Cardiac System
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Questions and Answers

The heart's ability to pump blood depends on the following characterisstics:

Automaticity = The ability to initiate its own electrical impulse Excitability = The ability to respond to electrical stimulus Conductivity = The ability to transmit electrical impulse from cell to cell within the heart Contractility = The ability to stretch as a single unit and then passively recoil while actively contracting

Match the Hormone and their primary sites

Norepinephrine, Epinephrine = Adrenal medulla Angiotensin = Kidney Vasopressin = Posterior pituitary Aldosterone = Adrenal cortex

Match the following

Cardiac Output = The amount of blood pumped per minute Stroke Volume = Blood ejected with each myocardial contraction Mean Arterial Pressure = 1/3 SBP + 2/3 DBP Cardiac Index = The amount of blood pumped per minute per square meter of body mass

Match the Hemodynamics

<p>Cardiac Output = 4-6 liters/min Cardiac Index = 2.5-4.2 L/min/m2 Ejection Fraction = &gt;55% Mean Arterial Pressure = 70-110 mmHg</p> Signup and view all the answers

Match the hemodynamics

<p>Ejection fraction = Percentage of blood emptied from the ventricle during systole Myocardial Oxygen Demand (MVO2) = energy cost to the myocardium Mean Arterial Pressure = pressure during each cycle of heartbeat Pulse Pressure = SBP-DBP</p> Signup and view all the answers

Match the following

<h1>Orthopnea = difficulty breathing in supine Platypnea = difficulty breathing in upright Tropopnea = difficulty breathing in sidelying</h1> Signup and view all the answers

Type of Cyanosis - Decrease O2 level in arterial blood

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

Type of Cyanosis - Decrease blood flow

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

In peripheral cyanosis, oxygenation is normal compared to central cyanosis

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

CENTRAL OR PERIPHERAL CYANOSIS -venous obstruction

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

Study Notes

Pulse Abnormalities

  • Pulsus alternans: regular rhythm with strong and weak pulse waves, indicative of left ventricular failure at normal heart rates
  • Bigeminal pulses: every other pulse is weak and early, caused by premature ventricular contractions (bigeminy)
  • Pulsus paradoxus: reduction in pulse strength with abnormal decline in blood pressure during inspiration, may be caused by:
    • Chronic obstructive lung disease
    • Pericarditis
    • Pulmonary emboli
    • Restrictive cardiomyopathy
    • Cardiogenic shock

Pitting Edema Scale

  • 1+: Trace - slight depression, barely perceptible
  • 2+: Mild - 0-0.6cm depression, easily identified (skin rebounds in 30 seconds)

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