Summary

This presentation covers various aspects of the cardiovascular system, including the anatomy of the heart, its function, disorders, and nursing management.

Full Transcript

CARDIOVASCULA R SYSTEM CARDIOVASCULAR SYSTEM Heart Wall ï‚—Which of the following muscular layer of the heart covers the entire heart? a. Pericardium b. Epicardium c. Myocardium d. Endocardium Chambers ï‚—Which of the following propels deoxygenated blood into the pulmonary circulation via...

CARDIOVASCULA R SYSTEM CARDIOVASCULAR SYSTEM Heart Wall Which of the following muscular layer of the heart covers the entire heart? a. Pericardium b. Epicardium c. Myocardium d. Endocardium Chambers Which of the following propels deoxygenated blood into the pulmonary circulation via the pulmonary artery? a. Right atrium b. Left atrium c. Right ventricle d. Left ventricle Valves It is located between the left atrium and left ventricle a. Tricuspid valve b. Mitral valve c. Pulmonic valve d. Aortic valve Conduction system It is also known as delayed conduction system of the heart a. Sinoatrial node b. Atrioventricular node c. Bundle of His d. Purkinje fibers Coronary circulation It returns blood from the myocardium back to the right atrium a. Coronary artery b. Pulmonary artery c. Coronary sinus d. Pulmonary vein Vascular system It is where the exchange of O2 and CO2, solutes between the blood and tissues and fluids occurs a. Arteries b. Veins c. Capillaries Cardiac Disorders Myocardial infarction The death of myocardial cells from inadequate oxygenation, often caused by a sudden complete blockage of a coronary artery Assessment findings: 1. Chest pain severe, persistent, crushing substernal discomfort radiates to the neck, arm, jaw and back occurs without cause, primarily early morning unrelieved by rest and nitroglycerine last 30 minutes or more Assessment findings: 2. Dyspnea 3. Diaphoresis 4. Cold clammy skin 5. Nausea and vomiting 6. Restlessness 7. Hypotension Laboratory findings: 1. Elevated myocardial enzymes  CK-MB, LDH and Troponin 2. ECG  ST segment elevation  T wave inversion Nursing management: 1. Administer O2 as ordered 2. Administer medications:  Morphine  Thrombolytics  Aspirin  Anticoagulant  Stool softeners 3. Provide bed rest with semi-fowler’s position 4. Minimize anxiety 5. Monitor ECG 6. Instruct pt to avoid constipation, suppositories and anal intercourse 7. Assist in treatment modalities  PTCA and CABG 8. Minimize metabolic demands  Provide soft diet  Provide a low-sodium, low cholesterol and low fat diet Thank you