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179 Cards in this Set

  • Front
  • Back
cardiovascular system consists of a heart, BVs, blood
know
right side of heart receives de/oxygenated blood
deoxygenated
left side of the heart receives de/oxygenated blood from the lungs
know
systemic loop is...
blood circulated around the body
pulmonary loop is...
blood circulated to the lungs
heart consists of two regions...
atrium
ventricle
atrium are thinner/thicker than the ventricles...
thinner
flow of blood starting at the right atrium?
rt atrium
rt ventricle
pulmonary artery
lungs
pulmonary vein
left atrium
left ventricle
aorta
body
superior/inferior vena cava
order of blood vessels from strongest to weakest?
aorta
arteries
arterioles
capillaries
venules
veins
portal system
when a capillary bed drains into another capillary bed through veins
hepatic portal system
connect vascularities of intestines to the liver (flow of blood)
hypophyseal portal system
brain capillary exchange
-connects vaculatures of the hypothalamus and pituitary gland in the brain
coronary arteries provide the heart with oxygen and nutrients
know
myocardial ischemia
bloackage of coronary arteries that leads to decreased nutrient and oxygen flow to heart
what type of chest pain can result from myocardial ischemia
angina
if pain and symptoms from mayocardial ischemia continue, can lead to a heart attack
know
-myocardial infarction
atherosclerosis
blockage of blood vessels, can lead to myocardial ischemia etc
-caused by cholesterol built-up or plaque
which side is stronger and deals with higher pressure?
left side of heart
heart contains two types of valves
Atrio-ventricular valves
semi-lunar valves
rights av valve =
tricuspid
left ac valve =
bicuspid aka mitral
both av valves prevent back flow from the ventricle into the atrium
know
semilunar valves prevent backflow into the ventricles from either the pulmonary artery or the aorta
know
right SL valve =
pulmonary SL valve
left SL valve =
aortic SL valve
av valves prevent backflow during contraction/relaxation
contraction
sl valves prevent backflow during contraction/relaxation
relaxation
heart sounds
lub =
dub =
lub = when av close
dub = sl close
heart beat consists of two separate phases...
systole = contraction
diastole = relaxation
during systole, av valves closed and ventricles contract
know
during diastole, the SL valve is closed and av valve opened
know
systole = higher pressure
diastole = lower pressure
know
cardiac output
total amount of blood that can be pumped in a minute

Stroke volume x HR
avg cardiac output =
5-6L/min
cardiac output depends on the size and the age of the person
and cardiovascular health
know
heart exhibits myogenic activity
beats to its own drum...
does not require outside signals to pump from NS
what is pathway of electrical signals starting from the SA node?
SA node
AV node
bundle of His
bundle branches
purkinje fibers
SA node =
originator of signals
-pacemaker of cell
-impulse begins here
impulse consists of ___ to ___ signals per minute sent to AV node, etc
60-100
where is the SA node located?
right atrium
atrial kick is the extra amount of blood forced into the ventricle by the atrial contraction
know
AV node ____ the signal sent to the bundle of His to allow ventricles to completely fill
delays
purkinje fibers distribute the signal at the base of the ventricles to signal contraction
know
ANS consists of the para/sympathetic NS
both
parasympathetic NS slows/increases the HR via the vagus nerve
slows
sympathetic NS slows/increases the HR via the vagus nerve
increases
heart attack sufferers can be prescribed beta-blockers to suppress sympathetic activation
know
what are the three main types of vessels?
arteries, veins, capillaries
arteries push blood towards/away from the heart
away
-pulmonary artery --> lungs
veins push blood towards/away from the heart
towards
-pulmonary vein
most arteries contain de/oxygenated blood
oxygenated
which arteries contain deoxygenated blood
pulmonary artery
fetal pulmonary artery (baby)
veins are thin-walled and inelastic
know
most veins contain de/oxygenated blood
deoxygenated
which veins contain oxygenated blood?
pulmonary vein
fetal pulmonary vein
arteries are thicker and more elastic...
know
arteries/veins contain 3/4's of blood pooling
veins
how do veins prevent backflow?
one-way valves prevent back-flow
-valve shuts if backflow occurs
varicose veins form from the...
failure of one-way valves
-blood pools in the legs
are pregnant women susceptible to varicose veins?
-why?
yes
-drastic increase in blood volume
-increased venous pressure
-fetus compresses the inferior vena cava..increase venous pressure
how do veins move blood toward the heart?
large veins are surrounded by skeletal muscle
-squeezes veins to contract
-forces blood up against gravity
pulmonary embolism
formation of blood clot that moves in blood vessel
capillaries
single endothelial cell layer
-allow for exchange of nutrients and gases to occur
blood pressure
measure of force per unit area that is exerted on the wall of the blood vessels
sphygmomanometer
the device used to measure BP
-measure pressure above atm
BP = ___ over ____
systolic over diastolic
pressure curve with BP
----1----2----\
-------------3-\
--------------4-\
----------------5-\_6_____7___
1 = aorta
2 = arteries
3 = arterioles
4 = capillaries
5 = venules
6 = veins
7 = vena cava
blood component functions
next
water
major solvent
salts
-Na, Mg, K, Ca, Cl, HCO3-
-osmotic balance
-pH buffering
-membrane permeability
plasma proteins
albumin
fibrinogen
immunoglobins

-osmotic balance, pH buffering, clotting, defense
ethrocyte
RBC
-transport O2
-hemoglobin + Fe
-CO2 transport
leukocyte
produce antibodies
-defense against infection
platelets
blood clotting
what things are transported in blood?
-O2
-CO2
-wastes
-nutrients (glucose, F. acids, vitamins..etc)
-hormones
blood is composed of two main things..
plasma(55%) and cells(45%)
plasma is the liquid portion of blood
its a mixture of salts, nutrients, respiratory gases, hormones and blood proteins
cell components include...
ethrocytes
leukocytes
platelets
hematopoietic cells =
undifferentiated/undetermined cell
-originate from bone marrow
most of bloods cells come from...
bone marrow hematopoietic stem cells
ethrocytes are RBC
-purpose?
oxygen transport
RBC contain a protein called ___ that binds O2
hemoglobin
how many O2's can a hemoglobin molecule bind?
4
RBC shape is...
biconcave )(
-allows for greater SA
-allows for greater gas exchange
mature RBC do/not have organelles, nuclei and mitochondria
do not
lack of mitochondria guarantees that the RBC will not consume the oxygen carried due to cellular respiration
know
RBC therefore must rely on fermentation (lactic acid production) for ATP
know
lack of nuclei with RBC prevents/allows cellular division
prevents
-avg lifespan = 120days
-liver phagocytizes them
leukocytes are WBC
-form in bone marrow
know
leukocytes compose ___% of the blood
1%
WBC are crucial to immune system, defenders of pathogens, infections, foreign cells etc
know
WBC can be characterized into two groups
granulocytes
agranulocytes
granulocytes contain granules

include
-neutrophils
-basophils
-eosinophils
involved in inflammatory reactions, allergies, pus formation, destruction of parasites and bacteria
agranulocytes do not contain granules

include
-lymphocytes
-monocytes
know
lymphocytes are important in specific immune response...
elimination of bacteria/parasites
lymphocytes are involved in both
1. immediate fight against bacteria/parasite
2. long-term memory of pathogen
take notes on details of bacterium, virus etc so the next time the cells come into contact with it, they form an immediate cell-response against it

ex) vaccines help build up a library for WB cells to learn from
lymphocyte maturation occurs in 3 locations
1. spleen
2. lymph nodes
3. thymus
know
B-cells originate from...
spleen and/or lymph nodes
t-cells originate from...
thymus
B-cells are responsible for antibody generation
know
T-cells are responsible for killy infected cells and activating other immune cells
know
monocytes phagocytize foreign matter like bacteria
know
once a monocyte leaves the bone marrow, it is renamed as a macrophage
know
if macrophage travels to brain, it is called a microglia
-active immune defense of CNS
platelets are broken up megakaryocytes
know
platelets main function is to...
clot blood
how does one identify a cell type?
look at proteins expressed on extracellular surface of cell membrane
antigens
molecules recognize by the immune system
blood types
discussed next
blood type A
-contains which antigen?
-produces which antibodies?
antigen = A
antibodies = B
blood type B
-contains which antigen?
-produces which antibodies?
antigen = B
antibody = A
blood type AB
-contains which antigen?
-produces which antibodies?
antigen = A, B
antibody = none

universal recipient
blood type O
-contains which antigen?
-produces which antibodies?
antigen = none
antibody = A, B

universal donor
AB blood is codominant expression
know
A blood type can originate from which combinations?
AA or Ai
B blood type can originate from which combinations?
BB or Bi
AB blood type can originate from which combinations?
AB
O blood type can originate from which combinations?
ii
if patient with type A blood receives type B blood, what will occur
hemolysis
-breakdown of RBC and antibody-B number increases
Rh factor is a surface protein on RBC
know
Rh+ means..
Rh- means..
presence = +
absence = -
Rh presence is Dominant
know
Rh factor is important with maternal-fetal blood
know
if woman is Rh- and her baby is Rh+, the woman will begin to produce Rh+ antibodies
this is not a problem with first baby
any pregnancies after Rh+ antibodies built up will lead to issues if next baby is Rh+
know
the antibody Rh's will attack the fetal Rh+ blood cells, resulting in hemolysis of fetal blood cells
know
these Rh-antibodies are CAPABLE of crossing into the placenta
this condition of mother blood cells(Rh-) attacking Rh+ fetal blood cells is called...
erythroblastosis fetalis
medicine can be used to prevent this situation from occurring, supressing the mother's blood from attacking
know
mismatching of ABO blood is less of a concern between baby and mother since blood is not intermixed...
know
-maternal A-antibodies and B-antibodies are not capable of crossing the placenta unlike the Rh-antibodies
what are the two most important gases transported in blood?
CO2
O2
oxygen = lungs --> tissue
CO2 = tissue --> lungs
know
binding or releasing of O2 to the heme group Fe is a redox reaction
know
as more O2 binds Fe, the affinity for O2 in/decreases
increases
with each O2 binding, a conformational shift occurs
know
once Fe full with 4 O2 molecules, the removal of one will cause a shape change to occur
results in decreased affinity for O2
-quickly releases O2 after 1 removed
O2 affinity results in a Sigmoidal S curve
know
hemoglobin protein = quaternary structure
know
myoglobin lacks quaternary structure and is not sigmoidal
myoglobin used to move O2 from hemoglobin to muscles
shifts in sigmoidal curve...
shift to right =
shift to left =
right = less affinity for O2
--less O2 bound
--lower saturation
left = more affinity for O2
--more O2 bound
--higher saturation
right shift caused by
-acidic pH
-increase CO2 partial pressure
-increase in temperature
occurs with exercise
shift to left caused by
-increase in O2 partial pressure
know
fetal hemoglobin > adult hemoglobin
know
-affinity wise
CO2 = non-polar
-does not dissolve in plasma well
know
CO2 carried by hemoglobin
though CO2 affinity < O2 affinity
whats most common CO2 form in blood?
HCO3-
bicarbonate
CO2 + H2O + carbanic anhydrase --> H2CO3 --> H+ + HCO3-
know
equation from lungs to blood
H+ and HCO3- have high solubility in water = more effective way of transportation
know
reverse EQ for blood --> lungs

CO2 + H2O + carbanic anhydrase <-- H2CO3 <-- H+ + HCO3-
know
Eq helps with pH control since directly produces H+ or removes it!

CO2 + H2O + carbanic anhydrase <--> H2CO3 <--> H+ + HCO3-
know
bohr effect
increasing concentration of protons and/or carbon dioxide will reduce the oxygen affinity of hemoglobin

-Increasing blood carbon dioxide levels can lead to a decrease in pH because of the chemical equilibrium is shifted to produce H+.

CO2 + H2O + carbanic anhydrase <--> H2CO3 <--> H+ + HCO3-
Bohr effect seen with increased activity = increased O2 demand = increased CO2 production ---> shifts EQ to RIGHT
know
HCO3- + H+ and H2CO3 act as a blood buffer against pH changes
know
pH of blood...
7.4
carbohydrates and AA
-absorbed in SI capillaries, enter systemic circulation via hepatic portal system
hepatic = intestine --> liver
fats
-absorbed into lacteals in SI
-BYPASS the hepatic portal circulation and enter systemic circulation via thoracic duct
-fats repackaged as lipoproteins = H2O soluble
know
wastes that enter bloodstream
CO2
Urea
NH3(ammonia)

-travel down concentration gradients = passive diffusion
-from tissue --> capillary
in bloodstream, there are 2 pressure gradients...
hydrostatic
osmotic
hydrostatic pressure is generated by contraction of heart and elasticity of arteries
pressure is high at arteriole end of capillary
hydrostatic pressure is force/unit area that blood exerts against the vessel walls
know
hydrostatic pressure =
bloodstream --> interstitial space of tissues

-forces nutrients out of blood and into tissues
as fluid moves out of blood vessels, the hydrostatic pressure DROPS
know
at venule end of capillary, the osmotic pressure is high
osmotic pressure is generated by the concentration of particles in plasma compartment
called oncotic/osmotic pressure because it depends on the concentration of plasma proteins
know
osmotic pressure pushes fluid from interstitial fluid into the bloodstream
know
hydrostatic pressure is an outward force (pushes out of blood stream) while osmotic/oncotic is an inward force(pulls into bloodstream)
know
both pressures mess with nutrients, wastes and fluids
know
balance between the two forces =
starling forces
edema =
accumulation of fluid in the interstitial region
lymphatic system takes up interstitial fluid
returns it into circulation
thoracic duct
part of lymphatic system where fluid returned to blood stream
edema can arise from blocked lymph nodes or surgical invasion
know
when platelets come into contact with exposed collagen(makes up connective tissue)...
senses this as an injury
platelets in response to this, release contents, aggregate
clump together
thromboplastin
clotting agent released/produced by platelets
thromboplastin converts prothrombin to ___ with the help of enzymatic cofactors ___ and vitamin ___
thrombin
Ca2+
Vitamin K
thrombin converts fibrinogen to ___
fibrin
-a protein that makes little fibers that aggregate like a net and capture RBC/platelets = clot
back trace...osmotic pressure remains constant from arteriole to venule (across capillary bed)....
continue (my bad)
if clotting occurs at skin surface...it is a...
scab
hemophilia = lack of clotting ability
recessive disorder