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BP
blood pressure, BP = CO Ă— TPR or BP = (SV Ă— HR) Ă— TPR, reported as SBP/DBP
DBP
diastolic blood pressure – measures the pressure in your arteries when your heart rests between beats or when the heart is filling with deoxygenated blood to move through the heart.
SBP
systolic blood pressure – measures the pressure in your arteries when your heart beats or when blood is released into systemic circulation from the left ventricle.
CO or Q
cardiac output, CO = Heart Rate Ă— Stroke Volume, measured in mL/min or the total amount of blood the heart pumps in one minute.
ECG
electrocardiogram, recording of electrical signals of the heart. The ECG reading contains waves and intervals that match electrical conduction through the heart.
HR
heart rate, measured as the number of beats per minute.
SV
stroke volume, measured in mL and is the total amount of blood pumped from the left ventricle during each heartbeat.
TPR
total peripheral resistance or the level of resistance in the vascular/arterial system, measured as the amount of force exerted on the arteries in circulating blood.
FVC
forced vital capacity, maximal volume that can be expired after maximal inspiration.
FEV1
forced expiratory volume in 1 second, maximal volume expired in the first second.
FEV1/FVC
ratio of FEV1 to FVC, low values can indicate COPD.
PFT
pulmonary function test, includes measurement of lung volumes, FVC, and maximum voluntary ventilation.
RR
respiratory rate, number of breaths per minute.
TV
tidal volume, volume of air inspired by lungs with each breath.
VE
minute ventilation, amount of air inspired by the lungs in one minute.
FITTE Principle
mnemonic for elements of exercise prescription: Frequency, Intensity, Time, Type, Enjoyment.
HRmax
maximum heart rate during exercise, in beats per minute
HRreserve
difference between maximum heart rate and resting heart rate.
MET
metabolic equivalent, standard unit for quantifying intensity of aerobic exercise relative to resting metabolic rate, equal to 3.5 mL of oxygen intake per kg body mass per minute
RPE
rating of perceived exertion, scale for measuring an individual's perceived work effort during exercise.
VOâ‚‚
volume of oxygen inspired in liters per minute.
VOâ‚‚max
maximum capacity of volume of oxygen inspired during aerobic exercise, in liters per minute.
VOâ‚‚reserve
difference between maximum oxygen uptake and resting oxygen uptake.
CAD
coronary artery disease or blockage in the coronary arteries.
CHF
congestive heart failure.
CKD
chronic kidney disease.
DVT
deep vein thrombosis.
HF
heart failure.
HTN
hypertension (high blood pressure).
Hypotension
low blood pressure.
MI
myocardial infarction (heart attack).
PAD
peripheral arterial disease.
PVD
peripheral venous disease.
COPD
chronic obstructive pulmonary disease.
Obstructive
group of pulmonary diseases characterized by airflow obstruction attributable to chronic bronchitis or emphysema with difficulty with expiration (getting air out of the lungs).
PE
pulmonary embolism, a blood clot in the lungs.
Restrictive
group of pulmonary diseases characterized by reduced lung compliance and difficulty with lung expansion and inspiration (getting air into the lungs).
Acidemia
condition that causes an increase in hydrogen ions in the blood, resulting in a decrease in pH. It can also be defined as abnormally high blood acidity, which can be caused by an increase in acidic substances or a decrease in alkaline substances. This means that the serum pH is lower than normal, with arterial pH less than 7.35
Alkalemia
also known as alkalosis, occurs when the concentration of hydrogen ions in the blood decreases, resulting in an increase in pH. This means that the serum pH is higher than normal, with arterial pH greater than 7.45
Hypoxia
low level of oxygen in the tissues of the body, less than 90% blood oxygen saturation
Hypoxemia
low level of oxygen in the blood.
Hyperoxemia
partial pressure of oxygen (PaOâ‚‚) in arterial blood gas analysis is higher than 100 mmHg
Hypercarbia/Hypercapnia
high level of carbon dioxide in the blood, above the normal range of 35-45 mmHg (>45 mmHg).
Hypocarbia/Hypocapnia
low level of carbon dioxide in the blood, below the normal range of 35-45 mmHg (<35 mmHg).
Hyperventilation
rapid or deep breathing in the presence of low oxygen, causing COâ‚‚ levels to drop.
Hypoventilation
shallow or slow breathing causing COâ‚‚ levels to rise.
PaOâ‚‚
partial pressure of oxygen in arterial blood.
SaOâ‚‚
saturation of oxygen on hemoglobin measured from arterial blood.
SpOâ‚‚
saturation of oxygen on hemoglobin measured with a pulse oximeter.
ABG
arterial blood gases.
CBC
complete blood cell count.
HCT
hematocrit, percentage of red blood cells in plasma.
Hb
hemoglobin, the primary molecule responsible for oxygen transport in the blood.
Plt
platelets.
RBC
red blood cell.
WBC
white blood cell
Blood flow through the heart
Body → Superior & Inferior Vena Cava → Right Atrium → Tricuspid Valve → Right Ventricle → Pulmonary Valve → Pulmonary Artery → Lungs (for oxygen) → Pulmonary Veins → Left Atrium → Mitral Valve → Left Ventricle → Aortic Valve → Aorta → Rest of the Body
Muscles of inspiration
primarily diaphragm and external intercostals
Elastic recoil on expiration
the lung's natural, passive ability to "snap back" to its smaller, resting size after being stretched and filled with air during inhalation
Atmospheric pressure
the pressure of the air outside the body, stable at about 760 mmHg at sea level
Intrapleural pressure
the pressure within the fluid-filled, closed space between the lungs and the chest wall, always less than atmospheric pressure to keep the lungs inflated
Gas exchange
the vital process where fresh oxygen moves from the air into the bloodstream, and carbon dioxide (a cellular waste product) is simultaneously removed from the blood and exhaled
Pulmonary system
the lungs, their airways, and their vascular network
Upper respiratory tract
nose, pharynx, and larynx
Conduction zone of lower respiratory tract
move air in and out of the lungs, includes the trachea, primary bronchus, bronchus, bronchi, and bronchioles
Respiratory zone of lower respiratory tract
where actual gas exchange occurs, includes respiratory bronchioles, alveolar ducts, and alveolar sacs
Alveoli
the structure at which gas exchange occurs in the lung
ERV
expiratory reserve volume, maximal volume that can be expired from a resting expiration
FRC
functional residual capacity, volume of gas in lungs at resting expiratory level
IC
inspiratory capacity, maximal volume that can be inspired from resting expiratory level
IRV
inspiratory reserve volume, maximal volume that can be inspired from end-tidal inspiratory level
TLC
total lung capacity, volume of gas in lungs at end of maximal inspiration
VC
vital capacity, maximal volume that can be expired after maximal inspiration
MVV
maximal voluntary ventilation, the amount of air that can be moved in and out of the lungs during a given time period
RV
residual volume, the volume of air contained in the lungs after a maximal expiration
TV
tidal volume, amount of air that moves in or out of the lungs with each respiratory cycle
Normal heart rate
60-100 beats per minute
Bradycardia
<60 beats per minute, low heart rate
Tachycardia
>100 beats per minute, high heart rate
Normal respiratory rate
12-18 breaths per minute
Bradypnea
<10 breaths per minute, low respiratory rate
Tachypnea
>20 breaths per minute, high respiratory rate
Normal blood oxygen
95-100% blood saturation
Normal blood pressure
<120/<80 (and)
Elevated blood pressure
120-129/<80 (and)
Hypertension Stage 1
130-139/80-89 (or)
Hypertension Stage 2
140+/90+ (or)
Hypertensive Crisis
180+/120+ (and/or)