Heart and Lungs Flashcards
Pericardium
Fibrous membrane w/in mid mediastinum, covers heart & great vessels
Layers of the Pericardium
Fibrous & Serous
Pericardial Cavity
Space btwn parietal & visceral layers w/ fluid for less friction
Fibrous Pericardium
Dense, outer layer
Serous Pericardium
Inner layer(s)
Outer Parietal - lines inner surface of fibrous
Inner Visceral (epicardium) - continuous with outer surface of heart
Pericardial Sinus
Transverse Sinus - Post aortic arch & pulmonary trunk and ant SVC
Heart - Layers
Endocardium & Myocardium
Endocardium
Innermost, lines chambers
Myocardium
Thick cardiac muscle tissue
Heart - Surfaces
Anterior - R ventricle
Diaphragmatic - L Ventricle
L Pulmonary - L ventricle
R Pulmonary - R atrium
Heart Chambers - R Atria
Receives venous blood from SVC, IVC & coronary sinus
Heart Chambers - R Ventricle
Receives blood from RA via Tricuspid valve; Sends to pulmonary trunk thru pulmonary valve
Ventricle Structures - Conus Arteriosus
Funnel from ventricle to valve
Ventricle Structures - Trabeculae Carne
Irregular muscle elevations inside the ventricle
Ventricle Structures - Supraventricular Crest
Separates conus from the rest of the cavity
Ventricle Structures - Chordae Tendinae
Extends from papillary muscles to valve cusps
Ventricle Structures - Papillary Muscles
Smoot muscle w/in ventricle that draw valves closed
Heart Chambers - L Atria
Receives blood from Pulmonary veins; goes to LV thru bicuspid valve
Heart Chambers - L Ventricle
Receives from LA via Bicuspid (mitral); goes out thru Aortic valve to Aorta; walls 2x thicker
What do the valves in the heart do
Create 1-way flow (4 total, 2AV, 2SL)
Atrioventricular Valves
Mitral (bicuspid) - LA & LV, 2 leaflets
Tricuspid - RA & RV, 3 leaflets
Semilunar Valves
Pulmonic - RV to pulmonary artery
Aortic - LV to aorta
Heart Flow Pathway
Vena Cava - RA - RV - Pulmonary artery - lungs - Pulmonary veins - LA - LV - Aorta
What is Blood Pressure
Pressure exerted on artery walls
Sys/Dia
What is Systole
Ventricle contraction
What is Diastole
Atrial contraction & ventricular filling
Where would one listen for the Pulmonary Valve
L upper sternal border & L 2nd intercostal space
Where would one listen for the Aortic Valve
R upper sternal border & R 2nd intercostal space
Conduction System function
Transmit impulses for coordinated contractions
Conduction System - Nodal Tissue
Initiates heart beat & coordinates chambers; SA, AV, Bundle of HIS
Sinoatrial Node (SA)
Located @ junction btwn SVC and RA, Pacemaker
Atrioventricular Node (AV)
Located @ interatrial septa, receives from SA & sends to HIS
AV Bundle (Bundle of HIS)
Distributes to ventricles, branch to terminal Purkinje Fibers
2 Pleural Layers
Visceral Pleura - covers lungs, no nerves
Parietal Pleura - lines pulmonary cavities, more superficial & substantial, has nerves
Parietal Pleura - 4 Parts
Costal, Mediastinal, Diaphragmatic, Cervical
Pleural Cavity
Potential space btwn pleural layers w/ a layer of serous fluid, real if lungs collapse
Lungs - Function
Oxygenate blood, expel CO2
Lungs - Air Pathway
Inspiration - Trachea - Bronchi - Alveoli
Lungs - Structure
R - 3 lobes, L - 2 lobes, Costal, Mediastinal, & Diaphragmatic surfaces
Tracheobronchial Tree - Main Bronchi
R - Wider & shorter, more verticle
L - Inferior to aortic arch & anterior to esophagus
Tracheobronchial Tree - Lobar Bronchi
R - 3, L - 2
Tracheobronchial Tree - Segmental Bronchi
Divide into bronchopulmonary segments - largest subdivisions of lobes
Final 2 segments of the Tree
Terminal Bronchioles & Alveolar Ducts
Respiratory Process - Inspiration
Active, diaphragm contraction (down&out), ribs - up & out
Respiratory Process - Expiration
Passive, diaphragm relax, intercostals relax
Respiratory Process - Forced Expiration
Increase intraabdominal pressure to force out air
Respiratory Process - Accessory Muscles
Scalenes, Sternocleidomastoid, Abdominal muscles, Intercostals