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Translation for: E:\Articulate\CardioVascularRestrictedNew - ENtranslation.story
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{bmp_6jEt7XeEHs9.Name}
Anatomy
{bmp_6GfnC9i1uPT}
Short reminder:
Cardiac
anatomy
{bmp_62k2YlSU7JO.Name}
Short reminder: Anatomy
{bmp_5u4eVfF86sb.Name}
Cardiac blood vessels
{bmp_6lV0CrH41Qs}
Pulmonary vein
Carry oxygenated blood from the lungs to the left
atrium of the heart
{bmp_6nb9TxFH2zm}
Pulmonary artery
The pulmonary artery carries deoxygenated blood from the heart to the
lungs
{bmp_6Rtv8wDT998}
{bmp_5tKSndIr25Y}
Aorta
The aorta is the largest artery in the human
body, distributes oxygenated blood to all parts
of the body through the systemic circulation
Superior Vena Cava
The superior vena carries deoxygenated blood from the upper half of the body to the heart's
right atrium
{bmp_5fT7u2bCVsK}
Inferior Vena Cava
Is the largest vein that carries de-oxygenated blood from the lower half of the body into the right
atrium of the heart
{bmp_6DYMpkCIK87.Name}
{bmp_5WsgUStYjRX}
Right ventricle
It receives deoxygenated blood from the right atrium via the tricuspid
valve, and pumps it into the pulmonary artery via the pulmonary valve
and pulmonary trunk
{bmp_6bDb0ypYwWP}
Left ventricle
It receives oxygenated blood from the left atrium via the mitral valve,
and pumps it into the aorta via the aortic valve
{bmp_6hMZsM3maNs}
Left atrium
It receives oxygenated blood from the pulmonary veins, and pumps it
into the left ventricle, via the mitral valve
{bmp_6BURlNL4kUA}
Right atrium
It receives deoxygenated blood from the superior and
inferior vena cava and the coronary sinus, and pumps
it into the right ventricle through the tricuspid valve
{bmp_6Lm7ARJiRrG}
Diastole
Is the period of time when the ventricles are in relaxation.
During this relaxation period the right ventricle refills with
deoxygenated blood and the left ventricle refills with
oxygenate blood.
{bmp_6HUVapyjvS2}
Systole
The ventricles contraction which drive out the blood
from the heart. During the systole the oxygenated blood
moving from the left ventricle to the aorta and body, at
the same time the deoxygenated blood moves from the
right ventricle toward the lungs.
{bmp_6C9Gk3jOgrk}
What is diastole?
{bmp_65H42hnY4pz}
{bmp_5aYOs34S7kF.Name}
What is systole?
Untitled Slide
{bmp_6LIWc9dyONz}
For a short summary about cardiac anatomy click PLAY:
{bmp_6cmF1IWxXGy.Name}
Movie
{bmp_6SnTz1Vgfzh.Name}
Physiology
{bmp_5X5AVVRg4lu}
Short reminder:
Cardiac
Action Potential
{bmp_5ZcTqSBCWu9.Name}
{bmp_6ZhxQuWUul3}
Short reminder: Cardiac action-potential
Myocardium goes
through rhythmic
contraction and
relaxation. Those
heart beats are
controlled by selfgenerated rhythmic
firing cells which
generates the
electrical impulses
without any signal
from the nervous
system
{bmp_6NHjdoPpv6P.Name}
Myocardium goes through rhythmic contraction and relaxation. Those heart beats are controlled by
self-generated rhythmic firing cells which generates the electrical impulses without any signal from
the nervous system
{bmp_5X0BNcwJaNg}
There are a number of questions in front of you. Read
properly the instructions and answer
{bmp_66KpFigGbid}
Cardiac action potential is generated by special types
of voltage-gated ion channels across the heart
membrane.
Mark the right answer:
{bmp_6Cl1CaSsGpI}
True
{bmp_6rRNoRIQMYx}
False
{bmp_6mwJ3QHuNyQ}
Click on SEND
{bmp_6mMkmoOR1G6.Name}
What is cardiac electricity conduction?
{bmp_5cOpeyrRrTV}
You did not select the correct response.
{bmp_5oLvamXjqXI}
Continue
{bmp_6lclumygGWr}
That's right! You selected the correct response.
{bmp_5ahVYqW5S36}
Which ions are responsible for the exchange of electricity
through the cardiac myocytes (mark more than one right
answer):
{bmp_5pfGvBEW9Io}
Calcium (Ca++)
{bmp_5oewMjuawjd}
Phosphorus (PO43)
{bmp_6ldccPm11p5}
Potassium )k+(
{bmp_6WTPgo25I7a}
Sodium (Na+)
{bmp_64SLuVb11Vd}
Hydrogen (H+)
{bmp_5al5yTFbgrW}
Click on SEND
{bmp_6U9MOoeywza.Name}
Question- which ions are responsible
{bmp_5Z5TYSnqxbO}
You did not select the correct response. Click on help button and then try again.
{bmp_6QjFeh4eUfE}
You selected the wrong response.
The correct response is: Calcium, Sodium and potassium
{bmp_66RAweWdu1t}
Continue
{bmp_6SvURtSqdeq}
That's right! You selected the correct response.
{bmp_5qdE3GY8nFE}
Watch the animation:
{bmp_6fmxbRgTDmT.Name}
‫אנימציה של יונים‬
{bmp_5kusQkKCpx3}
Depolarization
Depolarization is a change in a cell's membrane potential, making it more positive. Caused by
influx of Na+ through Na+ channels
{bmp_5yFQ0XOckYw}
Plateau
During the plateau stage the rate of repolarization is slowed by the influx of
Ca+ ions into the cell.
{bmp_6Q8H170QNXy}
Repolarization
Returning the membrane potential to its original resting state by outward
movement of K+ through the slow potassium channels
{bmp_5haaYI81OYJ}
Na+
{bmp_6MmEaHhaVdD}
Ca++
{bmp_6l8Y3og5CmY}
{bmp_5iKZPuIu9is}
{bmp_6St1DDnjOD3}
K+
During the resting phase the membrane potential is in its original, negative,
phase.
Resting phase
{bmp_6FUBi9iyzBG.Name}
‫חקירה של פוטנציאל פעולה‬
{bmp_6VdAixRKOft}
Na+
{bmp_6BPSsd4t7C4}
Ca++
{bmp_6d8VpVJbVrw}
K+
{bmp_5xroJeDjGbV}
Resting phase
{bmp_5wt10M8XLaz}
Click on the area on the model where the myocyte goes
through a contraction:
{bmp_5enXIyOco4a}
Click on SEND
{bmp_5nV894Bm6Tq.Name}
Question about myocyte contraction
{bmp_69KpkOkl53t}
{bmp_6n8O8vK3Oxd}
Not Correct
You did not select the correct response.
{bmp_5oCqPRMFhdl}
Continue
{bmp_611nkdfWwZg}
Correct!
{bmp_65S2f4nQLqP}
That's right! You selected the correct response.
{bmp_6XlEtNRXqez}
Continue
{bmp_5aJepQ7kv6e}
Na+
{bmp_6BrnGhWfalz}
Ca++
{bmp_6JpWcP8GmK5}
K+
{bmp_6QMSpnpAeMz}
Rest potential
{bmp_5aCNi7JsjDn}
Cardiac muscle contraction
{bmp_5rLZ6ebU4Fv}
Cardiac myocyte contraction as a response to action
potential exchange
{bmp_6KfEahHl1pk.Name}
Untitled Slide
{bmp_6aleqbacmcx}
Arrhythmias
{bmp_5dxx8SBvslH}
Cardiac valve insufficiency
{bmp_69PZ3affNzv}
Pericarditis
{bmp_5fyzkkJg1Ur}
Cardiac ischemia
{bmp_5y3GQ3FUK2h}
The refractory period corresponds with a beginning of repolarization phase to
the repolarization phase. During the refractory period the cell is completely
unresponsive to any electrical stimulus, it is incapable to initiate any new
depolarization. If there is any imbalance during this period it can be trigger to
(mark one right answer):
{bmp_6SOF53RExmf}
Click on SEND
{bmp_5j5P8JQyCKl.Name}
{bmp_5veQPXvo9dl}
{bmp_6JUeKFBSKRZ}
‫ תקופה רפרקטורית‬:‫שאלה‬
Incorrect
You did not select the correct response. Click on help-button and try to answer
again
{bmp_5dm5mPMaezu}
Wrong answer
{bmp_6OmyUmnp38a}
You did not select the correct response. Imbalance during the refractory period
will cause an early depolarizations, thus increasing the risk for dysrhythmias.
{bmp_5rNjsxMPFXp}
{bmp_6a5m1ObyPUe}
{bmp_60T91OxH1dw}
Continue
That's right! You selected the correct response.
Short reminder:
{bmp_5XKtmhm5FLj}
Who generates and
transmits the
electrical impulses
(cardiac action
potential)?
{bmp_6PAEEZfuFDa.Name}
‫?מי מפעיל פוטנציאל פעולה‬
{bmp_6PAEEZfuFDa.Note}
http://he.wikipedia.org/wiki/%D7%9E%D7%A2%D7%A8%D7%9B%D7%AA_%D7%94%D7%94%D7%A4%D7%A2%D7%9C%D7%94_%D7%95%D7%94%D7%94%D7
%95%D7%9C%D7%9B%D7%94_%D7%94%D7%97%D7%A9%D7%9E%D7%9C%D7%99%D7%AA_%D7%A9%D7%9C_%D7%94%D7%9C%D7%91
{bmp_6JvxFN8Vial}
For more information about cardiac action
potential press on the picture
{bmp_6FWgbNnpicy.Name}
Untitled Slide
{bmp_5kKZ2RL88yh}
For more information about phases of
action potential press on the picture
{bmp_5rppQxiSICs.Name}
‫יונים‬-‫ברונר‬-‫קריאה‬
{bmp_6jvumQv9AXR}
A schematic picture of human heart in front of you. Please
mark with your mouse the location of primary pacemaker:
{bmp_6FefkZxqLYB}
Press on SEND
{bmp_60gtSn6wmqj.Name}
‫ קוצב ראשי‬:‫שאלה‬
{bmp_5YTaGa15Ubn}
{bmp_6XtniFR8CZw}
Correct response!
That's right! You selected the correct response.
{bmp_6rSK7Zq1EGW}
{bmp_5hWkY7xv4FD}
Continue
You did not select the correct response.
{bmp_5l12xC8Nxit}
SA
{bmp_5xYh0zpyVJV}
SA (Sinoatrial) NODE
The primary pacemaker of the heart.
Is located at the right atrium.
The electrical impulses cause electrical stimulation and subsequent contraction of the
atria.
{bmp_6ZSL8mPVlCm.Name}
SA NODE
{bmp_698ehm7twVB}
SA
{bmp_616RZFp03Qj}
The electrical impulses of SA node stimulate the contraction of the atria, the
blood pressure arise and the blood flows toward the ventricles.
{bmp_5etKoUdfupM}
The impulses are then conducted to the atrioventricular (AV) node.
{bmp_5cOwL7Ywu8N}
Mark the location of AV node with your mouse:
{bmp_6eePesynyTX}
Press on SEND
{bmp_5W6dCOVuC9v.Name}
2 ‫שאלה‬
{bmp_5iup2FJ9hUB}
You did not select the correct response.
{bmp_6SnT6r3gIGZ}
That's right! You selected the correct response.
{bmp_5zM4jgSfpOC}
SA
{bmp_6LD7jMTkbrd}
AV
{bmp_6TmdONECnY7}
{bmp_6g8lDhIDKFt}
AV (Atrioventricular) NODE
Located in the right atrial wall near the tricuspid valve.
Coordinates the incoming electrical impulses from the atria and after a slight delay (allowing
the atria time to contract and complete ventricular filling) relays the impulse to the ventricles.
SA (Sinoatrial) NODE
The primary pacemaker of the heart.
Is located at the right atrium.
The electrical impulses cause electrical stimulation and subsequent contraction of the atria.
{bmp_6brkO27d7Bf.Name}
AV NODE
{bmp_60jCFYWhx9H}
The
cardiac
conducti
on
system
transmits
from the
AV node
through
a Bundle
of His
which
divides
into
Bundle
Branches
which
terminal
point
called
Purkinje
Fibers.
These
fibers
specialize
d to
rapidly
conduct
the
impulses,
causing
ventricul
ar
contracti
on.
{bmp_5dUld5pIRG6}
The cardiac conduction system (SA node, AV node and the
ventricular conduction system) provides this
synchronization:
 Atomicity: ability to initiate an electrical impulse
 Excitability: ability to respond to an electrical impulse
 Conductivity: ability to transmit an electrical impulse
from one cell to another
This synchronization allows the ventricular to fill
completely before ventricular ejection, thereby maximizing
cardiac output.
{bmp_6Ii8iD0smsk.Name}
Untitled Slide
{bmp_6Vngio2sR3X.Name}
Untitled Scene
{bmp_6OrgzAIkzvw}
To the emergency room arrived Mr. Feldman due to weakness and
palpitations. Mr. Feldman is 61 years old, there is no known allergies.
Background diseases: High blood pressure; Diabetes which maintained
by medications
Main complains: Weakness and dizziness for few weeks
{bmp_6FG0KtwN7Wx}
{bmp_5k23KoI1N9Y.Name}
Emergency department
‫ שפירא‬.‫אנמנזה של מר‬
{bmp_6C49ReZlx5k}
You have been asked to perform an ECG test to Mr.
Feldman. What ECG test checks?
{bmp_5gL3ujP6waZ}
Electrical activity of the heart
{bmp_6nm3jJPitFg}
Mechanical activity of the heart
{bmp_5qQ611n4OXe}
Valves functioning
{bmp_5btddOnqx4b}
Press on SEND
{bmp_6XtXss7cT3i.Name}
Pick One
{bmp_6DSbOYCWRSN}
You did not select the correct response. Press on help button and then
try again.
{bmp_5UwwgFQthHo}
This is a wrong answer
{bmp_5ffUDFJ8EzD}
You did not select the correct response. The ECG test checks the cardiac electricity conduction.
Read again the explanation about ECG test.
{bmp_5qbJB1EzRS0}
That's right! You selected the correct response.
{bmp_64Dc83RlDfm}
In front of you ECG strip of Mr. Feldman. Analyze this ECG strip
by following variables:
{bmp_6DTBerYb0FH}
Is the rate fast or slow?
{bmp_6T8Tc1hxmFp}
Is the rhythm regular ?
{bmp_65O9KNlkLkY}
Is there a P wave before each QRS complex?
{bmp_5z5ogYZ1Dl7}
Does QRS complex duration and shape consistent throughout the strip?
{bmp_5jCarMHDWqX}
Are PR intervals consistent?
{bmp_5pZxtqoQLmK}
Is ST segment above or below the isoelectric line?
{bmp_6hLdU20TnAr.Name}
‫ שפירא‬.‫הסתכלות באק"ג של מר‬
{bmp_5cRNV2fNpan}
In front of you ECG strip of Mr. Feldman. Drag into it
the wright interpretations (more than one):
{bmp_5tkiNN7hMzS}
Press on the button to recall how normal ECG looks like
{bmp_639urTI7dda}
Absence of P wave
{bmp_5h642vuZP8S}
The RR intervals aren’t equal
{bmp_5ukdvX9ZXAk}
Inversion of T wave
{bmp_5qnodczboqs}
ST elevation
{bmp_5jbXPhRHXko}
Press on SEND
{bmp_6CL2gy7QnEB.Name}
{bmp_5kQamOFooPT}
‫ שפירא‬.‫ מה מאפיין את האק"ג של מר‬:‫?שאלה‬
You did not select the correct response. Press the help button and then try again.
{bmp_5h9elcD1tkd}
This is a wrong response
{bmp_5bAzZhuzldd}
{bmp_5fSbhH67kq2}
You did not select the correct response.
That's right! You selected the correct response.
{bmp_5tfn8D4aXET}
After analyzing Mr. Feldman's symptoms and
ECG strip you suspect that he has an ATRIAL
FIBRILATION
{bmp_5pnE3fNiLRj}
What does Atrial Fibrillation means?
{bmp_5XJiOfmqFNl.Name}
Untitled Slide
{bmp_5XJiOfmqFNl.Note}
http://www.israel-heart.org.il/ep/brochure/pdf/PV_AFA_Atrial_Fibrillation.pdf
http://www.israel-heart.org.il/stroke/index.asp
http://www.israel-heart.org.il/ep/public/pace-makers.asp
{bmp_5nIYO6qMdIY.Name}
Untitled Slide
{bmp_5sM6Dx1RgUy}
http://www.youtube.com/v/5MosWA6yeg8
{bmp_5s5Bmly2kok}
Heart rate
{bmp_5ehgjBqOCCv}
Rhythem
{bmp_69VdHPZb7fI}
P wave
{bmp_6CjmrhAO3yT}
PR interval
{bmp_5pbfack3fL2}
QRS complex
{bmp_6NEv4fJP6WW}
{bmp_6YImNQGEtpP.Name}
How does look like ECG strip of patient with Atrial
Fibrillation?
Untitled Slide
{bmp_6nCeqRK3UCm}
Analyze the interpretation of Mr. Feldman ECG strip:
{bmp_5n4BM9ZCLZE}
Absent P waves
{bmp_6cdR3eHXO6X}
Irregular rhythm
{bmp_65On3UbafYX.Name}
‫ שפירא‬.‫הסבר לפיענוח של אק"ג של מר‬
{bmp_5VAtaS8vCk5}
{bmp_6JBb2Mg6g4K}
Match between the parts of the puzzle:
P wave
{bmp_5efx1Y9JM5a}
Atrium depolarization
{bmp_6DOGG4PRHJ9}
QRS complex
{bmp_5jCzDAH7xQs}
Ventricular depolarization
{bmp_6aANNV7E0Ni}
T wave
{bmp_5WXjEujA3wI}
Ventricular repolarization
{bmp_6MXncBGsd8W}
Press on SEND
{bmp_6X9byhAMULF.Name}
‫ פיענוח אק"ג‬- ‫ חלקי פזל‬:‫שאלה‬
{bmp_67H47mqyEh9}
Wrong response
{bmp_60WLqunbJh2}
You did not select the correct response. Try to recall the cardiac electrophysiology and then try
again.
{bmp_5pIUFfDuqSR}
That's right! You selected the correct response.
{bmp_6gBQvtLfw7W}
Normal ECG
{bmp_6TQ1WEqOZRG.Name}
‫אק"ג תקין‬
{bmp_5ZTrxSTZBU6}
Press for another reading
{bmp_64AhIfvY9TL.Name}
Atrial fibrillation symptoms
{bmp_64YG3zqE82z.Name}
Untitled Slide
{bmp_5gKBO1HmGkt}
Heart palpitations
{bmp_5rS2Lrr7hsK}
Mark a complaint that is not typical atrial fibrillation:
{bmp_6ZGNz93mOtl}
Shortness of breath
{bmp_6Y6hWSl5Kfq}
Lightheadedness and Fatigue
{bmp_6XSfEOPJQHZ}
losing consciousness
{bmp_6mboCNRwiOv}
Chest pain
{bmp_5r7P9siOw3W}
Pain in left arm
{bmp_5oKyoIcHWO9}
Press on SEND
{bmp_6CLqPZa2taG.Name}
Mark a complaint that is not typical atrial fibrillation :
{bmp_6ojHcWFdnf8}
Try Again
{bmp_5oaghIPAH9H}
You did not select the correct response. Press the help button and then try again.
{bmp_6f166F2xa1c}
You did not select the correct response.
The wright response is pain in left arm. Left arm pain typical cardiac infarction.
{bmp_6A6GAIRQv41}
That's right! You selected the correct response.
{bmp_6CK6NVROZL6}
The main complication of atrial fibrillation
is:
{bmp_5xdXYvsm62I}
Stroke
{bmp_6WM0LI5Ft4T}
Heart attack
{bmp_5fgRMvTavGu}
Panic attack
{bmp_5UnHttNccnU}
Pericarditis
{bmp_6ifhSZWnGXN}
Press on SEND
{bmp_5gnuLa5JZw0.Name}
The main complication of atrial fibrillation is:
{bmp_5gnuLa5JZw0.Note}
http://www.israel-heart.org.il/ep/brochure/pdf/AFA_Patient_Info.pdf
http://www.israel-heart.org.il/ep/brochure/pdf/PV_AFA_Atrial_Fibrillation.pdf
{bmp_65rrcnkXzVj}
Incorrect
{bmp_5meXfaTlNOP}
You did not select the correct response.
Press the HELP button and try to answer
again.
{bmp_5iCDMlbrxjm}
Wrong answer
{bmp_5b6BwJOKYc2}
You did not select the correct response. The correct answer is STROKE.
{bmp_6JeHR2WvU6V}
That's right! You selected the correct response.
{bmp_69VuqXkFylQ}
Control the cardiac rhythm
{bmp_6D6oDqCMjge}
Prevent emboli
{bmp_615WV8l0l4V}
Control the cardiac rate
{bmp_5yp2pKnhJZo}
Match between the treatment and it's goal (drag to
the correct choise):
{bmp_64hQVdo1NCl}
Press on SEND
{bmp_6YnKcV7sGyl.Name}
‫טיפול בפרפור עליות‬
{bmp_6qY6OWlZpLF}
You did not select the correct response. Try again.
{bmp_69y7DKNtBvR}
You did not select the correct response.
{bmp_6OKI5qMMOIG}
That's right! You selected the correct response.
{bmp_5jITCy1VRu7}
Medication that helps to restore heart normal rhythm and control heart
rate.
{bmp_6qHijc9eV6Z}
Beta-blocker
{bmp_5edexosfFQy}
During the treatment the skin color my have an blue - grayish color
{bmp_5ZwykmIKWWk}
Amiodarone prolongs the International Normalized Ratio (INR),
{bmp_6F2Akyjmsbl}
Mark the not correct response about Amiodarone:
{bmp_6Fo2bSNT8RZ}
Press SEND
{bmp_5dlX05KXFS8.Name}
‫אמיאודרון‬-‫ מה לא נכון‬:‫שאלה‬
{bmp_5m0hB7TFd9s}
You did not select the correct response. Press the help button and then try again.
{bmp_5a2e2kApf4z}
Wrong response
{bmp_5rwqVObnnIx}
That's right! You selected the correct response.
{bmp_5uWrqXlQi12}
Mr. Feldman is going home today. I'd love you to join me for a nursing
guidance and education.
{bmp_69RmuMtwZYJ}
Press NEXT
{bmp_5ieFVFVTeSw.Name}
‫ שפירא‬.‫ של מר‬-‫הדרכה‬
{bmp_61xPnb1Nwvv.Name}
Untitled Slide
{bmp_6FQGg6Yk8aA.Name}
‫אמיודורון‬-‫חוברת הדרכה‬
Watch a movie
{bmp_5VjkGEmQ8pB}
{bmp_6WeK7equv1r.Name}
Why stroke is the major complication
{bmp_6qtQcKPKqmy.Name}
Untitled Slide
{bmp_5wffCnYfMOx.Name}
Untitled Slide
{bmp_6qo7iOhqysz.Name}
Nursing Process – patient education
{bmp_5y4eQHtdKLy}
Mr. Feldman tomorrow you are going home, before that I'd like to guide you about your
follow-ups and medication treatments.
{bmp_5vO2jp1Udyo.Name}
‫הדרכה לפני שחרור‬
{bmp_5vO2jp1Udyo.Note}
http://www.israel-heart.org.il/stroke/Living-with-AF/Help-yourself.asp
{bmp_5hE2pDVd2pl}
Guide patient
to reduce anxiety
events
{bmp_6BfQpBmLLPv}
Guide patient how to take his pulse and how to recognize atrial fibrillation symptoms
{bmp_5wPqmWZ99Yc}
Guide the patient and his family how to recognize warning signs of stroke
{bmp_6ffdADVE5jB}
Guide patient to Warfarin treatment regimen
{bmp_5xm8OlTI5Mp}
Mark which subjects should be included in patient education about atrial
fibrillation (more than one response is correct):
{bmp_5uIj5nkrkLX.Name}
‫ שפירא‬.‫ מה נכלול בהדרכה של מר‬:‫?שאלה‬
{bmp_5uIj5nkrkLX.Note}
http://www.israel-heart.org.il/stroke/Living-with-AF/Help-yourself.asp
{bmp_6Tl5r0z4b7R}
You did not select the correct response. Press the help button and then try again.
{bmp_5vibCqzllsT}
You did not select the correct response.
{bmp_62rELC9zmDr}
You did not select the correct response.
{bmp_5insHBeVkJJ}
Before every flight I must to inform the stewardess about my warfarin prescription
{bmp_6NF2NCkO877}
Before dental treatments I need to inform my doctor about my warfarin prescription
{bmp_5Y8wg8RuV7Y}
It is recommended to use an electric shaver
{bmp_5m2KxRhaag9}
What patient saying shows that he needs extra guidance?
{bmp_5ij5IUD9DJ5.Name}
‫ שפירא לא הבין את ההדרכה‬.‫ מה מצביע שמר‬:‫?שאלה‬
{bmp_5ij5IUD9DJ5.Note}
http://www.israel-heart.org.il/stroke/Living-with-AF/Help-yourself.asp
{bmp_5VaZbGftETH}
You did not select the correct response.
Press on HELP button and then try again
{bmp_5eTC4T0b7iD}
You did not select the correct response.
There is no need to inform the stuardess during the flight.
{bmp_6iJWM0cJ6Ge}
{bmp_5sydh6Jkztu}
{bmp_6puq6lipMM7}
{bmp_6IBlohBT1af}
{bmp_5neNViOoR09}
That's right! You selected the correct response.
I need to see a doctor if I see bruises on my body without having received a hit
Recommended that I shave with a straight razor
To be aware of eating green vegetables
To be aware of eating potassium rich foods
{bmp_6DbqZxtqepN}
Which patient's sayings show that he understood well the nursing
education ?(more than one response is correct)
{bmp_68TPMd70N52.Name}
‫ שפירא הבין את ההדרכה‬.‫ מה מצביע שמר‬:‫?שאלה‬
{bmp_68TPMd70N52.Note}
http://www.israel-heart.org.il/stroke/Living-with-AF/Help-yourself.asp
{bmp_5skDdtpqHGw}
You did not select the correct response.
Press HELP and try again
{bmp_6kzyiAnL3n1}
You did not select the correct response.
{bmp_6J0w1WZLFF7}
That's right! You selected the correct response.
{bmp_5nLteaDYor2}
Table of Contents:
{bmp_6m8c7tWEc2x}
Anatomy of the heart
{bmp_6lnpAb2LLrj}
Function of the heart:
Cardiac Electrophysiology
{bmp_6Q89iMapmEj}
Assessment:
The Electrocardiogram
{bmp_6fiNz2D63zh}
Nursing Process:
Patient treatment and education
{bmp_6X3Son9xR5Y}
Next
{bmp_6kHo383Kpqy.Name}
Untitled Slide
{bmp_6F5rOf4EJgP.Name}
Untitled Slide
{bmp_63pIkAmgRNT.Name}
Untitled Slide
{bmp_6kEmlAl3Vsr.Name}
Untitled Slide
{bmp_5jmPLioB3q2.Name}
Untitled Scene
{bmp_6N4tHzVZmTe}
Short reminder:
ECG electrode
placement
{bmp_6HvcZpCe58W.Name}
Untitled Slide
{bmp_6HvcZpCe58W.Note}
http://www.ynet.co.il/articles/1,7340,L-2871149,00.html
- !‫מאמר מעיתון מעולה‬
http://www.nottingham.ac.uk/nursing/practice/resources/cardiology/function/unipolar_leads.php ‫ אתר באנגלית על חיבור ופיענוח אקג‬-
{bmp_6EvrredHaZi}
Place the ECG electrodes on the right limb (by
dragging):
{bmp_5oGXlJVsyo4}
LL
{bmp_6Uy5NeJVX08}
RA
{bmp_5upHLN4JovK}
LA
{bmp_6j7QJUpG1bw}
RL
{bmp_5eTHVOPLRPH.Name}
Place the ECG electrodes on the right limb (by dragging):
{bmp_6rA2J3nI6wH}
{bmp_5pIchVaRxRu}
Incorrect
You did not select the correct response
{bmp_6fvmGIZ0YMD}
Continue
{bmp_6Umee4E7SuT}
Incorect
{bmp_62mRJOBvNu5}
{bmp_6J3rB0cG4ye}
You did not select the correct response. Press on help button, watch the movie and then try
again.
That's right!
{bmp_6ijGVBlmCqM}
That's right! You selected the correct response.
{bmp_6Nhk1KzZ4XP}
The 4 limb electrodes provide "tunnel vision"
(like an eye of camera) from 6 different
perspectives (leads): I, II, III, aVR, aVR,
aVF, aVF
{bmp_6PB9bUpZc0a.Name}
‫גפיים‬-‫תפקיד של אלקטרודות‬
{bmp_6Wxsd9uhy2e}
Which regions of the heart each lead is looking at?
{bmp_5gQBt1Qyky7}
Which information about the heart can we
get from "tunnel vision" of 6 leads?
{bmp_6cwLUiBCoxU}
ECG electrode placement on the extremities
{bmp_5ZqAgwXZ3A9}
{bmp_637nc1TlVd0}
Result of the connection between the right wrist left wrist.
Represents the left region of the heart
Result of the "tunnel vision" from the right wrist to left
ankle.
Represents the inferior region of the heart
{bmp_63Rav0CMjDh}
{bmp_6QzxfTpAU9F}
Result of the "tunnel vision" from left wrist to left ankle.
Represents the inferior region of the heart
Result of the "tunnel vision"
from right wrist to left ankle.
Represents the left region of
the heart
{bmp_5qDIv2GO2TS}
Result of the "tunnel vision" from the right wrist to left
wrist.
Represents the inferior region of the heart
{bmp_6Sykc4pL9xj}
{bmp_6GtHPNO3F3f.Name}
Result of the "tunnel vision"from the left wrist to left
ankle.
Represents the right region of the heart
Untitled Slide
{bmp_6GtHPNO3F3f.Note}
{bmp_5sxatjPj3IJ}
{bmp_5wca708qbsU.Name}
{bmp_6aaIDGcVT3b}
How to read the ECG
strip?
‫?כיצד מפענחים אק"ג‬
The P wave represents the atrial depolarization: electrical impulse starting in the sinus node
and spreading through the atria. It is normally less than 0.10 seconds in
duration.
The PR interval represents the time need for SA node stimulation, atrial depolarization and
conduction through the AV node. Normally ranges from 0.12 seconds to 0.20 seconds in
duration.
{bmp_6casQqrwLW2}
The QRS complex represents ventricular depolarization through a Bundle
of His which divides into Bundle
Branches which terminal point called Purkinje Fibers. The QRS complex
is normally less 0.08 - 0.10 seconds in duration.
{bmp_6FvAgQdCPQR}
The ST segment represents early ventricular repolarization. It is analyzed to identify
whether it is above or below the isoelectric line
{bmp_5ja3UMN3UOB}
The T wave represents ventricular repolarisation
{bmp_6KS9dWvn3d7}
How to res ECG strip?
{bmp_6Bh4tEPe4q5.Name}
Untitled Slide
{bmp_6h2DLb98t0p}
Additionally to 4 limb's
electrodes we also have to
place 6 electrodes on the
chest
{bmp_6B1rPGKfq5K.Name}
{bmp_6565W1CCaoH}
‫אלקטרודות חזה‬
V1-V2
Septal surface of the heart
{bmp_6B23TsCaVv5}
{bmp_6qqY520NW2q}
V3-V4
Anterior wall
V5-V6
Lateral wall
{bmp_5VAKBvtQf1e}
The chest electrodes provide additional 6 vision
perspectives about the heart:
{bmp_5q6QcdX6W8c.Name}
Which regions of the heart each chest lead looking at?
{bmp_5q6QcdX6W8c.Note}
‫ החיבורים‬V1-V6 ‫הם חיבורים שמצלמים את החזית של הלב והמחיצה בין החדרים (שמאל לימין) ומתקדמים גם לכיוון הצד השמאלי של הלב‬.
‫תמיד קיימת לנו האופציה לצלם את הקיר הימני של הלב על ידי העברה של החיבורים‬V1-6.‫לצד הימני של החזה‬
{bmp_68bMmGCRZEm}
V6
{bmp_5gHBaYAWue0}
V2
{bmp_5fTOLj1XiUM}
V5
{bmp_5mvpcXIk7mb}
V4
{bmp_5hCPcyunP4S}
V3
{bmp_5qbbE00rcxe}
V1
{bmp_5pzABT23VSz}
Drag the chest electrodes to the proper area on the chest:
{bmp_6p0jRMSaYz9.Name}
‫ התאם אלקטרודות חזה‬:‫שאלה‬
{bmp_5mfboDTWA1M}
{bmp_6T1Q56IPlBk}
Wrong response
You did not select the correct response. Press on the HELP button and then try again.
{bmp_6QvhhHt2weM}
Wrong answer
{bmp_5waV1H1CMBb}
You did not select the correct response.
{bmp_6qfhFaCI08t}
That's right!
{bmp_6mnTlthcBp9}
Continue
{bmp_5jBJSPErnPa}
That's right! You selected the correct response.
{bmp_6b7qAbFRfEp}
ECG is like an eye of a camera. It has a "tunnel view" of heart
regions through 12 leads :
Click for interpretation
{bmp_63ZG5SmbIk9}
{bmp_6Aki8hgHJr3.Name}
{bmp_6Q9DvFlv8mC}
‫ זוויות‬22 -‫סיכום‬
How does it looks like at the ECG strip? :
Click
{bmp_6Tp6SwqmQdx}
{bmp_5YHfF4ntxb9.Name}
{bmp_6JaNH7Wv0YJ}
‫ זוויות הלב‬22 + ‫תרשים אק"ג‬
Each small box represents 0.04 seconds on the horizontal axis and 1mm (0.1
millivolt) on the vertical axis.
{bmp_6kk4aMicagl.Name}
‫מדידת משבצות אק"ג‬
{bmp_5c0WacnpDwm.Name}
Untitled Slide
{bmp_5st6RVJB8qL.Name}
‫מבוא‬
{bmp_6hn5XUQ8L2T}
Nursing Module
The
Cardiovascular
System
Cheryl Spenser Department of Nursing University of Haifa
{bmp_5XuDTPagJYU.Name}
‫סימולציה קלינית‬
{bmp_68aRX5p3XMG}
Contents:
{bmp_6EInCSWs9T4}
Anatomy of the heart
{bmp_6kDm3ieyr4H}
Physiology:
Cardiac Action potential
{bmp_6FCQSsS8h2E}
Polices and Procedures:
The electro cardiogram
{bmp_6dlf10rSheG}
Nursing Process:
Patient education and treatment
{bmp_6nyekMS3cNU}
Next
{bmp_6MhjHyZSlfO.Name}
2 ‫תוכן עינינים‬
{bmp_5ybNLj4Repy}
The purpose of this clinical module is to help the learner to integrate
between the different concepts of knowledge (anatomy, physiology,
pharmacology, etc.) and its application in the nursing practice
{bmp_5hiZqUwSRuj}
This clinical module is designed from visualizations of dynamic physiologic processes, videos,
reading materials, self-assessment questions with constant feedback appropriate the level of
the learner's knowledge
{bmp_6mT2XBaIVc1}
How to use
{bmp_6GlZpQMdtkT}
Content
{bmp_6Bs5V0XVH54}
Purpose
{bmp_6EG015jQUEc}
Press to get help or more reading material
{bmp_6Fldl6nX42U}
During screens with self-assessment questions click SUBMIT
{bmp_6d8U4Hsu6sm}
'RESOURSES- 'button at the right corner of the screen. Here you can find reading
material resources
{bmp_63uqoYRUBj5.Name}
‫ניווט‬-‫מבנה‬-‫מטרה‬
{bmp_6R4CBNi0ZXt}
THE END
{bmp_6KshPL3LIpW}
FOR SCORE CLICK HERE
{bmp_6RwUrZc1xaT.Name}
‫סיום‬
{bmp_6Z5AbQx5MJP}
(%Results.ScorePoints% points)
{bmp_5tYWqlIWhvV}
Exit
{bmp_6VtXsC6zwoH}
{bmp_5dyu5w3xlcO}
Click the resources button
Your score:
{bmp_6bRkoVtZEXT}
Restart
{bmp_5mm6EozPlxk.Name}
Results Slide
{bmp_6WwDAUAMnqJ.Name}
mistake-Physiology
{bmp_6LBENDI7nH7}
To understand what cardiac action potential
is let's read ….
{bmp_67MMHSGJQPI.Name}
‫ הולכה חשמלית‬- ‫ברונר‬
{bmp_5dnQsUMX2vL}
Exchange of ions across channels located in
the myocytes membrane is called cardiac
action potential. Is this true or false, mark the
correct response:
{bmp_6WvInv0e2mT}
True
{bmp_620tqupgslY}
False
{bmp_6AVCP6bvyGs}
Click on SUBMIT
{bmp_6dxutZPAXIH.Name}
‫פוטנציאל פעולה‬/‫ מפל חשמלי‬:‫שאלה‬
{bmp_5xXLc0BQiQ3}
You did not selected the correct response
{bmp_61NnlH9AZ6m}
Continue
{bmp_6F1rvAt1ipR}
That's right! You selected the correct response
{bmp_6lh0yOOZgqQ}
To understand what action potential is, let's
turn the pages of ……
{bmp_692TYClvu6a.Name}
‫הולכה חשמלית‬-‫ברונר‬-‫קריאה‬
{bmp_61OG3HZhh3z.Name}
‫פעולות כפיים – תוספת‬
{bmp_6oY9tuTgs0a.Name}
‫סירטון‬
{bmp_6b22tpkqYzw.Name}
addition to nursing process
{bmp_5glTzWKCTHq}
‫(לחץ על‬...‫כדי להבין מה בדיקת אק"ג בודקת בואו נדפדף בספר‬
‫(הספר‬
{bmp_6gfQ7bPe8cB.Name}
Untitled Slide
{bmp_6USWImb1LzQ.Name}
Question Bank 1
{bmp_ProjectTitle.Title}
‫ווסקולר‬-‫לומדה בושא קרדיו‬
{bmp_FrameLink.6FdF7aKwGtu.Link}
Menu
{bmp_FrameLink.6ayTKnQqi13.Link}
Exit
{bmp_ResourceItem.6fLkIQUCjYp.Title}
Cardiology Teaching Package
{bmp_ResourceItem.6oMUuXg8B0s.Titl
AF Association
e}
{bmp_ResourceItem.6Dgg19SZ7sM.Titl
e}
WebMD
{bmp_ResourceItem.6ilNRmZQko1.Titl
e}
Atrial Fibrilation Patient Information Booklet
{bmp_ResourceItem.6U7alnDXm0R.Titl
e}
Atrial FibrilationL-Drug Information Booklet
{bmp_ResourceItem.69f8ul3UVKC.Title
}
Amiodarone fact sheet
{bmp_ResourceItem.5aUKpzygVs4.Title
}
Warfarin Card
{bmp_ResourceItem.6Sw27SUmZs6.Titl
e}
Blood Thinning In AF Booklet