Cardiovascular Parameters Overview
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Questions and Answers

What is the normal range for Mean Arterial Pressure (MAP)?

  • 70-105 mmHg (correct)
  • 50-90 mmHg
  • 80-110 mmHg
  • 60-100 mmHg

What happens to organ perfusion if MAP falls below 60?

  • It becomes excessive
  • It improves significantly
  • It becomes inadequate (correct)
  • It remains stable

How is Cardiac Index (CI) calculated?

  • CI = BSA / QT
  • CI = QT * BSA
  • CI = QT / BSA (correct)
  • CI = QT + BSA

If a patient has a QT of 7 L/min and a BSA of 2 m², what is their Cardiac Index?

<p>3.5 L/min/m² (B)</p> Signup and view all the answers

What is the standard formula for calculating Cardiac Output (QT)?

<p>QT = SV * HR (D)</p> Signup and view all the answers

Which function is primarily associated with the sympathetic nervous system?

<p>Increases heart rate (D)</p> Signup and view all the answers

What does an abnormal ejection fraction below 50% indicate?

<p>Severely limited exercise tolerance (B)</p> Signup and view all the answers

Which of the following factors typically decreases heart rate?

<p>Parasympathetic activation (B)</p> Signup and view all the answers

In which phase of the cardiac cycle do the ventricles contract?

<p>Systole (D)</p> Signup and view all the answers

What is the role of afterload in the cardiac cycle?

<p>Resistance to ventricular emptying (C)</p> Signup and view all the answers

What is the normal range for pulse pressure?

<p>30-40 mmHg (C)</p> Signup and view all the answers

Which statement about preload is true?

<p>It decreases with reduced venous return (A)</p> Signup and view all the answers

What is the primary neurotransmitter released by the parasympathetic nervous system?

<p>Acetylcholine (B)</p> Signup and view all the answers

Flashcards

What is Mean Arterial Pressure (MAP)?

MAP is the average pressure in the arteries during one cardiac cycle. Calculated as (2 * Diastolic Blood Pressure + Systolic Blood Pressure) / 3. It reflects the perfusion pressure of organs.

What is the normal range for Mean Arterial Pressure (MAP)?

The normal range for MAP is 70-105 mmHg. A MAP below 60 mmHg indicates inadequate organ perfusion.

What is Cardiac Output (QT)?

Cardiac Output is the amount of blood pumped by the left ventricle in one minute. It's calculated by multiplying stroke volume (SV) by heart rate (HR).

What is Cardiac Index (CI)?

CI is a measure of cardiac output adjusted for body size. It is calculated by dividing QT by body surface area (BSA). It tells us if heart output is adequate for the patient's size.

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What is the normal range for Cardiac Index (CI)?

The normal range for Cardiac Index is 2.5-4.0 L/min/m2. A CI outside this range may indicate heart problems or problems with the patient's ability to use oxygen.

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Sympathetic Nervous System

The part of the autonomic nervous system that prepares the body for 'fight or flight' by releasing norepinephrine (NE), increasing heart rate, and promoting glycogen conversion to glucose.

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Parasympathetic Nervous System

The part of the autonomic nervous system that promotes 'rest and digest' by releasing acetylcholine (ACH), slowing heart rate, and constricting pupils. Effects are remembered by the acronym SLUDBB.

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Factors that Increase Heart Rate

Conditions or substances that increase heart rate include sympathetic stimulation, nitrates, vasodilators, caffeine, pain, hypoxia, anxiety, and sympathomimetics.

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Factors that Decrease Heart Rate

Conditions or medications that decrease heart rate include parasympathetic activity, beta-blockers, vomiting, bladder distension, and bearing down.

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Systole vs. Diastole

Systole refers to the contraction phase of the heart, where the ventricles pump blood out, while Diastole refers to the relaxation phase where the ventricles fill with blood.

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Venous System

The system of veins that carries deoxygenated blood back to the heart. It plays a vital role in blood storage for vital organs.

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Venous Return (VR)

The amount of blood returned to the right atrium each minute. A crucial factor influencing cardiac output (QT).

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Ejection Fraction (EF)

The percentage of blood pumped out of the left ventricle with each beat. A measure of heart function.

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Study Notes

Mean Arterial Pressure (MAP)

  • MAP is calculated as (2 × Diastolic Blood Pressure + Systolic Blood Pressure) / 3.
  • Normal range is 70-105 mmHg.
  • A MAP less than 60 mmHg indicates inadequate organ perfusion.

Cardiac Index (CI)

  • CI is a measure of cardiac output relative to the patient's size.
  • CI is calculated as Cardiac Output (QT) / Body Surface Area (BSA).
  • Normal CI range is 2.5-4.0 L/min/m².
  • A lower CI suggests inadequate cardiac output for a patient's size.
  • Larger patients require a higher CI.

Cardiac Output (QT)

  • QT is the amount of blood pumped by the left ventricle per minute.
  • Calculated as Stroke Volume (SV) × Heart Rate (HR).
  • Normal range is 4-8 L/min at rest.
  • An increased or decreased QT can indicate potential health issues.

Systolic vs Diastolic

  • Systolic: The top number in a blood pressure reading, representing the pressure in the arteries when the heart beats.
  • Diastolic: The bottom number in a blood pressure reading, representing the pressure in the arteries when the heart rests between beats.
  • Normal ranges are 90-120 mmHg for systolic and 60-90 mmHg for diastolic.
  • Semilunar valves open during systole; AV valves close during systole.
  • Semilunar valves close during diastole; AV valves open during diastole.

Venous System

  • Acts as a blood reservoir, holding approximately 60% of total blood volume.
  • Venous return (VR) is the amount of blood returning to the right atrium.
  • VR is directly related to cardiac output (QT).

Ejection Fraction (EF)

  • EF is the percentage of blood ejected from the ventricles with each heartbeat.
  • Normal range is 65-70%.
  • A lower EF may indicate a reduced cardiac output and poorer exercise tolerance.

Preload, Afterload, Contractility

  • Preload: Stretch of the ventricular muscle before contraction. Affected by filling, compliance and venous return.
  • Afterload: Resistance to ventricular emptying. Affected by PVR, Ventricular wall tension, viscosity and volume of blood, and vascular space.
  • Contractility: Strength of ventricular contraction.

Positive vs Negative Inotropism

  • Positive Inotropism: Increased contractility of the heart muscle.
  • Negative Inotropism: Decreased contractility of the heart muscle.

Pulse Pressure

  • Pulse pressure is the difference between the systolic and diastolic blood pressure.
  • Normal range is 30-40 mmHg.

Central Venous Pressure (CVP)

  • CVP measures pressure in the right atrium.
  • Normal range is 2-6 mmHg.

Positive Pressure Ventilation (PPV)

  • A method of mechanical ventilation that delivers air to the lungs via positive pressure.

Pulmonary Artery Wedge Pressure (PAWP)

  • Measures the pressure in the left atrium.
  • Normal range is 5-10 mm Hg.

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Description

Test your knowledge on key cardiovascular parameters such as Mean Arterial Pressure, Cardiac Index, and Cardiac Output. Understand the calculations and normal ranges, and the significance of these metrics in assessing heart health. This quiz will cover essential concepts related to systolic and diastolic blood pressure.

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