Chapter 5 Flashcards

1
Q

Normal blood volumes for male/female

A
Male = 5-6 L
Female = 4-5 L
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2
Q

Formed elements of blood

A

45% of blood vol

  • RBC
  • WBC
  • Platelets
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3
Q

Functions of the blood

A
  1. Transport O2 and CO2 to lungs
  2. Transports nutrients and waste products
  3. Transports processed molecules from A to B
  4. Form clots
  5. Maintain body temp
  6. Regulate pH and osmosis
  7. Transport regulatory hormones and enzymes
  8. Protect against foreign substance
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4
Q

RBC

A
  • Transports O2 to lungs
  • Transports CO2 from tissue to lung
  • 120 lifespan
  • Normal value for adult = 4.2
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5
Q

Hematocrit

A

% in relation to total blood vol

male 45%
female 42%
neonate 45-60%

*low hematocrit = anemic

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6
Q

Major component of RBC

A
  • Hemoglobin
  • O2 from lungs to tissue
  • CO2 tissue to lungs
  • 4 O2 per hemoglobin
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7
Q

WBC

A

(Leukocytes)

  • Protect against invading microorganisms
  • Granulocytes
    • Neutroplils 65%
    • Eosinophils (line respiratory tract, kill parasites) 2-5%
    • Basophils (histamine and heparin) 0.5-1%
  • Agranulocytes
    • Lymphocytes (immune attack response) 25%
    • Monocytes 4-8%
      • largest of WBCs

*normal: 5000-9000 cells/mm3
over 9000 = infection (Leukocytosis)
less than 5000 = leukopenia

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8
Q

Platelets

A

Normal: 250,000-500,000 mm3

Prevent loss by:

  • Seal holes in small blood vessels
  • form blood clots

*less than normal = have to apply pressure longer

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9
Q

Anatomical structure of the heart

A
  • Hollow, 4 chambers, muscular
  • Atria and ventricles
  • Between mediastinum
  • Chambers:
  • Valves: Tricuspid, Bicuspid (mitral), Aortic semilunar, pulmonary semilunar
  • Layers: Epicardium (visceral), Myocardium, Endocardium
  • Pericardium: anchors heart to vessels, prevents heart from overfilling
    • Parietal layer
    • Visceral layer
    • Serous layer
    • Fibrous layer
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10
Q

How blood flows through the heart

A
  • From aorta by means of arteries
    • left coronary artery
    • right coronary artery
  • Left divides into
    • circumflex branch
    • anterior inter ventricular branch
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11
Q

Arterial/venous blood flow of the heart

A

Venous system parallels coronary arteries
-venous blood from anterior side empties into great cardiac veins
-venous blood from posterior portion is collected
Thesbin

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12
Q

What are baroreceptors

A
  • Stretch receptors
  • Walls of carotid arteries and aorta/aortic notch (pressoreceptors)
  • Measure amount of pressure in vessels as blood flows through
  • Regulate arterial bp by reflex adjustments to changes in bp
  • arterial bp decreases baroreceptor reflex causes the following to increase:
    • HR
    • myocardial force of contraction
    • arterial/venous constriction
  • Net result
    • increase C.O. (normal 5 L)
    • increase in total peripheral resistance
    • return of bp to normal
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13
Q

Mean arterial pressure

A

MAP = SBP + (DBP x 2) / 3

normal = 80 to 100
decreased MAP (60) = bad perfusion
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14
Q

C.O.

A
normal = 5 L/min
neonate = 1/2 L/min

SV or HR increase, bp increase
SV or HR decrease, bp decrease

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15
Q

Normal anatomical shunt

A
  • Great cardiac vein/middle cardiac vein
  • Dumps into right atrium and a little goes into left ventricle
  • Thesbin
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16
Q

3 things that affect the distribution of pulmonary blood flow

A
  1. Gravity
    - blood is gravity-dependent, moves to portions closest to ground (erect, supine, lateral, upside down)
  2. C.O.
  3. PVR
17
Q

3 zones model

A

PA > Pa > Pv zone 1 (apex)
Pa > PA > Pv zone 2 (middle)
Pa > Pv > PA zone 3 (base)

18
Q

3 things that determine C.O.

A
  1. Ventricular preload = VEDP and VEDV
  2. Ventricular after load
  3. Myocardial contractility
    • increase or decrease C.O. increase or decrease
    • force generated by myocardium when ventricular muscle fibers shorten
    • positive inotropism increase contractility
    • negative inotropism decrease contractility
19
Q

Preload

A
  • how much blood can fill the heart before contraction
  • end diastolic; more preload more C.O.
  • Results in higher myocardial contractility
20
Q

Afterload

A
  • force that ventricles have to pump against

- reflected by systolic bp

21
Q

Vascular resistance

A

Resistance = MAP / CO