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Cardiac Anatomy and Physiology
Overview ,[object Object],[object Object]
Anatomy and Physiology ,[object Object],[object Object],[object Object],[object Object]
Anatomy and Physiology
Anatomy and Physiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy and Physiology
Anatomy and Physiology
Anatomy and Physiology
Anatomy and Physiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy and Physiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy and Physiology
Anatomy and Physiology
Anatomy and Physiology
Terms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Terms: atrial kick ,[object Object]
Terms: pre-load ,[object Object],[object Object]
Terms: after-load ,[object Object],[object Object]
Terms: contractility ,[object Object],[object Object]
Terms: stroke volume ,[object Object],[object Object],[object Object]
Terms: cardiac output ,[object Object],[object Object],[object Object]
Terms: cardiac reserve
Cardiac Assessment
Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Assessment ,[object Object],[object Object],[object Object],[object Object]
Assessment ,[object Object],[object Object],[object Object],[object Object]
Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Assessment
Assessment
Assessmen t
Pneumothorax Myocardial Infarction Respiratory Infection Angina Musculoskeletal Pericarditis Aortic Dissection Trauma Anxiety Pulmonary Embolism Oesophageal Reflux / Spasm Causes of chest pain
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Who is having a MI?
Diabetes High Blood Pressure Physical Inactivity Over 40 Vascular Disease High Cholesterol Previous MI Obesity Smoking Family History Unhealthy Dietary Habits Risk Factors
[object Object],[object Object],[object Object],[object Object],[object Object],Chain of Survival
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Scenario
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Time = Muscle Assessment
lleregies A M P L E edications revious medical, surgical and family history   ast meal vents Assessment
osition:  Where is the Pain? P Q R S T A A A uality:  What does the pain feel like?  [sharp, dull, burning] adiation:  Does the pain move anywhere?  everity:  Rate the pain on a scale between 0 and 10 iming:  When did the pain start? Is it continuous?  lleviating factors:  What makes it better? ggravating factors:  What makes it worse? ssociated symptoms:  e.g., nausea / pins and needles Assessment
Inspect Palpate Percussion Auscultation Assessment
[object Object],[object Object],[object Object],[object Object],Nursing Intervention
Nursing Intervention
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Nursing Intervention
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Medical Intervention

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Cardiac Anatomy and Physiology

Editor's Notes

  1. 4 chambers Separated by septum and valves
  2. 4 chambers Separated by septum and valves
  3. 4 chambers Separated by septum and valves
  4. 4 chambers Separated by septum and valves
  5. RCA is dominant in 84% of people Dominant artery usually does not perfuse largest % of myocardium Arise from aorta left branches into two large vessels right branches into single vessel from aortic sinus Can dilate meeting increased demand
  6. Contributes approximately 30% of CO alterations in atrial contraction effect CO
  7. Pulse – pulse deficit listen to apex and feel radial – if there is a difference this indicates a pulse deficit
  8. S2 split – A2 = aortic valve closure, P2 = pulmonic valve closure. On inspiration, venous return to the heart is impeded and pulmonic valve closure is delayed resulting in a split sound. Can be normal in some people. Get patient to hold breath to hear this better S3 – left ventricular failure: and is caused by blood from the left atrium slamming into an already overfilled ventricle during early diastolic filling S4 - left ventricular hypertrophy: blood trying to enter a stiff, non-compliant left ventricle during atrial contraction
  9. Inspect  skin colour, scars, etc.. Palpate  pulse Percussion  lungs / heart boarders Auscultation  heart murmurs
  10. B 2 via HM or NRB C FBC: Hb  anaemia, WCC  infection UEC: electrolyte imbalance CP: coagulation ?PE CK / Troponin: muscle / cardiac enzymes ABG: ventilation / perfusion status F Observations 5mins apart G Analgesia / medications
  11. B 2 via HM or NRB C FBC: Hb  anaemia, WCC  infection UEC: electrolyte imbalance CP: coagulation ?PE CK / Troponin: muscle / cardiac enzymes ABG: ventilation / perfusion status F Observations 5mins apart G Analgesia / medications
  12. Anginine Vasodilator, decreases preload and afterload therefore decreasing the workload of the heart, dilates coronary arteries Aspirin Platelet aggregation inhibitor  a study of 17,000 people showed a reduced re-infarction rate of 50% Morphine Analgesia, decreases anxiety, Clopidogrel Platelet aggregation inhibitor GTN Infusion Blood pressure control, reduces pain