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58 Cards in this Set
- Front
- Back
pulmonary circuit
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through the lungs to oxygenate the blood and remove carbon dioxide
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systemic circuit
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to deliver oxygen and nutrients to tissues and remove carbon dioxide
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in order to beat, the heart needs 3 types of cells
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1. rhythm generators- produce an electrical signal (SA node)
2. conductors- spread the pacemaker signal 3. contractile cells- mechanically pump blood (myocardium) |
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inherent rythmicity or automaticity
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the property of the cardiac tissue that has the electrical sequence of depolarization and repolarization due to specialized pacemaker cells
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sympathetic system
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increase heart rate and strength of contraction;
during exercise or if blood pressure drops; influence increases during inhalation |
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parasympathetic system
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slows heart rate;
during relaxation; influence increases during exhalation |
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electrocardiogram (ECG)
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the record of the electrical signal
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P-R interval
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- from the end of P wave to start of QRS complex
- time it takes for the impulse sent from the SA node to travel to the ventricles |
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S-T segment
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- interval between end of S wave and start of T wave
- period during which ventricles are more or less uniformly excited |
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Q-T interval
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- start of QRS complex to end of T wave
- electrical systole (when ventricular beat is generated) |
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carotid sinus reflex
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decreases heart rate in response to a rise in carotid arterial blood pressure
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what happens when inspiratory muscles contract?
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- inspiration
- pressure within thorax decreases - thoracic veins expand slightly - momentary drop in venous pressure, venous return, cardiac output, and systemic atrial blood pressure - reduces frequency of carotid baroreceptor firing - momentary increase in heart rate |
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what happens when inpiratory muscles relax?
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- expiration
- pressure within thorax increases - thoracic veins compressed - momentary increase venous pressure and venous return - systemic venous baroreceptors increase heart rate - increase cardiac output and systemic atrial blood pressure - increases carotid baroreceptor firing - decreases heart rate |
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average resting heart rate for adults
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70 beats/min
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resting heart rates for athletes
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50 beats/min
- slower heart rates - left ventricular hypertrophy- larger muscle in the left ventricle |
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Willem Einthoven
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developed a string galvanometer that could accurately record the electrical activity of the heart (1901)
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why is it possible to measure electrical activity in and around the heart from the surface of the skin?
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because the body contains fluids with ions that allow for electrical conduction, and we assume food electrical contact is made with the body fluids using electrodes
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lead
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a spatial arrangement of two electrodes on the body
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magnitude
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differences between positive and negative electrodes
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vector
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an arrow whose head points in the positive direction.
the length of the arrow is proportional to the magnitude of the lead |
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einthoven's triangle
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a configuration of three leads.
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einthoven's law
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lead I + lead III = lead II
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mean electrical axis of the heart
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summation of all the vectors occurring in a cardiac cycle
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why is blood flow unidirectional?
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because the 4 valves inside the heart prevent retrograde (backward) flow
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pulsatile
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blood pressure and blood flow in the arteries are pulsatile, increasing during ventricular systole and decreasing during ventricular diastole
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eq. pulse pressure
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pulse pressure (mmHg) = systolic pressure- distolic pressure
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eq. mean arterial pressure
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mean arterial pressure (mmHg) = 1/3 pulse pressure + diastolic pressure
OR MAP = (systolic pressure + 2 diastolic pressure ) / 3 |
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eq. heart rate
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heart rate (BMP) - (60 seconds/min) / pulse to pulse interval (seconds)
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systolic pressure
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highest arterial pressure reached during ventricular systole;
normal range = 100-139 mmHg |
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distolic pressure
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the lowest arterial pressure reached during ventricular diastole;
normal range = 60-89 mmHg |
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stroke volume
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volume of blood ejected per beat
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eq. flow
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flow (L/min) = pressure (mmHg) / resistance (peripheral resistance units)
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auscultatory method
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diagnostic monitoring (via stethoscope) of sounds made by internal organs
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korotkoff sounds
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sounds detected during blood pressure measurement
first sound- systolic pressure second sound (disappearance of sounds)- diastolic pressure |
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normal blood pressures:
systolic and diastolic |
systolic less than 130 mmHg;
diastolic less than 85 mmHg |
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ventricular systole
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begins at the peak of R wave and ends at the end of T wave
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ventricular diastole
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begins at the end of T wave and ends at the peak of R wave
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pressure wave
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a wave generated through the pumping action of the ventricles via the arterial walls
- the stiffer the walls, the faster the transmission of the pressure wave, but more work is required by the heart to move the same blood volume |
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plethysmography
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the study of blood volume changes within an organ by using volume displacement techniques
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photoelectric transducer
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a type of transducer used in plethysmography that operates by converting light energy to electrical energy.
- shine a beam of light through the skin and measuring the amount of light reflected - the greater the blood volume, the greater the light absorption |
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3 primary functions of the respiratory system (in conjunction with the circulatory system)
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- provide oxygen for the body's energy needs
- provide an outlet for CO2 - help maintain the pH of the blood plasma |
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inspiratory center (medulla)
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- initiates inspiration via activation of the inspiratory muscles
- average respiratory rate (RR) = 12-14 cycles/minute - active inspiration |
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expiratory center (medulla)
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- limit and then inhibit inspiratory center
- passive expiration |
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the basic breath pattern is affected by
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- higher centers in the brain
- feedback from peripheral and central chemoreceptors in the arterial system and medulla - stretch receptors in the lungs - other sensory receptors in the body |
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apnea vera
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temporary cessation of breathing after voluntary hyperventilation
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hypercapnia
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- lungs gain carbon dioxide in body fluids due to hypoventilation (shallow and/or slow breathing)
- increase carbonic acid, increase protons, decrease pH in body fluids |
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why is the central medullary chemoreceptors exposed to the cerebrospinal fluid (CSF)
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because the CSF is unbuffered in contract to the blood, changes brough about by the dissociation of CO2 are more pronounced
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pneumograph transducer
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converts changes in chest expansion and contraction to changes in voltage, which will appear in waveform
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spirometer
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spiro- breath
meter- measure |
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spirogram
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record of volume change vs. time
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tidal volume
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the volume of air inspired or expired during a single breath;
normal TV = 500 mL |
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pulmonary capacity
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the sum of two or more primary lung volumes
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forced vital capacity (FVC)
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the maximal amount of air a person can forcibly exhale after a maximal inhalation
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forced expiratory volume (FEV)
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the percentage of FVC that a person forcibly expels in intervals of 1,2,and 3 seconds (FEV1,FEV2, FEV3)
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eq. maximal voluntary ventilation (MVV)
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a pulmonary function test that combines volume and flow rates to assess overall pulmonary ventilation
- while the subject hyperventilates - MVV= average volume per cycle * number of cycles per minute |
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single stage vital capacity (SSVC)
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the volume of expired air when a person takes in maximal inhalation and then maximal exhalation
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crhonic obstructive pulmonary disease (COPD)
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- airflow into and out of the lungs is reduced due to inflammation of airway lining and mucus secretions.
- asthma or emphysema |
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chronic restrictive pulmonary disease
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- ability to inflate and deflate lungs is reduced
- pulmonary fibrosis or sislicosis |