Cardiovascular System Overview
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Questions and Answers

Which most prominent symptom that correlates with Huntington disease will the nurse document?

Rapid, jerky, involuntary movements

A patient with Huntington disease is prescribed medication to reduce the chorea. Which medication will the nurse administer that is the only drug approved for the treatment of this symptom?

Tetrabenazine

A patient is diagnosed with amyotrophic lateral sclerosis (ALS). The nurse understands that the symptoms of the disease will begin in what way?

Weakness starting in the muscles supplied by the cranial nerves

A patient with amyotrophic lateral sclerosis (ALS) asks if the nurse has heard of a drug that will prolong the patient's life. Which is the best response to the patient's inquiry that may prolong life by 3 to 6 months?

<p>Riluzole</p> Signup and view all the answers

Flashcards

Cardiovascular System Anatomy

The heart is a hollow, muscular organ located in the thorax that pumps blood.

Three Layers of the Heart

The heart has three layers: endocardium (inner), myocardium (middle), and epicardium (outer).

Heart Chambers

The heart has four chambers: two atria and two ventricles, responsible for pumping blood.

Heart Valves

Four heart valves ensure unidirectional blood flow within the heart chambers.

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Types of Heart Valves

Atrioventricular valves separate atria from ventricles; semilunar valves prevent backflow to ventricles.

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Coronary Arteries

These arteries supply oxygen-rich blood to the heart muscle during diastole.

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Myocardial Ischemia

A condition where there is insufficient blood flow to meet heart muscle's needs.

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Sinoatrial Node

The heart's natural pacemaker located at the junction of the superior vena cava and right atrium.

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Electrocardiogram (ECG)

A test that records the electrical activity of the heart to assess its function.

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Atrioventricular Node

A structure that helps conduct electrical impulses from the atria to the ventricles.

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Symptoms of Heart Failure

Common symptoms include fatigue, breathlessness, and fluid retention leading to edema.

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Blood Pressure Difference

The difference between systolic and diastolic pressures is called pulse pressure.

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Hypertensive Crisis

A severe increase in blood pressure that can lead to stroke and organ damage.

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Heart Rate Monitoring

Monitoring uses devices to check for irregularities in heartbeats and overall heart function.

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Pacemaker

A medical device that regulates heartbeats in cases of abnormal heart rhythm.

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Diastolic Pressure

The pressure in the arteries when the heart rests between beats.

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Systolic Pressure

The pressure in the arteries during the heart's contraction or pumping phase.

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Risk Factors for CAD

Unmodifiable risk factors for coronary artery disease include age and family history.

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Myocardial Infarction (MI)

Commonly known as a heart attack, resulting from blocked blood flow to the heart muscle.

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Signs of Atherosclerosis

Symptoms include chest pain, fatigue, and shortness of breath related to narrowed arteries.

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Heart Sounds Assessment

Listening to the heart sounds can indicate abnormalities in blood flow and valve function.

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Effects of Hypertension

Long-term high blood pressure can lead to heart failure, kidney damage, and stroke.

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Arterial Blood Supply

Oxygenated blood is supplied by coronary arteries to the heart muscle.

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Endocardium

The inner layer of the heart made up of endothelial tissue.

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Myocardium

The muscular middle layer of the heart responsible for pumping blood.

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Epicardium

The outer layer of the heart that has protective functions.

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Pericardium

The fibrous sac encasing the heart.

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Heart Atria

The two upper chambers of the heart that receive blood.

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Heart Ventricles

The two lower chambers that pump blood out of the heart.

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Atrioventricular (AV) Valves

Valves that separate the atria from the ventricles.

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Semilunar Valves

Valves located between the ventricles and major arteries, preventing backflow.

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Cardiac Output

The amount of blood pumped by the heart per minute.

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Stroke Volume

The volume of blood pumped from each ventricle with each heartbeat.

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Ejection Fraction

The percentage of blood that is pumped out of a filled ventricle.

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Hypertrophic Cardiomyopathy

A condition where the heart muscle becomes abnormally thick.

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Heart Failure

A chronic condition where the heart cannot pump effectively.

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Arrhythmia

An irregular heartbeat caused by issues with electrical impulses.

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Pulmonary Circulation

The flow of blood from the right ventricle to the lungs and back to the left atrium.

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Systemic Circulation

The flow of blood from the left ventricle throughout the body.

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Cholesterol

A fatty substance in the blood that can contribute to heart disease.

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Angina Pectoris

Chest pain caused by reduced blood flow to the heart muscle.

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Myocardial Infarction (Heart Attack)

Occurs when blood flow to a part of the heart is blocked.

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Cardiovascular Risk Factors

Conditions or habits that increase the likelihood of heart disease.

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Atria

The two upper chambers of the heart that receive blood.

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Ventricles

The two lower chambers of the heart that pump blood out.

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Myocardial Infarction

Commonly known as a heart attack, resulting from blocked blood flow to the heart muscle.

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Assessment of Heart Valve Function

Evaluating how well the heart valves are operating and if they are opening/closing properly.

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Coronary Circulation

The flow of blood to and from the tissues of the heart.

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Assessment of Heart Sounds

Listening to heart sounds can indicate abnormalities.

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Study Notes

CARDIOVASCULAR SYSTEM

  • The heart is a hollow, muscular organ located in the center of the thorax.
  • It rests on the diaphragm and occupies space between the lungs.
  • It has 3 layers: endocardium (inner), myocardium (middle, muscular), and epicardium (outer).
  • The heart has 4 chambers: two atria (top) and two ventricles (bottom).
  • The pumping action of the heart is accomplished by the rhythmic relaxation and contraction of the muscular walls of the atria and ventricles.
  • The heart has valves that allow blood to flow in one direction.
  • Atrioventricular (AV) valves separate the atria from the ventricles.
  • Semilunar valves have 3 leaflets, shaped like half-moons, and close during diastole.
  • Coronary arteries supply oxygenated blood to the heart.
  • Myocardium is the middle, muscular layer of the atrial and ventricular walls. It's composed of specialized cells called myocytes.
  • ECG readings measure electrical activity of the heart.
  • Bicuspid valve separates the left & right atria.
  • Sinoatrial node is located at the junction of superior vena cava and the right atrium.
  • Parietal pericardium supports the heart in the mediastinum.
  • Pulmonic valve sits between the right ventricle and the pulmonary artery.
  • Pulmonary artery distributes venous blood to the lungs.

SITUATIONAL QUESTIONS - CARDIOVASCULAR SYSTEM

  • Chapter 21:

    • Inflammation in pericarditis is located in the thin fibrous sac encasing the heart, not the inner lining, muscle fibers, or exterior layer.
    • Abnormal heart sound detected early in diastole is documented as S3.
    • The apical pulse in a normal position is located at the left fifth intercostal space at the midclavicular line.
    • A patient with a heart rate of 140 bpm should be monitored closely for complications like myocardial ischemia, pulmonary embolism, or right-sided heart failure.
  • Chapter 21 (Continued):

    • Beta-blockers are used to decrease automaticity.
    • The impulse arises from the sinoatrial node.
    • Phase 4 on an ECG is the resting phase before the next depolarization.
    • An ejection fraction of 35% indicates potential myocardial infarction.
  • Chapter 21 (Situational Questions (continued)):

    • A diagnosis of pericarditis requires identifying the inflammation in the thin fibrous sac encasing the heart.
    • An abnormal heart sound during diastole is documented as S3.
    • In a normal position, the apical pulse is located at the left fifth intercostal space at the midclavicular line.
    • A high heart rate (140 bpm) warrants monitoring for potential complications such as myocardial ischemia, a pulmonary embolism, or right-sided heart failure.

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Description

This quiz focuses on the structure and function of the cardiovascular system, specifically the heart. It covers the heart's anatomy, including its layers, chambers, and valves, as well as its role in pumping blood and the significance of ECG readings. Test your knowledge of this vital organ and its operation.

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