Cardiac Cycle

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Study Tools For Cardiac Cycle

Heart Beating (Image)
Cardiovascular Circulation (Image)
Vascular System (Image)
Cardiac Anatomy (Image)
Circulatory System (Image)
Cardiac Cycle – Diastole (Picmonic)
Cardiac Cycle – Systole (Picmonic)
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Outline

Overview

  1. Cardiac Cycle
    1. Systole
      1. Contraction
    2. Diastole
      1. Relaxation
    3. Diastasis
      1. Pause between relaxation and contraction
    4. Assumes ventricular, must state atrial if referring to atrial

Nursing Points

General

  1. Cardiac Cycle
    1. Ventricular diastole and diastasis
      1. Blood from vena cava → right atrium
        1. Tricuspid valve open
      2. Blood flows through open valve to R.V.
      3. Blood from PVs → left atrium
        1. Bicuspid valve open
      4. Blood flows through open valve to LV
      5. During diastasis – Ventricles fill to 70% capacity
    2. Atrial systole
      1. Both atria contract simultaneously
      2. Fill remaining 30% of ventricles with blood
    3. Atrial diastole
      1. Both atria relax during ventricular systole
    4. Ventricular systole
      1. Both ventricles contract
      2. Pressure increases in both ventricles
      3. Bicuspid and tricuspid valves close
        1. Papillary muscles contract to hold valves closed
        2. Prevents backflow to atria
      4. Pulmonic and Aortic valves open
        1. Blood from RV flows through open pulmonic valve into pulmonary artery
        2. Blood from LV flows through open aortic valve into aorta
      5. Small amount remains in ventricles
        1. “End Diastolic Volume” (EDV)
    5. Ventricular diastole
      1. Pulmonic and aortic valves close
        1. Prevents backflow of blood
    6. The cycle repeats
  2. Heart sounds
    1. Normal
      1. S1 or systolic
        1. Long duration
        2. Low pitch
        3. Ventricles contract
        4. AV valves close
      2. S2 or diastolic
        1. Ventricles relax
        2. Semilunar valves close
    2. Abnormal — due to diseased heart valves
      1. Stenosis — edges of valves fuse together so that valve cannot open to its fullest extent -OR- presence of vegetation prevents full opening
        1. Creates a murmur (whoosh sound)
          1. Blood is trying to pass through an opening that is smaller than normal
      2. Regurgitation – valves don’t close completely
        1. Loss of substance of heart valves
        2. Blood regurgitates backwards
          1. RV→ RA
          2. PT → RV
          3. Aorta → LV (2nd most common)
          4. LV → LA (most common)

Assessment

  1. Refer to Heart Sounds lesson in Cardiac (Med-Surg) course

References
Betts, J.G., et al. (2017). _Anatomy and physiology_. Houston, TX: OpenStax, Rice University. Retrieved from https://openstax.org/details/books/anatomy-and-physiology?Book%20details

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Transcript

In this lesson we’re going to talk about the cardiac cycle and how blood is pumped throughout the body

Before we get started I want to go over a couple of really important points. These are some terms that you really need to know. The first one is called systole, which is really just a contraction of whatever chambers of the heart squeezing. You need to know is diastole, which is a relaxation. And then you have something called diastasis, which is the pause between relaxation and control. The other thing that you have to know is that if you want to speak to something specifically about the atria, you have to say atrial before it. So it would be, or atrial diastole. Otherwise it’s considered ventricular.

We were talking about the cardiac cycle we’re going to look at the atria first. This is called ventricular diastole, and the ventricles are relaxing and blood is coming in from the vena cava, so the vena cava and the superior vena cava and it’s filling blood in the right atrium and blood is going from the right atrium to the right ventricle through the tricuspid valve. In the left side you have blood pulling in from the pulmonary veins and they’re going to the left atrium. Then it’s going to go from the left atrium to the left ventricle. Is essentially a pause in here and it’s called diastasis. And what happens is this pause allows the ventricles to fill in 70%. In His Image you can see that the Atria fill and the ventricles are relaxing and there’s a pause before anything squeezes. This is the diastasis that I’m talking about.

Now we get to the point where the Atria relax this is called atrial diastole. And you can see it here

When we talk about atrial systole, we’re talking about that the atria contract. And both the right and left atria are going contract simultaneously. This is going to fill the rest of the 30% of the blood is in the ventricles, and this is called atrial kick

Then finally you get to ventricular systole. So both ventricles are going to contract. This causes an increase in ventricular pressure, because this is where the power house of all the blood exiting the heart happens. The bicuspid and tricuspid valves are going to close to keep backflow from happening. At the same time the papillary muscles here are going to contract to keep help keep those valves closed.

The pulmonic and aortic valves, so the semilunar valves, are going to open, and the blood is going to rush out of the heart and into either the aorta or the ones. A small amount of blood is left in the ventricles, and this is known as end diastolic volume.

So once the blood is out of the ventricles, the pulmonic and aortic valves are going to close and that’s going to prevent backflow from the pulmonary artery and the aorta back into the ventricles. And then the cycle is going to repeat.

So once the blood is out of the ventricles, the pulmonic and aortic valves are going to close and that’s going to prevent backflow from the pulmonary artery and the aorta back into the ventricles. And then the cycle is going to repeat.

Okay so let’s recap.

When were talking about systole and diastole systole is contraction of whatever chamber were talking about and diastole is the relaxation of that chamber.

Diastasis is the pause between systole and diastole, and it allows the ventricles to fill 70% full.

The valves are like open doors in between each chamber. Those valves are going to remain open while the the blood moves from one chamber to another.
When we talked about normal heart sounds were talking about S1 and S2. That’s one comes from the closure of the tricuspid and mitral valve, and S2 comes from a closure of the semilunar valves.

Normal heart sounds come from incomplete closure or opening of those valves, or a narrowing of the valve so that blood is forced through a small opening.

And that’s our lesson on the cardiac cycle. Make sure you check out all the resources attached this lesson. Now go out and be our best selves today, and as always happy nursing..

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Concepts Covered:

  • Cardiac Disorders
  • Musculoskeletal Trauma
  • Integumentary Disorders
  • Neurologic and Cognitive Disorders
  • Oncology Disorders
  • EENT Disorders
  • Respiratory Disorders
  • Gastrointestinal Disorders
  • Hematologic Disorders
  • Communication
  • Test Taking Strategies
  • Pregnancy Risks
  • Fundamentals of Emergency Nursing
  • Concepts of Mental Health
  • Basics of NCLEX
  • Prioritization
  • Emotions and Motivation
  • Tissues and Glands
  • Skeletal System
  • Muscular System
  • Nervous System
  • Sensory System
  • Circulatory System
  • Hematologic System
  • Respiratory System
  • Digestive System
  • Urinary System
  • Endocrine System
  • Reproductive System
  • Labor Complications
  • Disorders of Pancreas
  • Eating Disorders
  • Neurological Emergencies
  • Noninfectious Respiratory Disorder
  • Vascular Disorders
  • Upper GI Disorders
  • Lower GI Disorders
  • Liver & Gallbladder Disorders
  • Urinary Disorders
  • Sexually Transmitted Infections
  • Female Reproductive Disorders
  • Renal Disorders
  • Integumentary Disorders
  • Integumentary Important Points
  • Immunological Disorders
  • Shock
  • Endocrine and Metabolic Disorders
  • Musculoskeletal Disorders
  • Musculoskeletal Disorders
  • Neurological Trauma
  • Central Nervous System Disorders – Brain
  • Central Nervous System Disorders – Spinal Cord
  • Peripheral Nervous System Disorders
  • Emergency Care of the Neurological Patient
  • Respiratory Emergencies
  • Infectious Respiratory Disorder
  • Oncologic Disorders
  • Studying
  • Cardiovascular Disorders
  • Basic
  • Adult
  • Pediatric
  • Neonatal
  • Emergency Care of the Trauma Patient
  • Emergency Care of the Cardiac Patient
  • Emergency Care of the Respiratory Patient

Study Plan Lessons

The 5-Minute Assessment (Physical assessment)
General Assessment (Physical assessment)
Integumentary (Skin) Assessment
Neuro Assessment
Head/Neck Assessment
EENT Assessment
Heart (Cardiac) and Great Vessels Assessment
Thorax and Lungs Assessment
Abdomen (Abdominal) Assessment
Lymphatic Assessment
Peripheral Vascular Assessment
Musculoskeletal Assessment
Genitourinary (GU) Assessment
Communicating with Patients
SATA
Absolute Words
Nursing Process
What do you want me to know?
Duplicate Facts
Repeating Words
Denying Feelings
NCLEX® Question Traps
Opposites
Same
Priority
Acute vs Chronic
Hierarchy of O2 Delivery
Nutrition Assessments
Abuse
Therapeutic Communication
Nurse-Patient Relationship
Thinking Like a Nurse
Critical Thinking
Prioritization
Triage
Maslow’s Hierarchy of Needs in Nursing
Overview of the Nursing Process
Skin Structure & Function
Skeletal Anatomy
Bone Structure
Development of Bones
Joints
Muscle Anatomy (anatomy and physiology)
Muscle Cytology
Skeletal Muscle
Muscle Contraction
Muscle Physiology
Nervous System Anatomy
Membrane Potentials
Nerve Transmission
Autonomic Nervous System (ANS)
Spinal Cord
Cranial Nerves
Sensory Basics
Intro to Circulatory System
The Heart
Cardiac Cycle
Electrical Activity in the Heart
Cardiac (Heart) Physiology
Blood Vessels
Blood Pressure (BP) Control
Blood Plasma
Blood Grouping
Vessels & Fluid
Respiratory Structure & Function
Breathing Movements
Breathing Control
Respiratory Functions of Blood
Digestive System Anatomy
Mouth & Oropharynx
Esophagus
Stomach Video
Small Intestine
Large Intestine
Liver & Gallbladder
Urinary System Anatomy (Anatomy and Physiology)
Renal (Kidney) Structure & Function
Renin Angiotensin Aldosterone System (RAAS)
Formation & Excretion of Urine
Renal (Kidney) Fluid & Electrolyte Balance
Renal (Kidney) Acid-Base Balance
Pituitary Gland
Thyroid Gland
Adrenal Gland
Pancreas
Male Reproductive Anatomy (Anatomy and Physiology)
Female Reproductive Anatomy (Anatomy and Physiology)
Epithelial (Skin) Tissues
Types of Epithelial (Skin) Tissue
Glands
Connective Tissues
Membranes
Fluid Compartments
Fluid Pressures
Fluid Shifts (Ascites) (Pleural Effusion)
Isotonic Solutions (IV solutions)
Hypotonic Solutions (IV solutions)
Hypertonic Solutions (IV solutions)
Potassium-K (Hyperkalemia, Hypokalemia)
Sodium-Na (Hypernatremia, Hyponatremia)
Calcium-Ca (Hypercalcemia, Hypocalcemia)
Chloride-Cl (Hyperchloremia, Hypochloremia)
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Phosphorus-Phos
Heart (Cardiac) Sound Locations and Auscultation
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care and Pathophysiology for Aortic Aneurysm
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
GERD (Gastroesophageal Reflux Disease)
Nursing Care and Pathophysiology for Pancreatitis
Nursing Care and Pathophysiology for Diverticulosis – Diverticulitis
Nursing Care and Pathophysiology for Hemorrhoids
Nursing Care and Pathophysiology for Appendicitis
Nursing Care and Pathophysiology for Cholecystitis
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)
Nursing Care and Pathophysiology for Syphilis (STI)
Nursing Care and Pathophysiology for Herpes Simplex (HSV, STI)
Nursing Care and Pathophysiology for Menopause
Nursing Care and Pathophysiology of Glomerulonephritis
Pressure Ulcers/Pressure injuries (Braden scale)
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Skin Cancer
Integumentary (Skin) Important Points
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Breast Cancer
Diabetes Management
Nursing Care and Pathophysiology for Sepsis
Fluid Volume Deficit
Fluid Volume Overload
Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care and Pathophysiology for Compartment Syndrome
Fractures
Casting & Splinting
Impulse Transmission
Cerebral Metabolism
Blood Brain Barrier (BBB)
Levels of Consciousness (LOC)
Routine Neuro Assessments
Adjunct Neuro Assessments
Brain Death v. Comatose
Intracranial Pressure ICP
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Nursing Care and Pathophysiology for Myasthenia Gravis
Nursing Care and Pathophysiology for Parkinsons
Miscellaneous Nerve Disorders
Tension and Cluster Headaches
Migraines
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Stroke Assessment (CVA)
Stroke Therapeutic Management (CVA)
Stroke Nursing Care (CVA)
Seizure Causes (Epilepsy, Generalized)
Seizure Assessment
Seizure Therapeutic Management
Nursing Care and Pathophysiology for Seizure
Neurological Fractures
Spinal Cord Injury
Nursing Care and Pathophysiology for Meningitis
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care and Pathophysiology of Pneumonia
Isolation Precautions (MRSA, C. Difficile, Meningitis, Pertussis, Tuberculosis, Neutropenia)
Coronavirus (COVID-19) Nursing Care and General Information
Artificial Airways
Airway Suctioning
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
Nursing Care and Pathophysiology for Pulmonary Embolism
Lung Sounds
Alveoli & Atelectasis
Gas Exchange
Wound Care – Assessment
Aortic Aneurysm – Management Nursing Mnemonic (CRAM)
Aortic Aneurysm – Thoracic signs Nursing Mnemonic (PEE BADS)
Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)
Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)
Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)
Coronary Arteries – Location Nursing Mnemonic (I have a RIGHT to CAMP if you LEFT off the AC)
Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)
CHF Treatment Nursing Mnemonic (UNLOAD FAST)
Cyanotic Defects Nursing Mnemonic (The 4 T’s)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)
Heart Failure – Right Sided Nursing Mnemonic (HEAD)
Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)
Hypertension- Complications Nursing Mnemonic (The 4 C’s)
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Increase MAP Nursing Mnemonic (VAK)
Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)
Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)
Digestion & Absorption
Nutrition-related Diseases
CPR-BLS (Basic Life Support)
Advanced Cardiovascular Life Support (ACLS)
Pediatric Advanced Life Support (PALS)
Neonatal Resuscitation Program (NRP)
Prioritizing Assessments
Triage in the ER
Critical Incident Management
Aggressive & Violent Patients
Legal & Ethical Issues in ER
EMTALA & Transfers
Trauma Survey
Blunt Thoracic Trauma
Penetrating Thoracic Trauma
Blunt Abdominal Trauma
Penetrating Abdominal Trauma
Crush Injuries
Head Trauma & Traumatic Brain Injury
Massive Transfusion Protocol
Acute Coronary Syndrome (ACS)
Aneurysm & Dissection
Cardiopulmonary Arrest
Dysrhythmia Emergencies
Heart (Heart) Failure Exacerbation
Hypertensive Emergency
Arterial Pressure Monitoring
Rapid Sequence Intubation
Pulmonary Embolism
Acute Respiratory Distress
Ventilator Settings
Acute Confusion
Intracranial Hemorrhage
Increased Intracranial Pressure
Stroke (CVA) Management in the ER
Seizure Management in the ER
Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)