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129 Cards in this Set

  • Front
  • Back
What is a person's average stroke volume?
70 ml
Which layer over the heart is the most superficial?
(Epicardium)
The visceral pericardium, the outside connective tissue layer
How does myoglobin play a role in the heart muscle?
When the muscle is damaged, myoglobin is released and can be detected.
What is perfusion?
The amount of blood flowing through a tissue
How is cardiac output measured?
Stroke volume * Heart Rate
Blood flows from the pulmonary veins into the _______________.
Left Atrium
What valve does blood pass through after the left ventricle?
Aortic Valve
What's another name for the tricuspid valve?
Right Atrio-ventricular Valve
What valve does blood pass through after the right ventricle?
Pulmonary Valve
Where does blood flow after the pulmonary veins?
Left Atrium
What is the rounded opening between right and left atria in fetal hearts?
Foramen Ovale
What's another name for a baby w/ a "hole in it's heart" and what is the defect?
Atrial Septal Defect, hole tetween atria is too big
What is a ductus arteriosus?
Connection between pulmony artery and aorta, found in fetuses
What is a ligamentum arteriosum?
Reminants of the ductus arteriosus, which connected the aorta and pulmonary artery as a fetus
What color is the blood in the umbilical vein?
Red
Where does the umbilical vein run to and from?
Placenta to baby
How many umbilical veins and arteries are there?
1 vein, 2 arteries
What is atherosclerosis?
Soft fatty plaque development in artery wall, slow/stops flow
What is coronary circulation?
Blood flow to myocardium
What is the purpose of a stent?
Uncoils in a blood vessel to keep it propped open and allow blood to flow
During ventricular contraction, is systolic BP measured or diastolic?
Systolic
Where are the two locations that BP can be taken?
1. Brachial Artery
2. Femoral Artery
When determining hypertension, what is more important, systolic BP or diastolic? What must that number be to conclude hypertension?
Diastolic - >90
How many times must someone's BP be measured before determining whether or not they are hypertensive?
3 Times
What is an aneurysm?
Abnormal widening or ballooning of part of a blood vessel due to weak vessel and sometimes high BP
Other than your heart, what organ often becomes damaged in people with hypertension?
Kidneys - Urine may have blood
What is a normal BP for a person of 85 years?
140/85
What do betablockers do?
Allows vasodilation, good for hypertension
Hypotension can cause failure and damage in what 3 organs?
Brain, kidney, and liver
How can the Rh factor of a mom give the second child "bad blood"?
Rh (-) mom bears Rh (+) child. As a result she produces Rh (+) antibodies which lyses Rh (+) blood of next baby.
What is the medical name for "bad blood?" (2 names)
Hemolytic Disease of Newborn, or "Erythroblastosis fetalis"
What are the 3 forms of granulocytes?
1. Neutrophils
2. Eosinophils
3. Basophils
What are the 2 forms of agranulocytes?
1. Monocytes
2. Lymphocytes
What (granulocyte) is the most abundant in a healthy person? How does it play a role in immunity?
Neutrophils - they kill bacteria by phagocytosis
What (granulocyte) destroys parasites? How does it do it?
Eosinophils - They destroy antigen and antibody complexes
What (granulocyte) secretes heparin and histamine?
Basophil
What (agranulocyte) destroys by phagocytosis?
Monocytes
What (agranulocyte) is considered the body's "bomb" defense?
Lymphocytes
What are the two types of lymphocytes?
B-cells and T-cells
What type of cells are plasma cells, and what do they do?
B-cells, produce antibodies
Which cells, upon exposure to antigens, stimulate intermediate antibody responses?
Memory Cells
What kind of cells are memory cells?
B-cells, Lymphocytes, Agranulocytes
What do T-helper cells do? What kind of cells are they?
Stimulate proliferation, Lymphocytes
What type of molecule is an antibody? How does an antibody work?
Protein, Works as a missle by searching out tagged bacteria
Which types of white blood cells are comparable to "bouncers at the door" in their defense?
Monocytes and neutrophils
What does heparin do?
Anticoagulant, secretes histamine
What does histamine do?
Allows vasodilation
What cells does the HIV virus reside in?
T helper cells
What does the term "hemostasis" refer to?
Stopping bleeding
What is the first step in the clotting process?
Vascular spasm (smooth muscle and artery or vein start to contract)
Name the three steps in the clotting process.
1. Vascular Spasm
2. Platelet plug forms
3. Coagulation
In the clotting process, what specifically happens when the platelet plug forms?
Platelets stick to elastic and collagen fibers
What are thrombocytes?
Platelets
The production of what is key to coagulation?
Fibrin
What traps red blood cells to form clots and scabs?
Fibrin
Where is fibrinogen produced?
Liver
What is the purpose of fibrinogen?
To convert into fibrin when needed
When and only when is thrombin present?
When platelets are exposed to damaged tissue
What is the condition where people cannot properly coagulate their own blood?
Hemophilia
What is a thrombus?
Stationary blood clot
What is an embolus?
Free floating blood clot
Define pulmonary embolism
Blood clot forms and travels to pulmonary artery and gets stuck (death)
What are 3 ways of fixing an intrinsic clot?
1. Fibrinolysis
2. Anticoagulants
3. Injecting large amounts of plasmin
Plasmin is a ____________ that can digest clots
Enzyme
What cells secrete plasminogen factor and what is the effect?
Endothelial cells - converts to plasmin
What is the class of medication that prevents fibrin from forming?
Anticoagulants
How does a vaccine prepare a person's body for exposure to a certain virus?
Exposed body to attenuated virus (weakened), makes memory and plasma cells
What part of the brain does the vagus nerve stem from?
Medulla Oblongata
Saying that the heart is myogenic means what?
That it has its own rhythm and pumps on its own
What is bradycardia?
Low heart rate
What is trachycardia?
High heart rate
Does heart rate increase or decrease with age?
Decrease
What is the heart's order of impulse?
purkinje fibers, atrioventricular node, cardiac muscle cells stimulated, sinoatrial node, bundle branches
SA node, AV node, Bundle branches, Purkinje fibers, cardiac muscle cells stimulated
On an ECG, the P-wave represents what?
Atrial depolarization
On an ECG, the T-wave represents what?
Ventricular repolarization
On an ECG, the QRS complex represents what?
Ventricular depolarization
What is the normal pH of blood?
7.35-7.45
What is the normal temp of blood?
100.4 F
How many L of blood does an avg person have?
4-6 L
55% of blood is made up of what?
Plasma
Albumins, Globulins, Fibrinogens, and Clotting Factors are all what?
Plasma Proteins
What is the function of LDL's
Transport cholesterol
What is the function of HDL's?
Remove excess cholesterol from arteries
Where are the formed elements of RBC's created?
Red bone marrow
A lack of iron will result in a lack of __________ and _____.
Oxygen and ATP
Erythropoietin is a hormone produced by the ____________, and stimulates ___________.
Kidneys, production of RBC's
People with emphysema have more or less RBC's than an average person?
More
Components of the cardiovascular system
A closed system of the heart (pumps blood) and blood vessels (allow blood to circulate)
Functions of the cardiovascular system
To deliver oxygen and nutrients to cells and tissues
To remove carbon dioxide and other waste products from cells and tissues
Orientation of the heart
Pointed apex directed toward left hip, base points toward right shoulder
Myocardium
Middle layer, "skeleton of the heart", mostly cardiac muscle, transmits APs
Endocardium
Inner layer, continuous with the epithelium of blood vessels
Septa
Prevents blood from mixing between the right and left pump
Interventricular septum
Separates the two ventricles
Systematic Circulation
Blood flows from the left side of the heart through the body tissues and back to the right side of the heart
Pulmonary Circulation
Blood flows from the right side of the heart to the lungs and back to the left side of the heart
Function of valves
Allow blood to flow in only one direction to prevent back flow
Atrioventricular valves (AV)
Between atria and ventricles, bicuspid valve and tricuspid valve, anchored in place by chordae tendinea. They open during heart relaxation and close during ventricular contraction which prevents blood from backwards into atria
Semilunar valves
Between ventricle and artery. Pulmonary and Aortic semilunar valves. Closed during heart relaxation but open during ventricle contraction to prevent blood from falling back to ventricles
Arteries
Blood vessels that are taking away from the heart
Aorta
Artery that leaves the left ventricle
Pulmonary artery
Leave the right ventricle, the pulmonary trunk splits into the right and left pulmonary arteries
Veins
Blood vessels carrying blood back to the heart
Superior vena cava
Enters right atrium, drains blood from top of body to the heart
Inferior vena cava
Enters right atrium, drains blood from bottom of body
Pulmonary veins
Enter left atrium, carries blood from the lungs to the heart
Coronary arteries
Branch from the aorta to supply the heart muscle with oxygenated blood
Cardiac veins
Drain the myocardium of blood
Coronary sinus
A large vein on the posterior of the heart, receives blood from cardiac veins
Cardiac Circulation
Blood in the heart chambers does not nourish the myocardium, the heart has its own nourishing circulatory system (coronary arteries, cardiac veins, coronary sinuses). Blood empties into the right atrium via the coronary sinus
Intristic conduction system
Heart muscle cells contract without action potentials in a regular continuous way
Sinoatrial Node
SA node, the "pacemaker" of the heart. Found in the wall of the right atrium
Atrioventricular node
AV node, Is found at the junction of the atria and ventricles
Atrioventricular bundle
Is in the interventricular septum
Cardiac output
Amount of blood pumped by either side (ventricle) of the heart in one minute
Stroke volume
Volume of blood pumped by each ventricle in one heart beat, this usually remains constant. About 70ml of blood is pumped out of the left ventricle with each heart beat
Cardiac output formula
Heart rate x stroke volume
Starling's law of the heart
The more the cardiac muscle is stretched, the stronger the contraction
Increased heart rate is regulated by what?
The sympathetic nervous system, during a fight or flight response
Hormones that regulate the heart rate
Epinepherine and Thyroxine
Decreased heart rate is controlled by what?
Parasympathetic nervous system
Capillary bed's function
Location of exchanges between tissues and blood
Three layers of a blood vessel
Tunica intima, tunica media, tunica externa
Tunica intima
Endothelium, very thin and smooth tissue
Tunica media
Smooth muscle controlled by the sympathetic nervous system, allows blood vessels to change in diameter
Tunica externa
Mostly fibrous connective tissue, serves as a protective layer
Artery structural composition
Arteries have thick tunica media to deal with the blood pressure they endure. Often change diameter with vasoconstriction or dilation depending on the demand for blood in a certain area.
Capillary structural composition
Only one cell layer thick (tunica intima) to allow for exchanges between blood and tissues
Vein structural composition
Has a thinner tunica media then arteries, they contain valves to prevent backflow of blood.
Lumen in veins are larger then arteries.
Large lumen and stretchy walls act as blood reservoirs.
Veins have relatively thin walls.
They have very low blood pressure