Iggy Ch 33 - Iggy ch 33 Assessment of CV system Study...

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1. abdominal and leg edema heart disease and cirrhosis 2. ABG measures tissue oxygenation, Carbon dioxide removal and acid base status 3. Acute Coronary Syndrome Creatinine Kinase Myoglobin Homocystine C Reactive CK-enzyme specific to brain, myocardium and skeletal muscle indicates tissue necrosis or injury Myoglobin-protein found in cardiac and skeletal muscle Homocystine-amino acid produced when proteins break down C reactive- marker of inflammation 4. Acute Coronary Syndrome Markers Troponin Troponin-myocardial muscle protein released into bloodstream after myocardial injury Troponin T and I -are not found in healthy patients, any rise in values indicates cardiac necrosis or acute MI Troponin T <0.20 Troponin I <0.03 ng/ml 5. After an acute MI, what tends to happen in women Women tend to have a higher mortality rate and suffer more complications when compared with men 6. After eating hypotension postprandial 7. anasarca generalized edema 8. Angiotension especially II is a very potent vasoconstrictor that is activated by the RAAS when BP drops. 9. Atrial fib 10. Atrial flutter 11. Best area of skin to assess circulation nail beds, mucous membranes, conjunctival mucosa 12. Bilateral edema of legs can be found in which patients heart failure or chronic venous insuff 13. Blood pressure the force of blood exerted against the vessel walls BP=CO x peripheral vascular resistance 14. Brief loss of consciousness Caused by Syncope any condition that suddenly reduces CO resulting in decrease cerebral blood flow 15. CAD in post and premenopausal women Postmenopausal women are 2 to 3 times more likely than premenopausal women to have CAD 16. Cardiac effects of hypercalcemia shortened QT intervals, AV block, dig hypersensitivity, cardiac arrest 17. Cardiac effects of hyperkalemia slowed vent conduction peaked T waves contraction followed by asystole(cardiac standstill) 18. Cardiac effects of hypocalcemia vent dysrhytmias, prolonged QT interval and cardiac arrest 19. Cardiac effects of hypoMagnesium level torsades de pointes prolongs the QT intervals causing this type of vent tachy 20. Cardiac output range for an adult 4-7 L per minute 21. cold spots occurs in a thallium imaging scan, necrotic or ischemic tissue do not pick up the radioisotope so it appears as a "cold spot" 22. Coronary artery system 23. Coronary perfusion Left main artery is what comes from behind the pulmonary artery. Divides into circumflex and LAD. Circumflex goes around the back and the LAD is most dangerous b/c it perfuses the LV 24. Creatine kinase (CK) enzyme specific to cells of the brain, myocardium, and skeletal muscle. the appearance of CK in the blood indicates tissue necrosis or injury 25. CVD is the leading cause of death in? Women 26. Cyanosis in dark and light skinned patients dark-graying light-bluish 27.
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