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Blood Vessels VEIN Tunica externa ARTERY Tunica externa Tunica media Tunica media Tunica interna Tunica interna 3 Pulmonary Circulation Two lobar arteries to left lung Left Pulmonary Veins Pulmonary Trunk • Pulmonary trunk to pulmonary arteries to each lung – lobar branches for each lobe (3 right, 2 left) • Pulmonary veins return to left atrium – increased O2 and reduced CO2 levels HUMAN The vertebral veins drain into the subclavian veins just posterior and lateral to the internal jugular veins (see lateral view) Right Subclavian Vein Right Brachiocephalic Vein Left Subclavian Vein Left Brachiocephalic Vein Arteries of the head Veins of the head Abdominal Arteries right & left right & left Arteries of the Upper Limb Superficial & Deep Veins of Upper Limb Common site for drawing blood Internal iliac a. Arteries of the leg Superficial and Deep Veins of Lower Limb Superficial Veins Fetal Circulation • During pregnancy, the fetal circulatory system works differently than after birth: – The fetus is connected by the umbilical cord to the placenta, the organ that develops and implants in the mother's uterus during pregnancy. – Through the blood vessels in the umbilical cord, the fetus receives all the necessary nutrition, oxygen, and life support from the mother through the placenta. – Waste products and carbon dioxide from the fetus are sent back through the umbilical cord and placenta to the mother's circulation to be eliminated. Fetal Circulation • Blood from the mother enters the fetus through the umbilical vein in the umbilical cord (this vein carries oxygenated blood & nutrients). • The umbilical vein enters the inferior vena cava in the liver via the ductus venosus Fetal Circulation • Inside the fetal heart: – Blood enters the right atrium. Most of the blood flows to the left side through a special fetal opening between the left and right atria, called the foramen ovale. – Blood then passes into the left ventricle and then to the aorta. – From the aorta, blood is sent to the systemic circulation of the fetus. The blood then returns to the right atrium of the heart through the superior & inferior vena cava. – About one-third of the blood entering the right atrium does not flow through the foramen ovale; but, instead, it stays in the right side of the heart, eventually flowing into the pulmonary trunk. • Blood will once again bypass the pulmonary circulation by passing from the pulmonary trunk to the aorta via the ductus arteriosus Fetal Circulation • Blood circulation after birth: – With the first breaths of air the baby takes at birth, the fetal circulation changes. – A larger amount of blood is sent to the lungs to pick up oxygen. • Because the ductus arteriosus (the normal connection between the aorta and the pulmonary valve) is no longer needed, it begins to wither and close off. • The circulation in the lungs increases and more blood flows into the left atrium of the heart. • This increased pressure causes the foramen ovale to close and blood circulates normally. What is Blood Pressure? • Blood pressure is the force of the blood pushing against the walls of the arteries from the heart • Each time the heart beats (about 75 times a minute at rest), it pumps out blood into the arteries • Your blood pressure is at its highest when the heart contracts. – This is called systolic pressure • When the heart is at rest, between beats, your blood pressure falls. – This is the diastolic pressure What is Blood Pressure? • Blood pressure is always given as two numbers: the systolic and diastolic pressures • they are written one above the other, such as 120/80 mmHg. – The top number is the systolic and the bottom the diastolic. • Blood pressure changes during the day. It is lowest as you sleep and rises when you get up. It also can rise when you are excited, nervous, or active. High Blood Pressure • When the level stays high, 140/90 or higher, you have high blood pressure (hypertension) • With high blood pressure, the heart works harder, your arteries take a beating, and your chances of a stroke, heart attack, and kidney problems are greater. Measuring Blood Pressure • sphygmomanometer – consists of a soft rubber cuff connected to a rubber bulb that is used to inflate the cuff and a meter that registers the pressure of the cuff – blood pressure is measured in millimeters of mercury (mm Hg) because the first instrument used to measure it was a mercury column. Measuring Blood Pressure When a sphygmomanometer is used, a person sits with arm (sleeves rolled up), bent and resting on a table, so that the arm is about the same level as the heart brachial This gives a reading that is similar to the pressure in the heart Procedure for Measuring Blood Pressure • Place a stethoscope over the brachial artery below the cuff. • Begin by inflating the cuff • Once the pressure in the cuff is above a normal systolic pressure (~ 140), blood cannot flow below the cuff. • You will hear no sound in the brachial artery when you listen with the stethoscope. Procedure for Measuring Blood Pressure , cont’d • As you release the pressure valve and slowly deflate the cuff, blood begins to flow through the artery. • When the pressure in the cuff is between the systolic and diastolic pressure, you can hear a tapping sound with each pulse. – The first tapping sound you hear indicates that blood has entered the artery. – Record this reading as the systolic pressure. • The last tapping sound you hear indicates the diastolic pressure. Record this. Assessment of pulse • The pulse is a wave-like sensation that can be palpated in a peripheral artery. It is stretched by the wave of blood that is pumped through with each heartbeat • an adult's heart contracts 60 to 100 (avg. 75) times a minute • In children and newborn babies, this can be much faster. How do you count someone's pulse rate? • Rest or support the patient's forearm with the wrist extended • Locate the radial artery at the wrist region • Use your 1st, 2nd, and 3rd fingertips to press on the radius until you feel a recurrent pulsation. • Count the number of pulsations for 60 seconds (you will need a watch or clock with a second hand) • Record this value on lab sheet