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Exam (elaborations)

NURS5315 Exam 3 With All Questions and Answers

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NURS5315 Exam 3 With All Questions and Answers

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NURS5315
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NURS5315

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Uploaded on
February 5, 2023
Number of pages
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Written in
2022/2023
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  • nurs5315 exam 3

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NURS5315 Exam 3 With All Questions and
Answers 2023


Beta 1 - ANSWER This receptor causes increased contractility, increased HR, and
increased renin secretion

Beta 2 - ANSWER This receptor causes vasodilation and bronchial dilation

Beta 2 - ANSWER Albuterol stimulates the _________ receptors and is
administered during respiratory distress

Alpha 1 - ANSWER This receptor causes vasoconstriction and is stimulated by
Norepinephrine

Dopamine 1 - ANSWER This receptor causes vasodilation

Dilation - ANSWER Dopamine administered in low doses causes
vaso_______________.

constriction, alpha 1 - ANSWER Dopamine administered in high doses causes
vaso__________ because it activates the ___________ receptor.

increased, increased - ANSWER A moderate dose of dopamine causes ________
contractility and ______________ cardiac output

Beta 1 - ANSWER Epinephrine primarily activates the ____________ receptor

does not change - ANSWER Epinephrine also activates Beta 2 and Alpha 1
receptors which _________________________ vascular tone.

increased, increased - ANSWER Epinephrine causes _________________
contractility and _____________________ cardiac output.

Beta 1 and Alpha 1 - ANSWER Levophed activates which 2 receoptors to cause
increased vasocontriction and increased contractility?

Sympathetic, adrenal - ANSWER Epinepherine and norepinephrine are released
by the ____________________ nervous system and the ________ gland.

Heart - ANSWER Beta 1 receptors are located in the __________.

Blood vessels - ANSWER Beta 2 and alpha 1 receptors are located mainly in the

,______________________.

Dopamine 1 - ANSWER These receptors are located in the renal, mesenteric,
coronary, and cerebrovascular blood vessels

Beta 1, increase - ANSWER Dobutamine stimulates ___________ receptors to
improve contractility and _____________ HR.

Chronotropy - ANSWER pertaining to heart rate

Inotropy - ANSWER force of myocardial contraction

Heart rate - ANSWER Drugs that affect the chronotropy affect the
__________________.

myocardial contraction - ANSWER Drugs that affect the inotropy affect the
_____________________.

Parasympathetic, decreases, decreases, dilation - ANSWER Acetylchoine is
released by the _____________________ nervous system and _______________ heart
rate, ______________ contractility, and causes vaso_____________.

Diastole - ANSWER Relaxation of the heart

Systole - ANSWER Contraction of the heart

4, left atrium - ANSWER There are _____ pulmonary veins that take blood back to
the ________________ (chamber).

atrial kick, 20 - ANSWER slight pause of impulse between SA and AV so the blood
has time to push into the left ventricle. Represents about _____% of cardiac output.

lower - ANSWER The right side of the heart has ______ pressures than the left
side.

higher - ANSWER The left side of the heart has ____________ pressures than the
right side.

Cardiac output - ANSWER heart rate x stroke volume

5 L/min - ANSWER normal adult cardiac output at rest

Stroke volume - ANSWER The amount of blood ejected from the ventricle in one
contraction.

Preload - ANSWER degree of stretch of the cardiac muscle fibers at the end of

,diastole

Decrease - ANSWER a saturation of <50% results in a(n) ______________ in
myocardial contraction.

Ejection Fraction - ANSWER measurement of the volume percentage of left
ventricular contents ejected with each contraction

55-65% - ANSWER normal ejection fraction

Decreases - ANSWER EF _____________ in systolic heart failure.

Increased - ANSWER HF may result from ________________ preload as it causes a
decline in stroke volume and a back-up of blood into the pulmonary circulation.

Afterload - ANSWER The force or resistance against which the heart pumps.

Afterload - ANSWER Includes aortic pressure and systemic vascular resistance

High, high, high - ANSWER hypertensive patients have a ________ SVR and a
__________ aortic pressure, resulting in a ________ afterload.

Ventricle, Hypertrophy - ANSWER Increased afterload increases the work of the
____________ and results in ______________.

Faster - ANSWER A low afterload enables the heart to contract ____________.

Arterial blood pressure - ANSWER cardiac output x total peripheral resistance

systolic blood pressure - ANSWER the pressure created in the arteries when the
left ventricle contracts and forces blood out into circulation

diastolic blood pressure - ANSWER the pressure in the arteries when the left
ventricle is refilling

Mean arterial pressure, arterial, blood - ANSWER average pressure in the arteries
during the cardiac cycle and is dependent on the elasticity of the _________ walls
and the mean volume of __________ in the arterials.

Diameter - ANSWER SVR is directly related to the ______________ of the arteries.

Vasocontriction - ANSWER Angiotensin II impact on arteries

Vasoconstriction - ANSWER Epinepherine impact on arteries

Vasodilation - ANSWER Natiuretic hormones impact on arteries

, Vasodilation - ANSWER Urodilatin impact on arteries

Stronger - ANSWER The greater the amount of intracellular calcium, the _______
the contraction.

Troponin C - ANSWER binds calcium to cause contraction



Tension, contraction - ANSWER Drugs which alter intracellular calcium levels
will affect _______ and ________.



Diltiazem and Verapamil - ANSWER 2 common non-dihydropyridine CCBs



Myocardium, decrease - ANSWER CCBs inhibit calcium influx into the ________
to decrease calcium concentration and _________ tension and contractility.



Negative Inotropic - ANSWER Calcium channel blockers have ________ _________
Effects



Systolic Heart Failure - ANSWER CCBs should be avoided in ________________
___________ _____________________.



calcium pump, calcium - ANSWER Catecholaimes: increase activity of the
_____________ ________ in the sarcoplasmic reticulum (SR); therefore, increase the
release of _________ from the SR.



Decreases, increasing - ANSWER Decreased extracellular sodium ________ the
activity of the Na/Ca exchanger, _______ the amount of intracellular calcium.



Digitalis, increase - ANSWER _____________ blocks the Na/K pump which
increases intracellular Na, decreases the activity of the Na/Ca exchanger, causing

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