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unit5cardio
| Question | Answer |
|---|---|
| THE FORCE THE VENTRICLE MUST OVER COME TO EMPTY IT'S DIASTOLIC VOLUME | AFTERLOAD |
| THE DEGRESS OF STRETCH OF THE CARDIAC MUSCLE FIBERS AT THE END OF DIASTOLIC | PRELOAD |
| THE ABILITY OF CARDIAC TISSUE TO STRETCH AS A SINGLE UNIT & RECOIL | CONTRACTILITY |
| THE AMOUNT OF BLOOD PUMPED PER CONTRACTION OF THE HEART | STROKE VOLUME |
| WHAT ARE THE 3 FETAL CIRCULATORY SHUNTS? | DUCTUS VENOSUS--LIVER BYPASS, FORAMEN OVALE--LUNG BYPASS & DUCTUS ARTERIOSUS--LUNG BYPASS |
| THIS FETAL SHUNT DIVERTS SOME BLOOD AWAY FROM THE LIVER AS IT RETURNS FROM THE PLACENTA | DUCTUS VENOUS |
| THIS FETAL SHUNT DIVERTS MOST BLOOD FROM THE RIGHT ATRUIM DIRECTLY TO THE LEFT ATRIUM, RATHER THAN CIRCULATING TO THE LUNGS | FORAMEN OVALE |
| THIS FETAL SHUNT DIVERTS MOST BLOOD FROM THE PULMONARY ARTERY INTO THE AORTA | DUCTUS ARTERIOSUS |
| FOR POST OP CARE OF A CARDIAC CATH HOW IS THE BED AND THE PATIENT IN IT KEPT? | THE BED IS KEPT FLAT & THE PATIENT IS KEPT EXTREMELY STRAIGHT FOR 6 HOURS |
| HOW OFTEN SHOULD A PRESSURE DRESSING OF A CARDIAC CATH BE CHANGED? | 24 HOURS |
| WITH A CARDIAC CATH WHAT SHOULD YOU MONITOR FOR POST OP? | FOR BLEEDING & HEMATOMA |
| WHAT WOULD YOU COMPARE FROM PRE-OP & POST -OP CATH CARE? | COMPARE PRE AND POST OP VS, PULSES & CARDIAC RHYTHEM |
| WITH A CARDIA CATH WHAT ARE THE 5 P's | PULSE, PAIN, PARATHESIA, PALLOR AND PERFUSION |
| WHAT TYPE OF DEFECT IS IN THE STRUCTURE OF THE HEART & ONE OR MORE OF THE LARGE BLOOD VESSELS THAT LEAD TO & FROM THE HEART | CONGENITAL HEART DEFECT (CHD) |
| WHAT ARE THE MATERNAL RISK FACTORS FROM THE MOM: | MOM HAS RUBELLA IN THE 1ST TRIMESTER, MOM IS A DIABETIC, MOM USES ALCOHOL AND/OR DRUGS, MOM HAS DIETARY PROBLEMS AND MOM IS GREATER THAN 40 YRS OLD & PREGNANT |
| WHAT ARE SOME SIGNS OF CONGENITAL HEART DEFECTS IN A INFANT? | DIFFICULTY TO FEED THE CHILD, THE CHILD HAS POOR WEIGHT GAIN AND/OR FAILURE TO THRIVE, THE CHILD IS PALE OR BLUEISH IN COLOR, THE CAP REFILL IS DECREASED & COULD HAVE A IRREG PULSE RATE & RHYTHEM & A MURMUR, EXCESSIVE SWEATING & CLUBBING OF FINGERS |
| WHAT IS OXYGENATED BLOOD SHUNTING FROM THE LEFT TO THE RIGHT & MIXING WITH DEOXYGENATED BLOOD & INCREASED PULMONARY BLOOD FLOW AND EXAMPLES OF THIS ARE ASD,VSD & PDA | ACYANOTIC DEFECT |
| WHAT IS SHUNTING OF DEOXYGENATED BLOOD RIGHT TO LEFT & MIXES WITH OXYGENATED BLOOD, INCREASED PULMONARY BLOOD FLOW IS DECREASED WHICH LEADS TO CYANOSIS WITH LARGE SHUNTS AND EXAMPLES ARE TOF | CYANOTIC DEFECT |
| A CONDITION OF THE HEART IN WHICH IT IS UNABLE TO PUMP BLOOD EFFECTIVELY THAT IS EMPTIED INTO IT & IT IS A VERY COMMON COMPLICATION OF CHD | CONGESTIVE HEART FAILURE (CHF) |
| wHAT SIDE OF HEART FAILURE IS MOST COMMONLY SEEN IN CHILDREN? | LEFT SIDED |
| WHAT IS THE EARLY SIGNS OF CHF IN INFANTS | TACHYCARDIA AT REST (EARLIET INDICOATOR), FATIGUE DURING FEEDINGS, SWEATING AROUND THE SCALP & FOREHEAD, DYSPNEA & SUDDEN WEIGHT GAIN |
| CONGESTION OF PERIPHEAL TISSUES, EDEMA & ESCITES, LIVER CONGESTION, GI CONGESTION, SIGNS R/T IMPAIRED LIVER FUNCTION, ANOREXIA, GI DISTRESS & WEIGHT LOSS ARE _________SIDED HEART FAILURE | RIGHT SIDED |
| DECREASED CARDIAC OUTPUT, PULMONARY CONGESTION, IMPAIRED GAS EXCHANGE, SIGNS OF DECREASED TISSUE PERFUSSION, PULMONARY EDEMA, CYANOSIS & SIGNS OF HYPOXIA, COUGH W/FROTHY SPUTUM IS ________SIDED HEART FAILURE | LEFT SIDED |
| WITH CHD/CHF WHAT IS THE MOST EFFECTIVE POSTION TO HELP IN NURSING CARE OF A PATIENT? | HIGH FLOWERS/KNEES TO CHEST |
| HOW LONG DO YOU CHECK THE AHR PRIOR TO ADMINISTERING DIGOXIN? | 1 FULL MINUTE |
| WHEN WOULD YOU WITH HOLD IN INFANTS (BIRTH -12MONTHS), SMALL CHILDREN (TODDLER/PRESCHOOL) & OLDER CHILDRE (SCHOOL-AGE TO ADOLESCENTS) | INFANTS LESS THAN 110, SMALL CHILDREN LESS THAN 90 & OLDER CHILDREN LESS THAN 70 |
| WHAT ARE THE ADMINISTRATION NO NO'S OF DIG? | NO SKIPPING DOSES, NO MAKING UP DOSES & NO MIXING WITH FOOD OR FORMULA |
| HOW CAN YOU DECRESE THE RISK OF BACTERIAL ENDOCARDITIS? | INSTRUST THE FAMILY ON THE NEED FOR A PROPHYLACTIC ANTIBIOTIC BEFORE DENTAL PROCEDURES & TAKE AS PRESCRIBED |
| IF A CHILD HAS A ATRIAL SEPTUM DEFECT (ASD) WHAT IS THE AGE FOR SURGERY? | SURGERY MUST BE BEFORE SCHOOL-AGE |
| HOW IS ASD CORRECTED IN SURGERY? | DACRON PATCH OR SUTURE |
| IF ASD IS NOT FIXED WHAT ARE THE COMPLICATIONS? | CHF IN ADULTHOOD & ATRIAL DYSRHYTHMIAS |
| WHAT IS THE MOST COMMON ACYANOTIC DEFECT? | VSD- VENTRICLE SEPUM DEFECT |
| WHAT TYPE OF MURMUR IS HEARD WITH ASD? | A SOFT BLOWING MURMUR WITH A SPLIT SECOND SOUND |
| WHAT TYPE OF MUR MUR IS HEARD WITH A VSD? | LOUD & HARSH SYSTOLIC THRILL |
| HOW IS A VSD MEADICALLY TREATED? | SMALL DEFECTS WILL CLOSE ON THEIR OWN AND LARGE DEFECTS CAUSE CHF AND ARE REPAIRED WITH SUTURED OR DACRON PATCH |
| WHAT HAS A HARSH MACHINERY TYPE MURMUR? | (PDA) PATENT DUCTUS ARTERIOSUS |
| WHAT IS THE NARROWING OF THE AORTA DUE TO A CONSTRICTING BAND, IT'S A OBSTRUCTIVE DEFECT | COARCTATION OF THE AORTA |
| WHAT IS COA BEST KNOWN FOR? | ELEVATED BP IN UPPER EXTREMITES & DECREASED OR ABSENT PULSES IN THE LOWER EXTREMITIES |
| WHAT IS THE MOST COMMON CYANOTIC DEFECT? | (TOF) TETRALOGY FALLOT |
| THERE ARE ______ ABNORMALITEIS WITH A TOF | 4 |
| WHAT IS THE RELIEF OF A TET SPELL | KNEES TO CHEST |
| WHAT DOES THE CHEST XRAY SHOW OF THE HEART WITH TOF? | BOOT SHAPED HEART |
| WITH TOF WHAT IS A INDICATION FOR SURGERY? | INCREASED TET SPELLS |
| BLALOCK-TAUSSIG SHUT IS WHAT TYPE OF SX FOR TOF? | STAGED SURGERY |
| WITH TOF THE BROCK PROCEDURE IS WHAT KIND OF SX? | TOTAL CORRECTION |
| A OPENING BETWEEN THE LEFT & RIGHT ATRIA | ASD |
| A INCREASED B/P IN UPPER ESTREMITES | COA |
| WILL NORMALLY CLOSE AFTER 3 DAYS AFTER BIRTH | PDA |
| DECREASED BLOOD FLOW TO THE LUNGS | TOF |
| OPENING BETWEEN THE RIGHT VENTRICLE & LEFT VENTRICLE | VSD |
Created by:
jmbosworth1972
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