1 / 37

Overview – Cardiac System (Chapter 3 – PW) “ A primer coat”

Overview – Cardiac System (Chapter 3 – PW) “ A primer coat”. Sean Collins. Chapter Outline – Level 1. Body Structure and Function Cardiac Evaluation Health Conditions Management. Chapter Outline – Levels 1, 2, 3, 4. Body Structure and Function Cardiac cycle Cardiac Output

libby-perkins
Download Presentation

Overview – Cardiac System (Chapter 3 – PW) “ A primer coat”

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Overview – Cardiac System (Chapter 3 – PW)“A primer coat” Sean Collins

  2. Chapter Outline – Level 1 • Body Structure and Function • Cardiac Evaluation • Health Conditions • Management

  3. Chapter Outline – Levels 1, 2, 3, 4 • Body Structure and Function • Cardiac cycle • Cardiac Output • Factors affecting cardiac output • Preload • Frank-Starling mechanism • Afterload • Cardiac Conduction system • Neural input • Endocrine input • Local input • Cardiac Reflexes • Coronary perfusion • Systemic circulation

  4. Chapter Outline – Levels 1, 2, 3 II. Cardiac Evaluation • Patient history • Physical Exam • Observation • Palpation • Blood pressure • Auscultation

  5. Chapter Outline – Levels 1, 2, 3 II. Cardiac Evaluation • Diagnostic and Laboratory Measures • Oximetry • Electrocardiogram • Complete Blood Cell Count • Coagulation Profiles • Blood Lipids • C-Reactive protein • Biochemical Markers • Natriuretic peptides • ABGs • Chest X Ray • Echocardiograph • Exercise Testing • Cardiac Catherization • Angiography • Electrophysiology studies

  6. Chapter Outline – Level 1, 2 III. Health Conditions • Acute coronary syndrome • Rhythm and conduction disorders • Valvular heart disease • Myocardial and pericardial heart disease • Heart failure

  7. Chapter Outline – Level 1, 2 IV. Management • Revascularization and Reperfusion of the myocardium • Ablation procedure • Cardiac pacemaker implantation and AICD • Life Vest • Valve replacement • Percutaneous aortic valvotomy and transcatheter aortic valve implantation • Cardiac transplantation • Cardiac medications

  8. Chapter Outline – Level 1, 2 IV. Management • Physical Therapy Intervention • Goals • Concepts for the management of patients with cardiac dysfunction

  9. Body structure and function • Cardiac cycle

  10. Chapter Outline – Levels 1, 2, 3, 4 • Body Structure and Function • Cardiac Output • Factors affecting cardiac output • Preload • Frank-Starling mechanism • Afterload • Cardiac Conduction system • Neural input • Endocrine input • Local input • Cardiac Reflexes

  11. Cardiac Evaluation Patient history • Presence of chest pain (see Appendix X for an expanded description of characteristics and etiology of chest pain) • Location and radiation • Character and quality (crushing, burning, numbing, hot), and frequency • Angina equivalents (what the patient feels as angina [e.g., jaw pain, shortness of breath, dizziness, lightheadedness, diaphoresis, burping, nausea, or any combination of these]) • Aggravating and alleviating factors • Precipitating factors • Medical treatment sought and its outcome • Presence of palpitations • Presence of cardiac risk factors (Table 1-4) • Family history of cardiac disease • History of dizziness or syncope • Previous myocardial infarction (MI), cardiac studies, or procedures

  12. Cardiac Evaluation Observation • Facial color, skin color and tone, or the presence of diaphoresis • Obvious signs of edema in the extremities • Respiratory rate • Signs of trauma (e.g., paddle burns or ecchymosis from cardiopulmonary resuscitation) • Presence of jugular venous distention, which results from the backup of fluid into the venous system from right-sided congestive heart failure (CHF) (Figure 1-5) • Make sure the patient is in a semirecumbent position (45 degrees). • Have the patient turn his or her head away from the side being evaluated. • Observe pulsations in the internal jugular neck region. Pulsations are normally seen 3 to 5 cm above the sternum. Pulsations higher than this or absent pulsations indicate jugular venous distention.

  13. Cardiac Evaluation • Palpation • Blood pressure • Auscultation

  14. Cardiac Evaluation Diagnostic and Laboratory Measures • Oximetry • Electrocardiogram • Complete Blood Cell Count • Coagulation Profiles • Blood Lipids • C-Reactive protein • Biochemical Markers

  15. Cardiac Evaluation Diagnostic and Laboratory Measures • Natriuretic peptides • ABGs • Chest X Ray • Echocardiograph • Exercise Testing • Including pharmacological • Cardiac Catherization • Angiography • Electrophysiology studies

  16. Health Conditions • Acute coronary syndrome • Rhythm and conduction disorders • Valvular heart disease • Myocardial and pericardial heart disease All of these roads lead to: Heart failure

  17. Management • Revascularization and Reperfusion of the myocardium • Ablation procedure • Cardiac pacemaker implantation and AICD • Life Vest • Valve replacement • Percutaneous aortic valvotomy and transcatheter aortic valve implantation • Cardiac transplantation • Cardiac medications

  18. Management • Physical Therapy Intervention • Goals • Concepts for the management of patients with cardiac dysfunction

More Related