction
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atria
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At this point, all four valves are closed and the ventrilces contract. This causes high pressure and forces the _____ ______ to open.
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Semilunar valves (aortic and pulmonic)
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Blood is ejected rapidly from the _____ reducing the pressure in the ventricles- causing the ____ ____ to close. Producing the S2 heart sound which signals the end of _____
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ventricles
semilunar valves systole |
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Where is the aortic region located?
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the 2nd intercostal space on the Right sternal border (RUSB)
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Where is the pulmonic region located?
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the 2nd intercostal space on the left sternal border (LUSB)
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Where is the tricuspid region
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the 4th intercostal space at the LT sternal border (LLSB)
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Where is the mitral region
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near the apex of the heart at the 5th intercostal space in the the mid-clavicular line
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When is the First heart sound produced? S1
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Lub- closure of the AV valves.
Tricuspid and Mitral |
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When is the 2nd heart sound produced?
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Closure of the semilunar valves (dub)
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What causes murmurs?
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caused by turbulent blood flow
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How is cardiac output measured and what is it
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SV x HR = CO
amount of blood pumped by the ventricles in about one minute |
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What is important for determining right side of the heart functioning-reflects right atrial pressure or central venous pressure?
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jugular veins
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For the jugular veins right sided failure _____ pulse and pressure
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increases
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In the Jugular veins what is the cause of decrease in pulse and pressure?
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usually due to reduced blood volume
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what is CHD
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coronary heart disease
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What causes CHD
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atherosclerosis of the coronary arteries, which restricts blood flow to the coronary tissues
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What are 5 Non-modifiable risk factors for CHD:
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1. Positive family history
2.Increasing age 3. Sex- 3x more in men than women 4.Race-higher incidence in minorities 5.Geography-higher in industrialized areas |
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What are 6 modifiable risk factors for CHD
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1. Hyperlipidemia
2.Elevated blood pressure 3. Cigarette smoking 4. Obesity 5.Physical inactivity 6. Stress |
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When should jugular vein not be visible?
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if elevated above 45 degrees
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What do you auscultate in the neck vessels?
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auscultate corotid arteries- no bruits should be heard.
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What do we NEVER palpate
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carotid arteries
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What do we palpate for the heart?
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Apical pulse PMI
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What do we Auscultate for the heart
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auscultate apical heart rate and rhythm. if irregular check rate for one full minute
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