Need to Work on for Test Flashcards
Intravascular Clotting
Thrombosis and Embolism
Three Hemostatic Mechanisms
Platelet Plug
Vasoconstriction
Blood clotting
Second Stage of Clotting
Prothrombin + Prothrombin Activator = Thrombin
Fourth Stage of Clotting
Fibrin + Factor XIII = Fibrin Polymer
Thrombosis
Formation of a clot in an unbroken blood vessel
Rh Plasma
Does not contain anti-Rh unless exposed as a fetus
Platelets/Thrombocytes
Aid in clotting
130,000-400,000
2nd most abundant
Myocardium
Muscular portion
Contracts in a spiral motion
Neutrophils
Most abundant (60-70%) Increase during bacterial infections
Fibrous Pericardium
CT membrane
Outer layer
Intrinsic
Factor VII activates Factor X
Eosinophils
2-4%
Increase during parasitic infections
Extrinsic
Factor III + Factor VII + Ca++ = Factor X
Lymphocytes
25-33%
B Cells and T Cells
Basophils
0.5%
Release heparin and histamine
Monocytes
3-8%
Antigen-presenting cells
Macrophages
Increase in viral infections and inflammation
Myeloid Leukocytes
Granulocytes
Three Features of Intercalated Discs
Interdigitating folds
Mechanical junctions
Electrical junctions
Premature Ventricular Contraction
QRS inverted
Common in college students
Action Potential of Ventricular Cardiocyte
Na channels open Na depolarizes membrane Na closes and voltage peaks at 30mV Ca enters and causes a plateau Ca closes and K repolarizes
Left Coronary Artery
Anterior Interventricular Artery
Circumflex Artery
Pacemaker Physiology
Slow leak Na enters
Ca opens at -40mV
K channels open at 0mV
Repeat once polarization is complete
Right Coronary Artery
Posterior Interventricular Artery
Marginal Artery
Myocardial vs. Skeletal
Skeletal: voluntary, excitation coupling
Myocardial: involuntary, SA node
Heart Block
Conduction is weak through AV bundle
Similarities Between Myocardial and Skeletal
Striated
Z-discs
Tropomyosin and troponin
Conduction System of the Heart
SA node fires Excitation through atrial myocardium AV node fires Excitation travels down AV bundle Purkinje fibers distribute
Electrical Activity
Atria depolarize (P)
Depolarization complete
Ventricles depolarize while atria repolarize (QR)
Ventricular depolarization is complete (S)
Ventricles repolarize (T)
Repolarization ocmplete
Structure of Cardiac Muscle
Cardiocytes
Intercalated discs
T-tubules
Fatty acids as fuel, glucose at rest
Intercalated Discs
Join all cardiac cells
Atrial Fibrillation
Atria quiver
Common in elderly
Ventricular Fibrillation
Heart cannot pump
Irregular waves of depolarization
Most serious
Parasympathetic
Decreases HR
Bradycardia