NURS 202 Lecture Notes - Lecture 5: Shortness Of Breath, New Born, Claudication

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Anatomy review: 4 chambers: l & r atrium and ventricles, 4 valves: aortic, pulmonic, tricuspid, mitral, direction of blood flow: Superior/inferior vena cava into r atrium, through tricuspid valve (during diastole) into r ventricle, through pulmonic valve (during systole) into lungs for oxygenation. Blood returns through pulmonic artery to l atrium, through mitral valve (during diastole), into l ventricle, through aortic valve (during systole) and out to extremities to deliver oxygen. Repeat: arteries carry blood away from the heart; veins carry blood towards the heart. What worries you the most: v: deja-vu. Angina : chest pain (tightness on chest, elephant sitting on it). Edema (swollen extremities when heart not pumping at full capacity) Claudication (pain in leg, feel like muscle cramp when doing small activities 100m, disappear at rest. This is a symptom of periphery artery disease) Past cardiac history: angina, mi, hypertension, hyperlipidemia, coronary artery disease, peripheral vascular disease. Smoking (py, previous quit attempt; ask advice assist arrange.

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