The cardiac cycle consists of? - Answers the systole (contraction) and diastole (relaxation) of both atria,
rapidly followed by the systole and diastole of both ventricles
Blood pressure - Answers the force that blood exerts on the walls of the arteries
Cardiac Output - Answers heart rate x stroke volume
Heart rate - Answers Number of contractions per minute
Stroke volume - Answers The amount of blood ejected from the heart in one contraction.
Pre-load - Answers Amount of blood in ventricle after diastole (amount of stretch after filling)
After-load - Answers the resistance to flow the ventricle must overcome (how big in diameter)
Contractility - Answers Force
Contractility is __________________ w/ hypoxia or acidosis - Answers decreased
Contractility is ____________________ w/ sympathetic stimulation or calcium release - Answers
increased
Risks for CVD - Answers 1. Family HX
2. Diabetes
3. Chronic Renal Disease
4. HTN
5. Dyslipidemia (abnormal amounts of fat)
S/S of CVD - Answers 1. Chest pain
2. Fatigue
3. SOB (dyspnea)
4. Cough
5. Edema
6. Syncope
7. Palpations
, Chest pain evaluation - Answers PQRST
1.
2. Intensity
3. Radiation
4. Duration
5. Quality
**Ask what relieves pain**
**Ask dyspnea on exertion or at rest**
Palpatations - Answers Could indicate abnormal heart rhythm
Syncope - Answers Could indicate CO issue (mechanical or electrical)
Weight gain - Answers Could indicate weakening heart
Physical Assessment of CVD - Answers 1. Color
2. Cap refill
3. JVD
4. Clubbing nails
5. Edema
Late stage CVD physical assessment - Answers 1. Fatigue
2. Frail
3. Edema
We need to evaluate HR & BP for - Answers Irregularity and extra sounds
Central cyanosis - Answers Indicates impaired cardiac/lung function
Peripheral cyanosis - Answers Indicated impaired circulation in the extremities
- blood is shunted to the center "more important" organs
Palpation in CVD - Answers 1. Radial and Dorsalis pedis pulses
2. If pulse is weak feel pulse proximal and distal and note strength.