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Exam (elaborations)

NUR 2048 Exam 1 correctly answered (graded A+)

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NUR 2048 Exam 1 correctly answered (graded A+)

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NUR 2048
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NUR 2048
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NUR 2048

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Uploaded on
November 21, 2024
Number of pages
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Written in
2024/2025
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NUR 2048 Exam 1 correctly answered
(graded A+)

define perfusion

the flow of blood through the arteries and capillaries delivering nutrients and oxygen to the cells




define central perfusion

the force of blood movement that is generated by cardiac output




define systole

contraction of ventricles




define diastole

resting or relaxation of the heart




define ejection fraction

measurement of blood leaving the left ventricle each time it contracts




what is the normal ejection fraction rate?

50-70%

,what four factors determine cardiac output

HR

Contractility

Blood volume

Venous return




how do you calculate cardiac output?

heart rate x stroke volume




what factors make up the stroke volume?

preload, afterload, contractility




define preload

volume of blood in ventricles at end of diastole




what two factors influence preload?

volume and contractility




define afterload

force against which the heart must pump




what factors reduce cardiac output (central perfusion)?

-altered myocardial contraction

,-changes in myocardial conduction

-ineffective heart valves




what are the consequences of impaired central perfusion?

-slow blood flow

-MI risk

-shock




define tissue perfusion

blood flow through arteries and capillaries to target tissues




what does it mean in the tissue perfusion is impaired?

the tissues have reduced blood flow which decreases delivery of oxygen and nutrients to those tissues




what complications could occur from impaired tissue perfusion?

-thrombi in the veins

-MI

-vasoconstriction

-stroke

-blood loss

-hemorrhage

-cardiac arrest




describe the blood flow through the heart

, Blood enters the heart via inferior and superior vena cava and dumps into right atrium. Blood then
travels through the tricuspid valve into the right ventricle. After that blood continues up through the
pulmonary or semi lunar valve, and out the pulmonary arteries into the lungs. The pulmonary veins then
retrieve blood and continue flow into the left atrium. Following that blood flows through the bicuspid or
mitral valve to the Left ventricle. Blood then continues up through the aortic semilunar valve and into
the aorta.




sa node inherent rate

60-100 bpm




av node inherent rate

40-60 bpm




ventricles (bundle of his) inherent rate

20-40 bpm




describe automaticity

the property of the cardiac cells to generate electrical impulses




where does the impulse normally come from?

sa node




when do disturbances in conduction occur?

when conduction is too rapid, slow, or when it is blocked this causes the impulse to travel the wrong way

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