Exam 2 HPL post HWs lab X

Your subject's cardiac output is 6.0 L/min , their heart rate is 81 bpm, and their blood pressure is 120/63. What is their stroke volume (use ml, not L)? (no units required)

(6/81)*1000= 74.1

Your subject's cardiac output is 6.0 L/min , their heart rate is 66 bpm, and their blood pressure is 128/89. What is their rate pressure product? (no units required)

(66*128)= 8,488

What is a typical value for systolic blood pressure in a healthy adult human?

115-125

Your subject's heart is beating once every 0.86 seconds. Their heart is pumping out 4.8 liters of blood from the heart every minute. After every beat of the heart, there is still 46 milliliters of blood left in the ventricle. The minimum pressure recorded during diastole is 65 millimeters of mercury and every time blood is ejected the pressure increases by 28 millimeters fo mercury from this point. What is this subject's rate pressure product?

6,488

Based on current (after 2017) guidelines hypertension could be diagnosed based on a diastolic blood pressure __________ mmHg

80

Which sound do we associate with systolic blood pressure?

The first Korotkoff sound

In a subject who has mitral regurgitation, we would expect to hear?

lub-swish-sup

In a subject who had aortic stenosis, we would expect to hear?

lub-whistle-dup

Based on current (after 2017) guidelines a systolic blood pressure of __________ mmHg would be classified as elevated (more than one acceptable answer)

(120-130)

Your subject's cardiac output is 5.9 L/min , their heart rate is 73 bpm, and their blood pressure is 126/71. What is their pulse pressure? (must provide units)

(126-71)= 55mm Hg

What is a typical value for stroke volume in a healthy adult human (in mL)?

(59-91)

Your subject's heart is beating once every 0.82 seconds. Their heart is pumping out 6.1 liters of blood from the heart every minute. After every beat of the heart, there is still 41 milliliters of blood left in the ventricle. The minimum pressure recorded during diastole is 80 millimeters of mercury and every time blood is ejected the pressure increases by 42 millimeters fo mercury from this point. What is this subject's stroke volume in ml (not L)?

(6.1/73.1)*1000= 83.4 60/0.86=73 Hr

Your subject's heart is beating once every 1.07 seconds. Their heart is pumping out 6.8 liters of blood from the heart every minute. After every beat of the heart, there is still 56 milliliters of blood left in the ventricle. The minimum pressure recorded during diastole is 69 millimeters of mercury and every time blood is ejected the pressure increases by 50 millimeters of mercury from this point. What is this subject's stroke volume in ml (not L)?

(6.8/56.1)*1000= 121.2 60/1.07= 56.1

What is a typical value for diastolic blood pressure in a healthy adult human?

(75-85)

Your subject's heart is beating once every 0.86 seconds. Their heart is pumping out 6.4 liters of blood from the heart every minute. After every beat of the heart, there is still 63 milliliters of blood left in the ventricle. The minimum pressure recorded during diastole is 77 millimeters of mercury and every time blood is ejected the pressure increases by 38 millimeters fo mercury from this point. What is this subject's mean arterial pressure? (no units required)

(77 + 1/3(38)= 89.7

You collected the following data from your subject cardiac output is 5.4 L/min , their heart rate is 70 bpm, their blood pressure is 124/82. What is their mean arterial pressure? (no units required)

(82+ 1/3(124-82)= 96

A systolic blood pressure of __________ mmHg would be suggestive of hypotension

(85-95)

Your subject's heart rate is 66 bpm, their stroke volume is 64 ml/bt, their mean arterial pressure is 93 mmHg, their pulse pressure is 41 mmHg, the distance from their heart to the top of their head is 43 cm, and the distance from their heart to the bottom of their feet is 104 cm. What is the pressure at the top of their head?

(93-(0.77*43)=60

Your subject's heart rate is 72 bpm, their stroke volume is 68 ml/bt, their mean arterial pressure is 94 mmHg, their pulse pressure is 42 mmHg, the distance from their heart to the top of their head is 44 cm, and the distance from their heart to the bottom of their feet is 112 cm. What is the pressure at the bottom of their feet? (no units required)

(94+(.77*112)= 180.2

Your subject's heart rate is 67 bpm, their stroke volume is 62 ml/bt, their mean arterial pressure is 99 mmHg, their pulse pressure is 31 mmHg, the distance from their heart to the top of their head is 39 cm, and the distance from their heart to the bottom of their feet is 105 cm. What is the pressure at the top of their head? (no units required)

(99-(.77*39)= 69

You are taking a subject's blood pressure by the auscultatory method. When you have worked with this patient before, their blood pressure is usually around 118/72 with a heart rate of 85. How high should you pump up the pressure in the cuff before you begin taking their BP?

118 +25 = 143

Based on pre-2017 guidelines a systolic blood pressure of __________ mmHg would be classified as pre-hypertensive (more than one acceptable answer)

120-140

You are taking a subject's blood pressure by the auscultatory method. When you have worked with this patient before, their blood pressure is usually around 132/84. You pump the cuff up until the pressure is 152 mmHg. You then release the pressure from the cuff, while listening for changes in sound as the pressure in the cuff gradually becomes lower. The needle on the sphygmomanometer is moving down and is at 132 mmHg when you hear a relatively loud sound, then it becomes a little softer at around 121, then a little louder again around 117, becomes muffled around 94, and then disappears at 84 mmHg. Based on this information what is their systolic blood pressure?

132

Based on pre-2017 guidelines hypertension could be diagnosed based on a systolic blood pressure __________ mmHg

140

Your subject's cardiac output is 4.2 L/min , their heart rate is 71 bpm, and their blood pressure is 140/65. What is their pulse pressure?

140-65= 75 mm Hg

Your subject's heart is beating once every 1.03 seconds. Their heart is pumping out 5.6 liters of blood from the heart every minute. After every beat of the heart, there is still 50 milliliters of blood left in the ventricle. The minimum pressure recorded during diastole is 67 millimeters of mercury and every time blood is ejected the pressure increases by 48 millimeters fo mercury from this point. What is this subject's pulse pressure?

48

You are taking a subject's blood pressure by the auscultatory method on a hot day outside and they just finished exercising in the heat. When you have worked with this patient before, their blood pressure is usually around 116/82. You pump the cuff up until the pressure is 140 mmHg. You then release the pressure from the cuff, while listening for changes in sound as the pressure in the cuff gradually becomes lower. The needle on the sphygmomanometer is moving down and is at 108 mmHg when you hear a relatively loud sound, then it becomes a little softer at around 103, then a little louder again around 95, becomes muffled around 59, and then disappears at 0 mmHg. Based on this information what is their diastolic blood pressure?

59

Your subject's cardiac output is 6.0 L/min, their RRinterval is 0.94 seconds long, and their blood pressure is 116/88. What is their stroke volume (use ml, not L)?

60/0.94= 63.82 (6/63.82)*1000= 94

You are taking a subject's blood pressure by the auscultatory method on a hot day outside and they just finished exercising in the heat. When you have worked with this patient before, their blood pressure is usually around 116/82. You pump the cuff up until the pressure is 143 mmHg. You then release the pressure from the cuff, while listening for changes in sound as the pressure in the cuff gradually becomes lower. The needle on the sphygmomanometer is moving down and is at 109 mmHg when you hear a relatively loud sound, then it becomes a little softer at around 103, then a little louder again around 95, becomes muffled around 67, and then disappears at 0 mmHg. Based on this information what is their diastolic blood pressure?

67

You are taking a subject's blood pressure by the auscultatory method. When you have worked with this patient before, their blood pressure is usually around 118/74. You pump the cuff up until the pressure is 138 mmHg. You then release the pressure from the cuff, while listening for changes in sound as the pressure in the cuff gradually becomes lower. The needle on the sphygmomanometer is moving down and is at 121 mmHg when you hear a relatively loud sound, then it becomes a little softer at around 103, then a little louder again around 92, becomes muffled around 83, and then disappears at 70 mmHg. Based on this information what is their diastolic blood pressure?

70

You collected the following data from your subject cardiac output is 6.4 L/min , their heart rate is 73 bpm, their blood pressure is 134/58. What is their mean arterial pressure?

83 58 + 1/3 (134-58)= 83.3

What is a typical value for mean arterial pressure in a healthy adult human?

86.6-100

Your subject's heart is beating once every 1.10 seconds. Their heart is pumping out 7.2 liters of blood from the heart every minute. After every beat of the heart, there is still 48 milliliters of blood left in the ventricle. The minimum pressure recorded during diastole is 77 millimeters of mercury and every time blood is ejected the pressure increases by 44 millimeters fo mercury from this point. What is this subject's mean arterial pressure?

91.7

Your subject's cardiac output is 6.0 L/min , their heart rate is 67 bpm, and their blood pressure is 134/89. Estimate their heart's oxygen demand?

Hr*SBP 67*134= 8,978

Your subject's heart is beating once every 0.76 seconds. Their heart is pumping out 4.9 liters of blood from the heart every minute. After every beat of the heart, there is still 59 milliliters of blood left in the ventricle. The minimum pressure recorded during diastole is 80 millimeters of mercury and every time blood is ejected the pressure increases by 42 millimeters of mercury from this point. What is this subject's rate pressure product?

RPP= HR* SBP 60/0.76=78.95 78.95*(80+42)= 9,632

When we use a stethoscope and blood pressure cuff to determine blood pressure, we place the diaphragm of the stethoscope over which blood vessel?

brachial artery

We demonstrated a couple different methods for determining blood pressure in lab X. One method that we did not use entails placing a catheter into the subject's brachial artery at the level of the heart. This is a very accurate way to measure blood pressue and is is called the _____________________________________________________________ method for determining blood pressure.

direct method

The fourth heart sound would occur when during the cardiac cycle?

during late filling of the ventricle when the atria contract

The third heart sound would occur when during the cardiac cycle?

early filling of the ventricles right after the AV valves open

We demonstrated a couple different methods for determining blood pressure in lab X. Taking a subject's blood pressure using a blood pressure cuff and sphygmomanometer and noting when the pressure in the cuff started to fluctuate (which could cause the needle to bounce) is called the _____________________________________________________________ method for determining blood pressure.

indirect-oscillometric

When we take a subject's blood pressure by inflating a blood pressure cuff and feeling for their radial pulse, we call this the ___________________________ method for determining blood pressure.

indirect-palpatory

When we use a stethoscope and blood pressure cuff to determine blood pressure, what is true of the first sound we hear?

it is called the first Korotkoff sound

Which of the following is/are true about the second heart sound?

it occurs when the pressure in the ventricles falls below the pressure in the aorta

What does the 5th Korotkoff sound sound like?

no sound

Which heart sound is associated with closing of the semilunar valves?

second

If observed, when does the 3rd heart sound occur relative to our other heart sounds?

shortly after S2

The first Korotkoff sound is associated with:

systolic blood pressure

When we use the auscultatory method for determining blood pressure:

we are listening for Korotkoff sounds