circulatory system Flashcards

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1
Q

`How many chambers? What are the names?

A

There are 4 chambers
Left Atrium
Right Atrium
Right Ventricle
Left Ventricle

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2
Q

What is the function of the septum?

A

Septum: divides the right side of the heart from the left side- to prevent oxygenated blood from mixing with deoxygenated blood

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3
Q

Where is oxygenated blood? Where is deoxygenated blood?

A

Oxygenated blood travels in arteries, and Fills into the left side of the heart
Oxygenated blood travels in pulmonary vein(one exception of vein carrying oxygenated blood) → to the left atrium
Deoxygenated blood travels in veins - Fills into right side of the heart
Right ventricle> pulmonary artery > lungs

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4
Q

What is a septal defect? What problems occur?

A

Septal defect: A hole in the septum can happen in the area thats divides the atriums or in the area that divides the ventricles-person can be born with this defect ( ex:ventricular septal defect, atrial septal defect. Surgery can fix this problem. Therefore preventing the two types of blood from mixing.

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5
Q

What is the membrane of the heart called? What is its function?

A

Membrane pericardium: This membrane contains liquid which reduces friction as the heart beats. Its purpose is to protect the heart. protects it from infections.

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6
Q

Can you trace the flow of blood through the heart and back out?

A
  1. Superior/Inferior Vena Cava
  2. Right Atrium
  3. Tricuspid Vavle
  4. Right Ventricle
  5. Pulmonary Valve
  6. Pulmonary Artery (R & L)
  7. Lungs (Oxygenated W/Aveoil)
  8. Pulmonary Vein (R & L)
  9. Left Atrium
  10. Mitral Valve (AKA Bicuspid Valve)
    11.Left Ventricle
  11. Aortic Valve
  12. Aorta
  13. Body
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7
Q

What are the four main valves in the heart? What is their function?

A

Valves: Tricuspid, Mitral, Aortic, Pulmonary
Function:
Allow for blood to flow in only one direction;

Prevent the backflow of blood;

Regulate the amount of blood flowing at any given time

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8
Q

Explain the difference between pulmonary, cardiac and systemic circulation of
Blood

A

1) Pulmonary – pathway of blood from heart to lungs and back to the heart

  2) Cardiac – pathway of blood through the heart

  3) Systemic – the pathway of blood as it flows from the heart to the rest of the body and
      back to the heart
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9
Q

a. the device name to measure blood pressure

A

Blood pressue is measured using a “Sphygmomanometer” and it is placed on the brachial artery.

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10
Q

b. the systole vs. diastole readings

A

Systole: On average it should be at 120mm HG, generated by contractions of Left Ventricle as it forces blood out of heart
Diastole: on average should be at 80 mmHg, reaches it lowest point immediatley before another contraction of the ventricles

You can not measure diastolic pressure in a child untiil they are 1 year old.

120/80 systolic/diastolic

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11
Q

c. hypertension vs. hypotension

A

High Blood Pressure - Comes from stress, aging, obesity, genes, race, gender. ETC. is known as HYPERTENSION 140/90 systolic/diastolic.

Low Blood Pressure - is known as HYPOTENSION

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12
Q

d. What is the name of the artery where blood pressure is measured?

A

Brachial artery

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13
Q

What does the “lub” or “dub” sound mean?

A

Lub: caused by atrioventricular closing of the tricuspid and bicuspid valves and opening of pulmonary and aortic valves

Dub: sound is caused by the closing of the pulmonary and aortic valves and the opening of the tricuspid and bicuspid valves.

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14
Q

Define “atherosclerosis”

A

Fatty deposits called plaques form in the arteries, clogging and narrowing them.
This causes a reduction in the amount of blood flow.
The plaques are composed mainly of cholesterol.
Portions of these plaques may break away from the arterial wall and travel through the blood stream until they block blood flow through a smaller vessel.
The blood clot may lead to a stroke in the brain or a heart attack in the heart.
Arteriosclerosis refers to several diseases in which the arterial wall thickens and loses its elasticity.

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15
Q

What are some symptoms of a heart attack? (Refer to picture in slides as well)

A

Heartattack happens when- The coronary system fails to supply enough oxygen to the heart due to:
a. blood clot
b. muscular spasm of the coronary arteries
c. atherosclerosis plaques

Symptoms include chest pain, shortness of breath, nausea, and pain radiating to the arm or jaw.

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16
Q

What causes a heart murmur?

A

The improper closing of one of the heart valves so there is a backflow of blood into the heart. It can be heard using a stethoscope as a Lub -dub -swoosh (semilunar valve improperly closed) or Lub -whoosh -dub (AV valve improperly closed). If the murmur is life threatening, surgery is performed to replace the valve.
Lub -dub -Swoosh: In the aorta/pulmonary valve
Lub-swoosh-dub: Tricuspid/bicuspid

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17
Q

What does an ECG measure?

A

ECG- is used on a person to help diagnose heart disease. It may also be used to monitor how well different heart medications are working. Persons coming into the emergency room with chest pain, shortness of breath will have an ECG performed. The ECG is used extensively in the diagnosis of heart disease, from congenital heart disease in infants to heart attacks.

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18
Q

Trace the electric conductivity in the heart (from the pacemaker) (refer to picture in slides as well)

A

Sinoatrial node (SA node) = natural pacemaker →
Atrioventricular node (AV node) →AV Bundle or Bundle of His →Purkinje Plexus/ fibers

P > atria

depolarize/contact “systole”

QRS > ventricles

Repolarize “relax” diastole

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19
Q

Importance of medulla oblangata, refer to doc

A

The SA node (S inoatrial node) fires at 70 times per minute at rest, but increased physical activity, panic, anger, or pain increase cellular respiration, leading to increased CO2 levels in the blood. The Medulla Oblongata is triggered by these high CO2 levels, releasing a chemical called Noradrenaline, a ‘fight or flight’ chemical responsible for the body’s reaction to stressful situations. Noradrenaline causes increased heart rate, blood pressure, pupil dilation, lung air passage dilation, and blood vessel narrowing, enabling the body to perform well in stressful situations. When blood pressure increases, receptors in blood vessels sense this and send an impulse to the Medulla Oblongata, which releases Acetylcholine, which helps the brain reduce heart tissue contraction, slowing down the SA node and returning heart rate to normal.

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20
Q

Different components of blood
Blood - a collection of cells that have been specialized to perform a set of particular tasks within an organism.

A

Blood Contains:
a. Plasma – the fluid portion. About 55% of blood is plasma. Made up water, plus dissolved gases, proteins, sugars, vitamins, minerals and waste products.
b. Blood cells – the solid or “formed” portion which is made up of different kinds of cells. The remaining 45% of blood is made up of

these three types of cells:
red blood cells
white blood cells
platelets

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21
Q

main function of red blood cells

A

Red Blood cells: 45%
1.Transport oxygen and carbon dioxide
2. It is produced in bone marrow and destroyed in the spleen and
liver
3. It is also called “Erythrocytes”
4. It has no nucleus
5. Its survival time is 120 days
6. Red blood cells used for accident victims, surgical patients
7. Shelf life of red blood cells is 42 days
Contains hemoglobin enabling oxygen to bond
Do not contain a nucleus in their mature stage

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22
Q

Functions of white blood cells

A
  1. Fight infection
  2. Are also called “Leukocytes”
  3. There are two types:
    Granulocytes – engulf bacteria (like Pac man) – formed in bone
    marrow – respond quickly to infection
    Lymphocytes – produce antibodies (formed in the lymph nodes and
    spleen) – respond slowly
  4. White blood cells get destroyed at the site of infection
    Fights body against invading microorganisms and toxins
    Fewer in number than red blood cells
    May engulf microorganisms or produce antibodies important for immune system
    - less then 1%
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23
Q

Platelets

A
  • less then 1%
    1. Involved in blood clotting process
    2. Made up of tiny fragments
    3. Also called “Thromboplastin”
    4. Survival time is 7-10 days
    5. It is produced in the bone marrow
    6. It is destroyed in the spleen and liver
    Initiate blood clotting
    Irregularly shaped
    Release substance that reacts with proteins in plasma to create a mesh
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24
Q

Plamas 55%

A
  1. Fluid medium holding solid blood
    components, gases, nutrients, wastes and
    hormones
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25
Q

What causes sickle cell anemia?

A

Anemia: The lack of iron resulting in decreased levels of hemoglobin in the red blood cells. This lowers the red blood cell ability to carry and deliver oxygen to the body cells. (LOW IRON)

Sickle cell anemia is:
Autosomal recessive genetic disease
characterized by red blood cells that assume an abnormal, rigid, sickle shape.
Sickling decreases the cells’ flexibility and results in a risk of various complications such as severe pain in joints.

It is caused by:
A defect in the gene

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26
Q

What is leukemia?

A

The uncontrolled reproduction (cancer) of the white blood cells resulting in non-functioning immature white blood cells.
Crowding out of the red blood cells also occurs due to increased white blood cell numbers.
Treatment involves chemotherapy.

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27
Q

What is hemophilia?

A

The inability to clot the blood or slow clotting of blood.
It is inherited as a “X” sex linked disease and cannot be cured.

28
Q

Why is blood type O and AB very important?

A

Blood type AB is the universal recipient because it has no antibodies and therefore can receive from all.
Because O blood type has no markers, it can donate to all types and is therefore called the Universal donor.

29
Q

What is an antigen and what is an antibody?

A

Antigen
Any substance that causes the body to make an immune response against the substance, toxins, chemicals, bacteria
Antibody
A blood protein that protect you when an unwanted substance enters your body, they are produced by your immune system and they bind to the unwanted substances in order to eliminate them from your system

30
Q

What happens when the wrong blood mixes?

A

When blood is incompatible, clumping or agglutination of blood cells happens.
Antibodies react with the red blood cells causing them to clump.
Agglutinated red blood cells can clog blood vessels, blocking circulation and causing severe damage to the body.

31
Q

How is someone positive and someone negative with Rhesus factor?

A

The rhesus factor is another protein marker. People who carry the Rh protein are called “Rh positive”, while people without the protein are called “Rh negative”.

32
Q

What risks does a Rh negative mom have on a Rh positive baby?

A

Rh (-) fathers and Rh (+) mothers may have a Rh(-) child, which could lead to fetal red blood cell leakage into the mother’s system, causing her to produce anti Rh antibodies. This could destroy the child’s red blood cells and put future pregnancies at risk. Rh immunoglobulin (Rhlg) is a medication that prevents Rh antibodies and can prevent severe fetal anemia in future pregnancies. It is crucial to consult obstetric care about Rh factor when having a child.

33
Q

Why is a capillary one cell thick?

A

So that molecules can pass through the capillary walls to enter into it. This exchange of materials is not possible across the walls of other types of blood vessels because the walls are too thick.

34
Q

Review physical differences between artery and vein

A

Artery: Carries blood away from the heart
Strong thick walls
Very elastic
No valves are present
Carries oxygenated blood (expect for the pulmonary artery)
Smaller opening (lumen)

Vein: Carries blood towards the heart
Not elastic as arteries
Move blood towards the heart
Valves are present
Thinner walls compared to arteries
Deoxygenated blood (except for pulmonary vein)
Larger opening (lumen)

35
Q

Which gender is most at risk for heart attacks?

A

Female
Smoking increases womens chances to get a heart attack twice as it does for men
Women with diabetes have a 50% more chance to have a heart attack than men with diabetes
After a women goes through menopause there chances increase

36
Q

What are the four blood types?

A

A, B, AB, O
Each blood group is characterized by the presence or absence of particular protein markers (A or B) on the walls of the red blood cells

37
Q

Blood type A

A

A = A antigen present, Anti-B present, Genotypes AA or AO

38
Q

Blood type B

A

B = B antigen present, Anti-A present, Genotypes BB or BO

39
Q

Blood type AB

A

AB = A antigen, and B antigen present, No Anit- (Anti bodies) present , Genotype AB

40
Q

Blood Type O

A

No antigens present, Anti-A, and Anti- B present, Genotype OO

41
Q

Platelets AKA?

A

Platelets = Thrombocytes

42
Q

Red Blood cells AKA?

A

Red blood cells = Erythrocytes

43
Q

White blood cells AKA?

A

White blood cells = granulocytes, Agranulocytes, Leukocytes

44
Q

Two top chambers in the heart

A

Artia

45
Q

Where does pumping happen

A

ventricles

46
Q

What is the artery connected to

A

vessels

47
Q

What has thicker walls atria or ventricles

A

aritum cause it has to pump up

48
Q

What is stronger right ventricle or left

A

left because it has to go to all parts of the body

49
Q

What do artia’s do?

A

collect blood, and are pumping chambers

50
Q

The veins that enter into the right atria is

A

superior and inferior vena cava

51
Q

Septum

A

separates right and left side

52
Q

What is valve in between right and left ventricle

A

bicuspid / mitral valve

53
Q

Valves

A

keeps blood flowing in the right direction

54
Q

Pericardium functions

A

liquid rescue friction, it protects the heart, keeps it moist, prevents infection

55
Q

Pulmonary refers to what organ

A

lungs

56
Q

cardiac refers to what organ?

A

heart

57
Q

(measuring heart rate) Radial artery

A

in your wrist

58
Q

(measuring heart rate) Carotid artery

A

in your neck

59
Q

Blood pressure

A

brachial artery

60
Q

Why are things measured on artery and not veins

A

smaller opening (lumen) thicker wall, no valves, carry blood away from the heart (pulmonary artery/atora), b.p./h.r, oxygenated blood (except for pulmonary artery)

61
Q

More about Veins

A

blood is drawn (blood test), have valves, carry blood to the heart (vena caval/pulmonary veins), carry deoxygenated blood (except for pulmonary vein), thin wall, larger lumen

62
Q

cardiac output

A

= hexstroke volume

63
Q

Cardiac output

A

heart rate x beats per minute

after calculating cardiac output = ML per min

64
Q

What are things that can change someone cardiac output

A

Smoker
Athleticism
Age

65
Q

how to improve cardiac output

A

lossing weight, phyiscal activity, eating better, stiop smoking

66
Q
A