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OXYGENATION CARDIOVASCULAR AND HEMATOLOGIC SYSTEM
CARDIOVASCULAR SYSTEM
 
TERMINOLOGIES ,[object Object],[object Object],[object Object],[object Object],[object Object]
CASE STUDY ,[object Object],[object Object]
CASE STUDY ,[object Object],[object Object]
CASE STUDY ,[object Object],[object Object],[object Object]
CARDIOVASCULAR SYSTEM  ,[object Object],[object Object],[object Object],[object Object]
REVIEW OF ANATOMY AND PHYSIOLOGY-  Heart ,[object Object],[object Object],[object Object]
HEART RA RV LUNGS LA LV SYSTEMIC CIRCULATION SYSTEMIC CIRCULATION LUNGS SYSTEMIC CIRCULATION
CONDUCTION PATHWAY RA LA RV LV - SA NODE AV NODE- BUNDLE OF HIS BUNDLE BRANCH PURKINJE PURKINJE
REVIEW OF ANATOMY AND PHYSIOLOGY-  Heart ,[object Object],[object Object],[object Object]
REVIEW OF ANATOMY AND PHYSIOLOGY-  Heart ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
REVIEW OF ANATOMY AND PHYSIOLOGY-  Heart ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
REVIEW OF ANATOMY AND PHYSIOLOGY – Blood Vessels ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
REVIEW OF ANATOMY AND PHYSIOLOGY ,[object Object],[object Object],[object Object],[object Object]
PULMONARY CIRCULATION RA RV LUNGS LA LV SYSTEMIC CIRCULATION SYSTEMIC CIRCULATION LUNGS SYSTEMIC CIRCULATION
SYSTEMIC CIRCULATION RA RV LUNGS LA LV SYSTEMIC CIRCULATION SYSTEMIC CIRCULATION LUNGS SYSTEMIC CIRCULATION
 
HISTORY AND PHYSICAL EXAM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HISTORY AND PHYSICAL EXAM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HISTORY AND PHYSICAL EXAM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnostic Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnostic Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnostic Assessment ,[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]
HEMODYNAMICS MONITORING ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HEMODYNAMICS MONITORING  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Planning for Health Promotion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Modification of High Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Planning for Health Maintenance & Restoration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Closed Heart surgery ,[object Object],[object Object]
Open Heart surgery (CABG) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HEART TRANSPLANT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CARDIOVASCULAR DISTURBANCES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],Plaque formation and internal thickening (intima) Fibrosis and calcification (media) Narrowing and constriction of coronary arteries S/sx of ISCHEMIA
ANGINA PECTORIS ,[object Object],[object Object],[object Object],[object Object],[object Object]
ISCHEMIA VS INFARCTION NO STRESS/ EXERTION PRECIPITANTS PERMANENT NO PERMANENT CARDIAC TISSUE DAMAGE NOT RELIEVED RELIEVED REST  NITROGLYCERINE > 5 MIN 3-5 MIN DURATION SUBSTERNAL CONSTRICTIVE (+ SX OF SHOCK) SUBSTERNAL PRESSURE/ HEAVINESS SQUEEZING PAIN INFARCTION ISCHEMIA
ANGINA PECTORIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
  O2 to Myocardium : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
O2 Demand ,[object Object],[object Object],[object Object],[object Object]
Prevent Future Episodes ,[object Object],[object Object],[object Object]
Coronary Insufficiency ,[object Object],[object Object],[object Object]
 
MYOCARDIAL INFARCTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
P Q R S T E.C.G.
P Q R S T E.C.G. ST SEGMENT ELEVATION
P Q R S T E.C.G. INVERTED T - WAVE
P Q R S T E.C.G. Q wave
MYOCARDIAL INFARCTION ,[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],[object Object]
CARDIAC ARRHYTHMIA ,[object Object],[object Object]
CONDUCTION PATHWAY RA LA RV LV - SA NODE AV NODE- BUNDLE OF HIS BUNDLE BRANCH PURKINJE PURKINJE
P Q R S T E.C.G.
CARDIAC ARRHYTHMIA ,[object Object],[object Object],[object Object]
P Q R S T E.C.G.
CONDUCTION PATHWAY RA LA RV LV - SA NODE AV NODE- BUNDLE OF HIS BUNDLE BRANCH PURKINJE PURKINJE
CARDIAC ARRHYTHMIA ,[object Object],[object Object],[object Object]
P Q R S T E.C.G.
CONDUCTION PATHWAY RA LA RV LV - SA NODE AV NODE- BUNDLE OF HIS BUNDLE BRANCH PURKINJE PURKINJE
CARDIAC ARRHYTHMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
CONGESTIVE HEART FAILURE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
C.H.F. RA RV LUNGS LA LV SYSTEMIC CIRCULATION SYSTEMIC CIRCULATION LUNGS SYSTEMIC CIRCULATION LV
CONGESTIVE HEART FAILURE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CONGESTIVE HEART FAILURE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CONGESTIVE HEART FAILURE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CONGESTIVE HEART FAILURE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PULMONARY EDEMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PULMONARY EDEMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HYPERTENSION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HYPERTENSION >=100 >=160  or HPN, Stage 2 90-99 140-159  or HPN, Stage 1 80-89 120-139  or PreHPN <180 <120  and Normal DBP mmHg SBP mmHg CATEGORY
HYPERTENSION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HYPERTENSION ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
PERIPHERAL VASCULAR DISEASE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ISCHEMIA OF THE PERIPHERAL VESSELS ,[object Object],[object Object],[object Object],[object Object]
Increase Arterial Blood Flow or Venous return ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Buerger Allen Routine ,[object Object],[object Object],[object Object]
Increase Arterial Blood Flow or Venous return ,[object Object],[object Object],[object Object],[object Object],[object Object]
Promote Vasodilation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prevent and Treat Vascular Occlusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARTERIAL DISEASE ,[object Object],[object Object],[object Object],[object Object]
VENOUS DISEASE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DISEASE OF ARTERIES AND VEINS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NURSING CARE OF PATIENTS WITH AMPUTATION ,[object Object],[object Object],[object Object],[object Object]
NURSING CARE OF PATIENTS WITH AMPUTATION ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
end  of  cardiovascular system
 
Hematologic System
REVIEW OF ANATOMY AND PHYSIOLOGY – Blood and Lymphatics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
REVIEW OF ANATOMY AND PHYSIOLOGY – Blood and Lymphatics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HEMATOLOGIC DISTURBANCES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HEMATOLOGIC DISTURBANCES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NUTRITIONAL  ANEMIA ,[object Object],[object Object]
IRON DEFICIENCY ANEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IRON DEFICIENCY ANEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object]
Poor intake if iron rich foods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IRON DEFICIENCY ANEMIA ,[object Object],[object Object],[object Object],[object Object]
Poor absorption & utilization of iron from foods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Poor absorption & utilization of iron from foods ,[object Object],[object Object],[object Object],[object Object],[object Object]
IRON DEFICIENCY ANEMIA ,[object Object],[object Object],[object Object],[object Object]
Acute / Chronic blood loss ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IRON DEFICIENCY ANEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IRON DEFICIENCY ANEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IRON DEFICIENCY ANEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ORAL IRON ADMINISTRATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ORAL IRON ADMINISTRATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PARENTERAL IRON ADMINISTRATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PARENTERAL IRON ADMINISTRATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PARENTERAL IRON ADMINISTRATION ,[object Object],[object Object],[object Object],[object Object]
IRON TOXICITY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MEASURES TO MINIMIZE IRON REQUIREMENTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MEASURES TO DIRECTLY AUGMENT IRON STORES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Burger King guest
PERNICIOUS ANEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PERNICIOUS ANEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PERNICIOUS ANEMIA No INTRINSIC FACTOR VIT B 12 cannot be absorbed Alteration in DNA synthesis  needed for cell division Delayed cellular division, altered nuclear pattern  MEGALOBLAST Ineffective erythropoeisis  : increased  serum bilirubin & urobilinogen excretion
PERNICIOUS ANEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object]
PERNICIOUS ANEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PERNICIOUS ANEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SCHILLING’S TEST ,[object Object],[object Object],[object Object],[object Object]
SCHILLING’S TEST ,[object Object],[object Object],[object Object]
PERNICIOUS ANEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PERNICIOUS ANEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object]
APLASTIC ANEMIA ,[object Object],[object Object],[object Object]
APLASTIC ANEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
APLASTIC ANEMIA ,[object Object],[object Object],[object Object],[object Object]
APLASTIC ANEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HEMOLYTIC ANEMIA   EXCESSIVE RBC DESTRUCTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
POLYCYTHEMIA  ,[object Object],[object Object],[object Object],[object Object],[object Object]
POLYCYTHEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL CARE OF PATIENTS WITH ANEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL CARE OF PATIENTS WITH ANEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Don’t look at me…
HEMATOLOGIC DISTURBANCES ,[object Object],[object Object],[object Object]
LEUKEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object]
LEUKEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LEUKEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LEUKEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LEUKEMIA – NURSING CARE ,[object Object],[object Object],[object Object]
LEUKEMIA – NURSING CARE ,[object Object],[object Object],[object Object],[object Object],[object Object]
MULTIPLE MYELOMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MULTIPLE MYELOMA ,[object Object],[object Object],[object Object],[object Object],[object Object]
HEMATOLOGIC DISTURBANCES ,[object Object],[object Object],[object Object],[object Object],[object Object]
LYMPHOMA ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NONHODGKIN’S DISEASE ,[object Object],[object Object],[object Object],[object Object]
INFECTIOUS MONONUCLEOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object]
INFECTIOUS MONONUCLEOSIS ,[object Object],[object Object],[object Object],[object Object]
SPLENECTOMY ,[object Object],[object Object],[object Object]
SPLENECTOMY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hemorrhagic Disorders : PURPURA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Disorders of Altered Coagulation ,[object Object],[object Object],[object Object]
HEMOPHILIA   ,[object Object],[object Object],[object Object],[object Object]
HEMOPHILIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HYPOPROTHROMBINEMIA ,[object Object],[object Object],[object Object]
D.I.C. ,[object Object],[object Object],[object Object]
D.I.C. DIFFUSE FIBRIN DEPOSITION WIHIN  ARTERIOLES AND CAPILLARIES WIDESPREAD CLOTTING DEPLETION OF CLOTTING FACTORS
D.I.C. ,[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],[object Object]
A.I.D.S. ,[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],[object Object],[object Object],[object Object]
A.I.D.S. ,[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]
GOD BLESS

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Cardiology and Hematology Ppt

  • 1. OXYGENATION CARDIOVASCULAR AND HEMATOLOGIC SYSTEM
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  • 10. HEART RA RV LUNGS LA LV SYSTEMIC CIRCULATION SYSTEMIC CIRCULATION LUNGS SYSTEMIC CIRCULATION
  • 11. CONDUCTION PATHWAY RA LA RV LV - SA NODE AV NODE- BUNDLE OF HIS BUNDLE BRANCH PURKINJE PURKINJE
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  • 18. PULMONARY CIRCULATION RA RV LUNGS LA LV SYSTEMIC CIRCULATION SYSTEMIC CIRCULATION LUNGS SYSTEMIC CIRCULATION
  • 19. SYSTEMIC CIRCULATION RA RV LUNGS LA LV SYSTEMIC CIRCULATION SYSTEMIC CIRCULATION LUNGS SYSTEMIC CIRCULATION
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  • 38. ISCHEMIA VS INFARCTION NO STRESS/ EXERTION PRECIPITANTS PERMANENT NO PERMANENT CARDIAC TISSUE DAMAGE NOT RELIEVED RELIEVED REST NITROGLYCERINE > 5 MIN 3-5 MIN DURATION SUBSTERNAL CONSTRICTIVE (+ SX OF SHOCK) SUBSTERNAL PRESSURE/ HEAVINESS SQUEEZING PAIN INFARCTION ISCHEMIA
  • 39.
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  • 46. P Q R S T E.C.G.
  • 47. P Q R S T E.C.G. ST SEGMENT ELEVATION
  • 48. P Q R S T E.C.G. INVERTED T - WAVE
  • 49. P Q R S T E.C.G. Q wave
  • 50.
  • 51.
  • 52. CONDUCTION PATHWAY RA LA RV LV - SA NODE AV NODE- BUNDLE OF HIS BUNDLE BRANCH PURKINJE PURKINJE
  • 53. P Q R S T E.C.G.
  • 54.
  • 55. P Q R S T E.C.G.
  • 56. CONDUCTION PATHWAY RA LA RV LV - SA NODE AV NODE- BUNDLE OF HIS BUNDLE BRANCH PURKINJE PURKINJE
  • 57.
  • 58. P Q R S T E.C.G.
  • 59. CONDUCTION PATHWAY RA LA RV LV - SA NODE AV NODE- BUNDLE OF HIS BUNDLE BRANCH PURKINJE PURKINJE
  • 60.
  • 61.  
  • 62.
  • 63. C.H.F. RA RV LUNGS LA LV SYSTEMIC CIRCULATION SYSTEMIC CIRCULATION LUNGS SYSTEMIC CIRCULATION LV
  • 64.
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  • 68.
  • 69.
  • 70.
  • 71. HYPERTENSION >=100 >=160 or HPN, Stage 2 90-99 140-159 or HPN, Stage 1 80-89 120-139 or PreHPN <180 <120 and Normal DBP mmHg SBP mmHg CATEGORY
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  • 88. end of cardiovascular system
  • 89.  
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  • 118. PERNICIOUS ANEMIA No INTRINSIC FACTOR VIT B 12 cannot be absorbed Alteration in DNA synthesis needed for cell division Delayed cellular division, altered nuclear pattern MEGALOBLAST Ineffective erythropoeisis : increased serum bilirubin & urobilinogen excretion
  • 119.
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  • 135. Don’t look at me…
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  • 159. D.I.C. DIFFUSE FIBRIN DEPOSITION WIHIN ARTERIOLES AND CAPILLARIES WIDESPREAD CLOTTING DEPLETION OF CLOTTING FACTORS
  • 160.
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  • 163.