Semester on Energy and metabolism Flashcards

1
Q

What is the liver?

A
  • A large four lobed gland located in right upper quadrant
  • Liver is the body’s metabolising organ
  • The liver has various functions including producing bile
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2
Q

How is blood circulated through the liver?

A

Hepatic portal circulation

  • Blood from the intestines, pancreas and spleen goes to the hepatic portal vein
  • Hepatic portal vein divides and re-divides into 2 capillary beds in the liver and drains between them
  • After this blood is filtered by the liver, it joins the rest of the circulating blood and travels to the heart
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3
Q

What is the peritoneum?

A

A series of membranes that covers the organs found in the abdominopelvic cavity.
Between the layers is the peritoneal cavity containing fluid that allows membranes to slide over one another.

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4
Q

What is the function of the peritoneum?

A

To protect and support the organs of the abdominopelvic cavity, ensuring a pathway of blood and lymph

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5
Q

What are the four layers of the gastrointestinal tract?

A
  • Mucosa - innermost layer of epithelium along a layer of smooth muscle
  • Submucosa - connective tissue, contains blood vessels, nerve endings, lymph
  • Muscularis Externa - layers of smooth muscle that move food along via contractions
  • Serosa - visceral peritoneum and connective tissue
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6
Q

What are the structures of the oral cavity?

A

Mouth, teeth (32 permanent), gums and buccal regions, tongue, lips and salivary glands

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7
Q

How does the tongue aid digestion?

A

Mixes food with saliva and aids with swallowing

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8
Q

What is the epiglottis and it’s function?

A
  • a flap that closes over the trachea

- prevents food from entering the lungs (aspiration)

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9
Q

What is the tube-like structure that transports food to the stomach?

A

The oesophagus

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10
Q

What is the structure of the stomach?

A
  • C-shaped storage area containing HCl
  • Has mucosa layer that protects stomach wall
  • Connects to oesophagus at cardio-esophageal sphincter
  • Connects to small intestine at pyloric sphincter
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11
Q

What are the sections of the small intestine?

A

The duodenum, the jejunum and the ileum

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12
Q

What structures in the small intestine ensure nutrients from food are absorbed?

A

Villi, microvilli and circular folds

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13
Q

What accessory organ of the digestive system produces enzymes and secretes them into the duodenum?

A

The pancreas

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14
Q

Where is bile stored?

A

The gallbladder, located in the inferior surface of the liver

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15
Q

What is the role of the nervous system in digestion?

A

Responsible for the movement of food along the gastrointestinal tract by controlling sphincters and other smooth muscles

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16
Q

What cranial nerve serves the digest system?

A

Cranial nerve no. 10 - the vagus nerve

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17
Q

Where is the pharynx and what does it do?

A
  • At the back of the throat

- Prepares food for swallowing

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18
Q

What is a cell of the liver called?

A

A hepatocyte

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19
Q

What cells in the liver clear bacteria and toxins from the blood?

A

Kupffer cells

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20
Q

What are the six digestive processes?

A

Ingestion – taking food into the mouth
Secretion – release of fluids, enzymes, etc
Motility – involves the movement of food, includes peristalsis & segmentation;
Digestion – breaking food down into smaller products through chemical or mechanical processes
Absorption – moves food particles from the small intestine into the blood and lymph
Elimination – disposal of waste

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21
Q

What is an enzyme?

A

A protein catalyst that increases or decreases the rate of chemical reactions

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22
Q

What are hormones?

A
  • Chemical messengers produced in endocrine glands

- Hormones travel in blood to various organs and effect many processes including metabolism of foods

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23
Q

Deglutition is another name for what?

A

Swallowing

24
Q

What are the functions of the liver?

A

Storage - stores various vitamins & minerals
Transportation - transfers nutrients around the body
Secretion - secretes bile for breaking down fats
Protection - uses Kupffer cells to rid blood of pathogens

25
Q

How are carbohydrates used by the body?

A

Carbohydrates are broken down into glucose for energy (ATP)

26
Q

Fibre is carbohydrate. Can fibre be broken down for energy?

A

No. The body can’t break down fibre, but fibre does provide bulk for moving food products along GI tract.

27
Q

What are cabohydrates broken down into for absorption?

A

Monosaccharides eg. glucose

28
Q

What are proteins broken down into for absorption?

A

Amino acids

29
Q

What is the body’s basal metabolic rate or BMR?

A

The amount of energy required to maintain normal bodily functioning

30
Q

What factor influence basal metabolic rate?

A

Genger, age, body size, activity level and thyroxine (metabolic hormone)

31
Q

What are macro nutrients?

A

Carbohydrates, lipids and protein

32
Q

What are micro nutrients?

A

Vitamins and minerals

33
Q

What does the body need nutrients for?

A

To ensure good health, normal growth, maintenance and repair of tissue and to provide energy for bodily processes

34
Q

What are carbohydrates of different sizes called?

A
  • Monosaccharides – simple sugar molecules
  • Disaccharides – 2 simple sugar molecules
  • Polysaccharides – more than 2 simple sugar molecules
35
Q

What is gastric oesophageal reflux disorder or GORD?

A

Gastric contents moving from the stomach into the oesophagus. Commonly called heartburn.

36
Q

What are antacids used for and how do they work?

A
  • Provide relief of symptoms associated with GORD (heartburn)
  • Work by raising the pH of the stomach therefore neutralising the HCl
37
Q

Proton pump inhibitors are used to relieve symptoms of GORD. How do these work?

A

Proton pump inhibitors are weak bases. They prevent the formation of hydrogen ions which reduces HCl production.

38
Q

How are laxatives used?

A
  • Used for the management of constipation.
  • Duration of use should be short term
  • These are the most commonly misused medication
39
Q

What do anti diarrhoeals do?

A

Relieve diarrhoea by slowing motility. These treat the symptom, not the cause.

40
Q

Diastop / Loperamide (Imodium) is an opioid anti diarrhoeal. What age groups should not be given this medication?

A

Never administer to children

41
Q

What are some of the of the common problems associated with breastfeeding?

A
  • Engorgement
  • Cracked/sore nipples
  • Mastitis
  • Contraindications
42
Q

What are contraindications to breastfeeding?

A
  • Mothers with HIV
  • Mothers with untreated tuberculosis or local infectious lesions
  • Mothers on medications incompatible with breastfeeding
  • Hepatitis B – if infant hasn’t had immunoglobulin and hasn’t started vaccination schedule
43
Q

What are the main hormones involved in breastfeeding?

A

Prolactin and oxytocin

44
Q

What is the function of prolactin in breastfeeding?

A

Stimulates the cells in the alveoli to produce milk

45
Q

What is the function of oxytocin in breastfeeding?

A

Stimulates the contraction of the myo-epithelial cells, often called the “Let down reflex”. Milk is propelled down the milk ducts towards the nipple.

46
Q

What is in breast milk?

A

Protein, fat, carbohydrates and minerals

47
Q

What is lactulose?

A

An osmotic laxative. Lactulose is the 1st line of therapy for chronic constipation.

48
Q

What age is recommended for complementary (non-breast milk) foods to be added to an infant’s diet?

A

At six months

49
Q

What should an infant be eating at one year old?

A

At one year of age, an infant should be eating a variety of foods, textures and be eating family foods.

50
Q

What is body temperature regulation?

A

Natural balance between heat production / heat loss:

  • Heat production – vasoconstriction of vessels causing blood to bi-pass the skin & maintain circulation to important organs; contraction of muscles produces activity / shivering
  • Heat loss – radiation & evaporation
51
Q

What is involved in a bowel physical assessment

A

-Mouth - Inspect teeth, tongue, gums
-Abdomen - Inspect 4 quadrants for contour, shape, symmetry and skin colour, auscultate and palpate
-Perianal area - Inspect for lesions, discolouration, inflammation and haemorrhoids
Lab tests may also be needed.

52
Q

What factors affect bowel elimination?

A
  • Age
  • Position
  • Surgery and anaesthesia
  • Pregnancy
53
Q

What are common bowel elimination problems?

A

Constipation, impaction, diarrhoea, incontinance and flatulence

54
Q

What is involved in a bowel nursing history?

A
  • Presentation
  • Usual pattern
  • Any recent changes
  • Symptoms and usual stool characteristics
  • Usual routines to promote normal elimination
  • Usual diet, daily fluid intake and exercise
  • Medication history
  • Past health history
  • Mobility and dexterity
55
Q

What faecal characteristics should be assessed?

A

Amount, colour, consistency, constituents, frequency, odour and shape