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Cardiovascular System
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Functions of the Cardiovascular System
Transport nutrients and O2 to body Transport waste Distribute hormones & antibodies Help control body temp Help maintain homeostasis
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Heart Structures Heart: hollow muscular organ 4 chambers
In thoracic cavity between lungs Tilted slightly to left Contains own blood supply
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Heart Structures Atria Two upper chambers of the heart
R atrium receives low oxygenated blood from body L atrium receives oxygenated blood from lungs
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Heart Structures Ventricles Lower chambers of heart Pumping chambers
Pump under high pressure
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Heart Structures Myocardial Septum
Separating wall or partition of heart chambers in right and left halves
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Heart Valves Atrioventricular Tricuspid valve Mitral or bicuspid valve
between right atrium and right ventricle Mitral or bicuspid valve between left atrium and left ventricle
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Heart Valves Semilunar Pulmonary valve Aortic valve
Between right ventricle and the pulmonary artery Aortic valve Between left ventricle and aorta
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Heart Structures Pericardium Double membrane covering heart
Outer fibrous layer Inner watery layer-epicardium Provides protection
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Heart Structures Myocardium Endocardium Muscular Pumps blood
Smooth inner layer Prevents damage to blood cells
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Path of Blood Through Heart
Low O2 blood from body to superior & inferior vena cava Right atrium Tricuspid valve Right ventricle Pulmonary valve Pulmonary arteries Lungs O2 blood from lungs Pulmonary veins Left atrium Mitral valve Left ventricle Aortic valve Aorta Body
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How the Heart Contracts
Sinoatrial nodes (SA node) Natural pacemaker Atrioventricular node (AV node) Bundle of His Perkinje fibers Surround ventricles Causes contractions Normal heart rate: beats per minute (bpm)
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Main Blood Vessels Arteries Veins Capillaries
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Circulation Arteries Carry blood AWAY from the heart
Largest artery: Aorta Carry O2 blood except pulmonary arteries Muscular layers withstand high pressure Divide into smaller branches called arterioles which connect to capillaries
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Circulation Capillaries Connect arterioles and venules
Smallest vessels-one cell thick Allows exchange of gases, nutrients, and waste products
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Circulation Veins Carry blood to heart
Largest: superior & inferior vena cava Carry low oxygenated blood except for pulmonary veins Branch into smaller venules Have one way valves to prevent back flow of blood
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Types of Circulation Pulmonary: Right side of heart pumps O2 poor blood to lungs where CO2 exchanged for O2 Systemic: Left side of heart pumps O2 rich blood to body Hepatic: blood from intestines, gallbladder, pancreas, stomach, spleen through liver to remove toxins from blood
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Assessment Techniques
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Pulse The pressure of the blood pushing against the wall of an artery as the heart beats and rests More easily felt in arteries that lie close to skin and pressed against bone
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Pulse Points Temporal-temple Carotid-neck-emergencies
Apical-apex of heart Brachial-inner aspect of elbow-B/P Radial-wrist-most common site for pulse Femoral-groin Popliteal- behind knee Pedal-top of foot
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Pulse Rates Noted as number beats per minute
Varies due to age, sex, body size Adult: Men: Women: Children >7: 1-7: Infants: Newborn:
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Factors Affecting Pulse Rate
Increased rates: Exercise/excitement Stimulant drugs Shock Nervous tension Decreased rates: Sleep Depressant drugs Heart disease Coma
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Blood Pressure Force of blood against walls of arteries
Systolic pressure: When heart contracts Normal range: Diastolic pressure: When heart relaxed Normal range: <100 Written as fraction: Systolic over diastolic Normal: <120/80 mmHg
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Individual Factors Influencing B/P
Increase: Excitement, anxiety, nervous tension Stimulant drugs Exercise and eating Decrease: Rest or sleep Depressant drugs Excessive blood loss or fluid loss
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Disorders of CV System
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Aneurysm Aneurysm enlargement of the wall of an artery
Most likely to occur in large blood vessels
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Atherosclerosis Accumulation of fat in vessels causing narrowing
Mainly coronary arteries Leads to hardening and thickening of arterial walls: arteriosclerosis Leads to hypertension
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Hypertension AKA: high blood pressure; the silent killer Causes:
Unknown Hereditary CAD Symptoms: None Headaches Dizziness Shortness of breath
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Cardiovascular Disease
AKA: Coronary Artery Disease Combined effects of arteriosclerosis, atherosclerosis, hypertension
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Myocardial Infarction
AKA: heart attack Causes: Obstruction of blood vessels results in tissue death Symptoms: Persistent chest pain Nausea Dizziness Profuse sweating Will lead to cardiac arrest if not treated
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Phlebitis Inflammation of the veins May form a clot (thrombus) Cause:
Damage to vessel wall due to prolonged sitting or standing
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Varicose Veins Veins become enlarged & ineffective Causes:
Prolonged standing Pregnancy Obesity Malformed valves
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Blood and Blood cells
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Blood and Blood cells Average adult has 5-6 quarts of blood which circulates every 20 seconds Composition 78% water 22% Various solids
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Blood and Blood cells Plasma Fluid portion of blood
Contains special proteins that help blood to clot Contains carbohydrates, proteins gases, hormones, enzymes, minerals, and waste products
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Types of blood cells
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Erythrocytes Largest part of blood solids Live 120 days
Produced by bone marrow of femur, hip, sternum, humerus, vertebra, cranium
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Erythrocytes Main function Transport oxygen and carbon dioxide
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Hemoglobin Complex protein within each cell to which oxygen attaches
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Thrombocytes Platelets Causes blood to clot
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Leukocytes Produced in bone marrow and lymph nodes Main function
Fight infection
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Leukocytes Two types Granulocytes
Act as scavengers and destroy pathogens
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Leukocytes Agranulocytes Basis of immune system
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Pathology of the Circulatory System
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Pathology : Circulatory System
Thrombus Clot Blood clot attaches to interior wall of vein or artery Embolus A moving clot
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Pathology : Circulatory System
Leukemia Malignancy characterized by a progressive increase of abnormal leukocytes Anemia Disorder characterized by lower than normal levels of red blood cells in the blood
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Pathology : Circulatory System
Polycythemia Abnormal increase in number of red cells Makes blood thicker & slower flowing Septicemia AKA: blood poisoning Pathogens in blood
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Pathology : Circulatory System
Sickle cell anemia Genetic condition Malformed red cells “sickle” No cure
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Pathology : Circulatory System
Thrombocytopenia Decreased platelets Due to: Drugs Radiation chemo
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Pathology : Circulatory System
Hemophilia Congenital condition in which blood does not clot normally Results in excessive bleeding
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Hemophilia
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The End
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Blood Typing Antigen-protein on red blood cells
Antibody-immunity found in plasma against certain antigens Agglutination=clumping=(+) Rh-another antigen on RBC
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Blood Typing Blood Type Antigens Antibodies O None Anti-A & anti-B A
AB A and B
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