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Exam (elaborations)

NURS 2245 Exam 1 Guide With Complete Solution

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NURS 2245 Exam 1 Guide With Complete Solution...

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NURS 2245 Exam 1 Guide With
Complete Solution

Perfusion - ANSWER passage of nutrients and oxygenated blood through the
body to the cells

removal of cellular waste products

what does perfusion depend on? - ANSWER normal functioning of the
respiratory and cardiac systems

influences of perfusion - ANSWER pump: poor pump, poor perfusion

volume: decrease, then decrease blood to carry O2

INCREASE: volume = organs compensate for the high supply

vessels: HTN, stiff, increase cholesterol

veins: problem e.g. edema, blood can not go back to heart

impaired tissue perfusion - ANSWER central: heart, shock

peripheral: arteries, veins

modifiable risk factors: impaired perfusion - ANSWER smoking

elevated cholesterol

sedentary lifestyle

obesity

diabetes

,HTN

personality?

Unmodifiable risk factors: impaired perfusion - ANSWER age

gender: women: menopause decrease protective estrogen; increase heart
problems

genetics

perfusion: central and local arteries - ANSWER pulses

color of extremities

one of the most controllable risk factors for CVD is? - ANSWER obesity

(#1 smoking

#2 obesity)

which of the following risk factors is NOT reduced by moderate exercise? -
ANSWER smoking

coronary arteries - ANSWER receive blood during ventricular relaxation:
diastole

coronary artery, pacemaker where? - ANSWER SA node

R atrium

R ventricle




LAD (left anterior descending artery) - ANSWER L ventricle

L coronary artery

,widow maker

* most commonly occluded of coronary arteries

supplies the front and bottom of the left ventricle and the front of the
septum.




block of LAD? - ANSWER block of impulse conduction between atria and
ventricles known as "right/left bundle branch block"




circumflex artery supplies?

a.k.a. circumflex branch of left coronary artery - ANSWER supplies most of
the left atrium: the posterior and lateral free walls of the left ventricle, and
part of the anterior papillary muscle




may give off a variable number of left marginal branches to supply the left
ventricle.




right coronary artery supplies blood to? - ANSWER right ventricle

the right atrium

SA (sinoatrial) and AV (atrioventricular) nodes: regulate the heart rhythm.




right coronary artery divides into? - ANSWER smaller branches:

, right posterior descending artery

acute marginal artery




function of the heart? - ANSWER maintain blood flow throughout the CV
system

maintain perfusion to all cells in the body under various conditions




electro-physiologic properties - ANSWER automaticity: automatic and
independent; generate a pulse and heartbeat

autonomic nervous system




autonomic nervous system - ANSWER sympathetic: increase: heart rate, rate
of conduction, contraction strength

parasympathetic: decrease: heart rate, conductivity, contractility; strong
vagal nerve response (vagus nerve): N &V




SA node in r/t autonomic nervous system? - ANSWER SA node:

increase: sympathetic

decrease: parasympathetic




Cardiac Output (CO) - ANSWER amount of blood pumped from L

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