3.1 Cardiopulmonary Flashcards
Coronary Arteries
the arteries that supply blood to the heart
Left Coronary Artery (Left Main)
supplies blood to the left side of the heart muscle
Left Anterior Descending Artery
the largest coronary artery supplying over 50% of the blood to the heart. It branches from the left main coronary artery, which carries oxygenated blood to the left front side of your heart.
Left Anterior Descending Artery (LAD) is also known as the
Anterior interventricular branch
If it becomes block it is known as the Widow Maker
Circumflex Artery
Branches off the left coronary artery and surrounds the heart; supplies blood to the outer side and back of the heart
Right Coronary artery
supplies blood to the right ventricle; right atrium and sinoatrial node (SA)and atrioventricular node (AV)
SA node
Sinoatrial node; pacemaker
AV node
Atrioventricular node; electrical conduction of the heart
What muscle type is responsible for pumping blood from the heart.
Cardiac Muscle
What muscle type found in veins are responsible for contracting and dilating to regulate blood flow?
Smooth Muscle
What muscle type helps fill blood vessels by contracting?
Skeletal Muscle
See Pic page 5
Varicose veins
swelling of superficial veins usually in the legs
the arteries that supply blood to the heart
Coronary Arteries
supplies blood to the left side of the heart muscle
Left Coronary Artery (Left Main)
the largest coronary artery supplying over 50% of the blood to the heart. It branches from the left main coronary artery, which carries oxygenated blood to the left front side of your heart.
Left Anterior Descending Artery
Branches off the left coronary artery and surrounds the heart; supplies blood to the outer side and back of the heart
Circumflex Artery
supplies blood to the right ventricle; right atrium and sinoatrial node (SA)and atrioventricular node (AV)
Right Coronary Artery
What is the structure of an artery
Thick, elastic, muscular walls
What is the structure of a vein
Thin walls with few elastic fibers
Capillary gas exchange
one cell thick allowing gas to passthrough
Cardiovascular System
the system responsible for carrying oxygen and nutrients to the body and carrying CO2 and other waste products away from the body
Heart rate
A measure of Cardiac activity usually expressed in numbers of beats per minute
Pulse
The rhythmic expansion and recoil of arteries resulting from heart contraction
Blood Pressure
the pressure that blood exerts upon the walls of blood vessels especially arteries
what is blood pressure measured with
Sphygmomanometer and expressed in mm Hg
Systolic Pressure
Pressure in the arteries when the body undergoes systole
Systole
the phase of the heartbeat when the heart muscle contracts and pumps blood from the chambers into the arteries
Diastole
the relaxation and dilation of the chambers of the heart and especially the ventricles during which they fill with blood
Diastolic Pressure
Pressure in the arteries when the heart relaxes and the chambers fill with blood
Sphygmomanometer
An instrument used for measuring blood pressure especially arterial blood pressure
Cardiac Output
A measure of how much blood is pumped by both ventricles in one minute
Heart Rate
A count of how many times the heart beats in a minute; quantified BPM
Stroke Volume
The amount of blood being pumped out of the heart with each heartbeat; Quantified as ml per beat
Average Stroke Volume
75 ml/ beat
Blood Pressure
Normal
Prehypertension
Hypertension 1
Hypertension 2
Hypertension Crisis
120/80 or less
120-129/80
130-139/80-89
140/90 or higher
180/120
Pulse points in the body
Carotid
Femoral
brachial
radial
ulnar
popliteal
dorsalis pedis
ABI Page 10
Peripheral Arterial Disease (PAD)
Narrowing or blocking of vessels that carry blood from the heart to the legs maybe the first warning sign of atherosclerosis
Ankle Brachial Index (ABI)
Systolic pressure at the ankle divided by the systolic pressure in the arm
Thick, elastic, muscular walls
Structure of Artery
Thin walls with few elastic fibers
Structure of vein
the system responsible for carrying oxygen and nutrients to the body and carrying CO2 and other waste products away from the body
Cardiovascular System
The rhythmic expansion and recoil of arteries resulting from heart contraction
Pulse
the phase of the heartbeat when the heart muscle contracts and pumps blood from the chambers into the arteries
Systole
the relaxation and dilation of the chambers of the heart and especially the ventricles during which they fill with blood
Diastole
A measure of how much blood is pumped by both ventricles in one minute
Cardiac output
Narrowing or blocking of vessels that carry blood from the heart to the legs maybe the first warning sign of atherosclerosis
Peripheral Arterial Disease (PAD)
Electrocardiogram
A measurement of heart electrical activity
P-R Interval
Time from the beginning of the P wave to the start of the QRS complex measured in ms/s
QRS Complex
time from the Q defection to the S deflection measured in ms/s
the ventricles depolarize and prepare to contract the atria polarize but can’t be seen on EKG as QRS complex masks repolarization
Q-T Interval
time from the Q defection to the end of the T wave measured in ms/s
Systolic Pressure
Pressure in the arteries when the heart undergoes systole (heart contractions)
S-T Interval shows
When the ventricles contract (pumping blood)
T Wave
Ventricles repolarize and relax
P Wave
when the atria are full of blood the SA node fires sending an electrical signal throughout the atrium causing them to depolarize and contract
PQ Segment
Signal travels from the SA node to the AV node (AV node fires)
see page 15
AED (Automated External Defibrillator)
Used to shock the heart back into rhythm
consequences of untreated heart arrhythmia
stroke, heart failure cardiac arrest
see page 18. 19. 20,21
Role of nose
filter air by trapping dirt and microbes in mucous and hair; also warms the air
Role of Pharynx and Trachea
passage way through which air moves to the lungs
Larynx
voice box; sits on top of the trachea; Adam’s Apple
Bronchi and Bronchioles
Bring air from the trachea into the lungs; Bronchi branch into bronchioles
Alveoli
Thin-walled air sacs that extend from the bronchioles and are wrapped in capillaries; the place where oxygen and carbon dioxide are exchanged
Diaphragm
A muscle that moves down when contracted to allow the lungs to expand; and moves up when relaxed to push air from the lungs
A measurement of heart electrical activity
Electrocardiogram
Time from the beginning of the P wave to the start of the QRS complex measured in ms/s
P-R Interval
time from the Q defection to the S deflection measured in ms/s
the ventricles depolarize and prepare to contract the atria polarize but can’t be seen on EKG as QRS complex masks repolarization
QRS Complex
time from the Q defection to the end of the T wave measured in ms/s
QT Interval
Pressure in the arteries when the heart undergoes systole (heart contractions)
Systolic Pressure
When the ventricles contract (pumping blood)
S-T Interval
Ventricles repolarize and relax
T Wave
when the atria are full of blood the SA node fires sending an electrical signal throughout the atrium causing them to depolarize and contract
P Wave
Signal travels from the SA node to the AV node (AV node fires)
PQ Segment
Used to shock the heart back into rhythm
AED
filter air by trapping dirt and microbes in mucous and hair; also warms the air
Nose
passage way through which air moves to the lungs
Pharynx and Trachea
voice box; sits on top of the trachea; Adam’s Apple
Larynx
Bring air from the trachea into the lungs; Bronchi branch into bronchioles
Bronchi and Bronchioles
Thin-walled air sacs that extend from the bronchioles and are wrapped in capillaries; the place where oxygen and carbon dioxide are exchanged
Alveoli
A muscle that moves down when contracted to allow the lungs to expand; and moves up when relaxed to push air from the lungs
Diaphragm
Diffuse
the net movement from a region of high concentration to one of lower concentration
Lung disease is the number __________ killer in the US when lumped together.
3
Do the lungs have skeletal muscle?
No, movement of the diaphragm is what moves air in and out of the lungs
spirometry
A test that measures how well your lungs are working by measuring how much air you can inhale and exhale.
what is a normal O2 volume
95%-100%
Tidal volume (TV)
the volume of air breath in and out without conscious effort
Inspiratory Reserve Volume (IRV)
the additional volume of air that can be inhaled with maximum effort after normal inspiration
Expiratory Reserve Volume (ERV)
the additional volume of air that can be forcibly exhaled after normal exhalation
Vital capacity (VC)
the total volume of air that can be exhaled after maximum inhalation
TV + IRV + ERV
Residual Volume (RV)
The volume of air that remains in the lungs after maximum forcible expiration exhalation
Total Lung Capacity (TLC)
VC + RV
Exhaled after max inhalation + volume after air after max exhalation
Peak flow meter
device to monitor how open the airways are
Flow Rate
volume of air moved in a given amount of time; another measure to evaluate how well air is moving in and out of the lungs
FEVI
Greater than 80%
60%-79%
40%-59%
less than 40%
Forced Expiratory Volume
normal
mild obstruction
moderate obstruction
severe obstruction
the net movement from a region of high concentration to one of lower concentration
Diffuse
A test that measures how well your lungs are working by measuring how much air you can inhale and exhale.
Spirometer
the volume of air breath in and out without conscious effort
Tidal Volume (TV)
the additional volume of air that can be inhaled with maximum effort after normal inspiration
Inspiratory Volume Reserve (IVR)
the total volume of air that can be exhaled after maximum inhalation
TV + IRV + ERV
Vital Capacity
the additional volume of air that can be forcibly exhaled after normal exhalation
Expiratory Volume Reserve
The volume of air that remains in the lungs after maximum forcible expiration exhalation
Residual Volume
VC + RV
Exhaled after max inhalation + volume after air after max exhalation
Total Lung Capacity
device to monitor how open the airways are
Peak Flow Meter
volume of air moved in a given amount of time; another measure to evaluate how well air is moving in and out of the lungs
Flow Rate
Hyperventilate
rapid or deep breathing that disrupts the O2/CO2 balance; can be a result of anxiety, panic, or stress
Red Blood Cells
Cells that transport oxygen around the body;
Normal:
Male: 4.0-5.9 x10 6 mcl
Female: 3.8-5.2 mcl
Total Cholesterol
The total amount of cholesterol in the body. Can help show the risk for heart disease. Total should be less than 200 mg/dl
LDL
“Bad” lipoprotein responsible for transporting cholesterol to the cells; should be below 100 mg/dl; higher numbers could indicate a higher risk of heart disease
HDL
“Good” lipoprotein responsible for removing excess cholesterol from the blood stream transporting it to the liver; should be above 60 mg/dl; lower number could indicate a risk of heart disease
Tryglycerides
higher levels are linked with a higher heart disease risk; normal levels are 150 mg/dl or less
Empathy
understanding and experiencing the feelings of another person
Cognitive empathy
understanding another’s feelings by seeing their perspective
Emotional Empathy
literally feeling the emotions of others
Compassionate empathy
understanding someone else’s pain and experiences, but following those feelings with action
Altitude sickness
becoming sick due to unusually low O2 levels in the air
symptoms of altitude sickness
Shortness of breath
Headache
Fatigue
Nausea
Vomiting
Rapid heart rate
Insomnia
Severe symptoms may include:
Skin discoloration-blue, pale or grey
Shortness of breath at rest
Confusion
Decreased consciousness
Not being able to walk in a straight line
Chest tightness
Coughs with bloody mucus
Dizziness/giddiness
Pulmonary edema
Decrease lung function causing less oxygen getting to the alveoli; this can change brain function
rapid or deep breathing that disrupts the O2/CO2 balance; can be a result of anxiety, panic, or stress
Hyperventilation
“Bad” lipoprotein responsible for transporting cholesterol to the cells; should be below 100 mg/dl; higher numbers could indicate a higher risk of heart disease
LDL
“Good” lipoprotein responsible for removing excess cholesterol from the blood stream transporting it to the liver; should be above 60 mg/dl; lower number could indicate a risk of heart disease
HDL
higher levels are linked with a higher heart disease risk; normal levels are 150 mg/dl or less
Tryglycerides
understanding and experiencing the feelings of another person
Empathy
understanding another’s feelings by seeing their perspective
Cognitive Empathy
literally feeling the emotions of others
Emotional Empathy
understanding someone else’s pain and experiences, but following those feelings with action
Companionate Empathy
becoming sick due to unusually low O2 levels in the air
Altitude Sickness
Prions
Infectious proteins that are abnormal forms of normal cellular proteins; cause misfolding of proteins
Examples of Prions
Bovine Spongiform Encephalopathy
Creutzfeldt-Jakob Disease
Kuru
viruses
nonliving submicroscopic infective agents that typically compromise a RNA or DNA core of genetic material surrounded by a protein coat; they require a host in which to replicate
Examples of Viruses
Rabies
Ebola
Polio
Variola
Influenza
Bacteria
A single celled prokaryotic microorganism
Protists
a microscopic eukaryotic cell usually unicellular in the subkingdom Protozoa
Fungi
saprophytic and parasitic spore producing eukaryotic organisms that lack chlorophyll
examples molds, rusts mildews, smut, mushrooms and yeast
Fungi examples
molds, rusts mildews, smut, mushrooms and yeast
Helminths
A large eukaryotic, multicellular parasitic worm such as a tapeworm, liver fluke, ascarid or leach
Pathogen
a disease causing organisms
Epidermis
the top layer of skin that provides a barrier, makes skin and gives color
Dermis
the middle layer of skin that contains collagen and elastin, grows hair, makes oil and sweat, and contains blood vessels and nerve endings
Subcutaneous fatty tissue
the bottom layer of the skin consisting of fat that cushions muscles and bones and helps to regulate body temperature
Sepsis
Body’s immune system overreacts to an infection causing inflammation
Inflammation
a localized physical condition in which part of the body become redden, swollen, hot and often painful; usually a reaction to injury or infection
Severe Sepsis
organs in body begin to malfunction (shut down); blood pressure drops and inflammation continues
Septic Shock
Extremely low blood pressure that does not respond to IV fluids; organ shut down
Lymph Nodes
small swellings in the lymphatic system where lymph is filtered and lymphocytes are formed
Lymph
a colorless fluid containing white blood cells, which bathes the tissues and drains through the lymphatic system into the bloodstream
Infectious proteins that are abnormal forms of normal cellular proteins; cause misfolding of proteins
Prion
Bovine Spongiform Encephalopathy
Creutzfeldt-Jakob Disease
Kuru
examples of prions
nonliving submicroscopic infective agents that typically compromise a RNA or DNA core of genetic material surrounded by a protein coat; they require a host in which to replicate
Viruses
Rabies
Ebola
Polio
Variola
Influenza
Examples of viruses
A single celled prokaryotic microorganism
Bacteria
a microscopic eukaryotic cell usually unicellular in the subkingdom Protozoa
Protist
saprophytic and parasitic spore producing eukaryotic organisms that lack chlorophyll
examples molds, rusts mildews, smut, mushrooms and yeast
Fungi
A large eukaryotic, multicellular parasitic worm such as a tapeworm, liver fluke, ascarid or leach
Helminths
a disease causing organisms
Pathogen
the top layer of skin that provides a barrier, makes skin and gives color
Epidermis
the middle layer of skin that contains collagen and elastin, grows hair, makes oil and sweat, and contains blood vessels and nerve endings
Dermis
the bottom layer of the skin consisting of fat that cushions muscles and bones and helps to regulate body temperature
Subcutaneous fatty tissue
Body’s immune system overreacts to an infection causing inflammation
Sepsis
a localized physical condition in which part of the body become redden, swollen, hot and often painful; usually a reaction to injury or infection
Inflammation
organs in body begin to malfunction (shut down); blood pressure drops and inflammation continues
Severe Sepsis
Extremely low blood pressure that does not respond to IV fluids; organ shut down
Septic Shock
small swellings in the lymphatic system where lymph is filtered and lymphocytes are formed
Lymph nodes
a colorless fluid containing white blood cells, which bathes the tissues and drains through the lymphatic system into the bloodstream
Lymph
Functions of the Lymphatic system
maintain balance of fluids
absorption of fat from the intestines
enhancement of immune system
Lymph Nodes
Glands in the immune system that usually enlarge in response to infection or cancer
Bone Marrow
produces both RBC and WBC
Liver
Contributes to immune defense by collecting and eliminating foreign compounds from the large volume of blood that passes through
Tonsils
help to stop germs entering the body through the mouth and nose contains WBC
Thymus
helps in development in T- Cells
See pg 43
Spleen
filters the blood of foreign cells and old RBC in need of replacement
Lymphatic vessels
Tube-like structures that carry fluid away from the tissues to deliver it back into the blood circulation
Platelets
assist in blood clotting
RBC (Erythrocytes)
Hemoglobin rich cell that transport O2 rich blood; give blood it’s color and have no nucleus
WBC
no hemoglobin; have a nucleus; active in immune response
Types of WBC
Lymphocytes
monocytes
neutrophils
eosinophils
basophils
leucocytes
Innate Immunity
Non-specific immune defense mechanism; born with
Acquired immunity
specific immune defense; acquired over a lifetime;
Types of Acquired Immunity
Active: after infection
Passive: from mother
Antigen
anything that stimulates an immune response
B-Cells
type of lymphocyte (WBC) that matures in the bone marrow and produces antibodies
antibodies
protein produced by B-Cells in the blood; work to impair pathogens also called immunoglobulin
Prodromal
Early signs or symptoms that precede the onset of a disease
convalesce
get better after illness
B lymphocytes
A type of lymphocyte (WBC) that matures in bone marrow and produces antibodies
T lymphocytes
Recognizes and attacks cells infected with foreign pathogens or cancer
produces both RBC and WBC
Bone Marrow
maintain balance of fluids
absorption of fat from the intestines
enhancement of immune system
Function of the lymphatic system
Glands in the immune system that usually enlarge in response to infection or cancer
Lymph nodes
Contributes to immune defense by collecting and eliminating foreign compounds from the large volume of blood that passes through
Liver
help to stop germs entering the body through the mouth and nose contains WBC
Tonsils
helps in development in T- Cells
Thymus
filters the blood of foreign cells and old RBC in need of replacement
Spleen
Tube-like structures that carry fluid away from the tissues to deliver it back into the blood circulation
Lymphatic Vessels
assist in blood clotting
platelets
Hemoglobin rich cell that transport O2 rich blood; give blood it’s color and have no nucleus
RBC
Erythrocytes
no hemoglobin; have a nucleus; active in immune response
WBC
specific immune defense; acquired over a lifetime;
Acquired immunity
anything that stimulates an immune response
antigen
type of lymphocyte (WBC) that matures in the bone marrow and produces antibodies
b-cell
protein produced by B-Cells in the blood; work to impair pathogens also called immunoglobulin
Antibodies
Early signs or symptoms that precede the onset of a disease
Prodromal
get better after illness
Convalesce
A type of lymphocyte (WBC) that matures in bone marrow and produces antibodies
b lymphocytes
Recognizes and attacks cells infected with foreign pathogens or cancer
t lymphocytes