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Mercer County Community College Science & Allied Health Division Bio 104 Lecture Outline Chapters 14, 15, 16 Course Lecturers: L. Falkow / R. Smith 1/07 The Cardiovascular System Blood: Introduction Science (Chapter 14) A. Characteristics of Blood 1. Blood Volume - - 2. Blood Composition a. Blood Cells Red blood cells White blood cells Platelets b. Plasma 2 3. Origin of Blood Cells o o B. Red Blood Cells 1. Characteristics o o - oxyhemoglobin deoxyhemoglobin o 2. Red Blood Cell Counts 4.6 – 6.2 4.2. – 5.4 reflects blood’s ___________________________ 3. Red Blood Cell Production low blood oxygen ________________________ RBC production vitamin B12, folic acid, Fe are necessary Dietary Factors Affecting RBC Production 3 4. Life Cycle of RBC lifespan worn out RBCs destroyed by Hb heme and globin 5. Anemia Def. = C. White Blood Cells 1. Functions & Types diapedesis positive chemotaxis granulocytes - agranulocytes 2. White Blood Cell Counts 5, 000 - 10,000 leukopenia leukocytosis differential WBC count 4 Granulocytes Agranulocytes Neutrophils (segs, PMNs, bands) Monocytes Eosinophils Lymphocytes Basophils D. Platelets - cell fragments -130,000 - 360,000 - helps control _______________ Plasma A. Characteristics B. Plasma Proteins 5 C. Gases and Nutrients Gases Nutrients - - D. Nonprotein Nitrogenous Substances Urea Uric acid Amino acids – Creatine – Creatinine – BUN – E. Plasma Electrolytes Absorbed from the _____________ or released as by-products of ________________ sodium, chloride calcium magnesium bicarbonate phosphate sulfate Hemostasis Blood Vessel Spasm - 6 Platelet Plug Formation - Blood Coagulation - Coagulation - causes the formation of a blood clot via ____________________ - occurs extrinsically (_______________) or intrinsically (________________) Anitgens and Antibodies Agglutination – Antigen – Antibody – ABO Blood Groups Based on presence or absence of ______________________ Blood Types: Type A RBC: Plasma Antibodies: Type B Type AB Type O 7 Rh Blood Group Rh positive Rh negative Erythroblastosis fetalis - mother if Rh neg.; baby is Rh pos. if mother is exposed to ________________ blood, she will form anti-Rh antibodies problem arises in 2nd pregnancy - 1970’s Rho-Gam Introduction & Overview of CV System (Chapter 15) _____ liters of blood ___________miles of vessels Pulmonary circuit : Systemic circuit: Coronary circulation: Arteries Capillaries Veins Anatomy of the Heart A. Size & Location 8 between _______ and _____________ medial to ____________ base at ___________ apex at __________________ lies on diaphragm B. Pericardium 1. fibrous pericardium 2. serous pericardium parietal pericardium [pericardial cavity] visceral pericardium 3. Disorders pericarditis cardiac tamponade C. Heart Wall 1. Epicardium 2. Myocardium 3. Endocardium D. Heart Chambers Right Atrium Left Atrium Right Ventricle Left Ventricle 9 E. Heart Valves Tricuspid Pulmonary ___________ Mitral Aortic ___________ F. Path of Blood Through the Heart 1. Right Atrium SVC IVC Coronary sinus < Right atrioventricular (AV) valve> 2. Right Ventricle chordae tendinae papillary muscles <Pulmonary Semilunar valve> _____________ LUNGS _________________ Pulmonary veins 3. Left Atrium <Left Atrioventricular (AV) valve> 4. Left Ventricle <Aortic Semilunar valve> ascending aorta openings to coronary arteries G. Blood Supply to Heart (Coronary Circulation) 1. Right coronary artery └> marginal branch └> posterior interventricular branch (post. descending artery) 10 2. Left coronary artery └> circumflex branch └> anterior interventricular branch (left anterior descending artery) 3. Coronary veins great cardiac vein └> coronary sinus ________________ Heart Actions Systole = Diastole = A. Cardiac Cycle Atrial systole/ Ventricular diastole Ventricular systole/ atrial diastole - B. Heart Sounds Lubb Dupp Murmur – Mitral valve prolapse C. Cardiac Muscle Fibers - form a functional syncytium (= ) 11 atrial syncytium ventricular syncytium D. Cardiac Conduction System Conducting system includes: Nodal tissue S-A (sinoatrial) node Atrial synctium Junctional fibers A-V (atrioventricular) node AV bundle (of His) Bundle branches Purkinje fibers Ventricular syncytium E. Electrocardiogram (ECG) P wave QRS wave T wave - Prolonged QRS complex Arrhythmias: Fibrillation Atrial flutter Tachycardia >100bpm Bradycardia < 60bpm 12 F. Cardiac Cycle 1. Consists of: systole – diastole – 2. Average heartrate: G. Regulation of Cardiac Cycle 1. ANS affects activities of ________________ 2. Other Factors that influence HR - ion conc. ( ) PSN impulses SNS impulses Cardiac center _____________ regulates heart BLOOD VESSELS Arteries Arterioles Capillaries Venules Veins A. Blood Vessel Anatomy 1. 3 basic layers a. tunica interna (intima) b. tunica media c. tunica externa (adventitia) 2. Artery - 13 3. Arterioles - Metarterioles 4. Capillaries Regulation of Capillary Blood Flow Precapillary sphincters Exchange in the Capillaries Arterial end – Venous end Substances move in and out Opposing pressures: Hydrostatic pressure (BP ) Osmotic pressure 5. Venules 6. Veins 14 Blood Pressure - force exerted against wall of vessel A. Arterial BP 120 80 mmHg Systolic/diastolic Pulse = B. Factors that affect BP Blood volume HR SV Cardiac Output CO = HR x SV Viscosity PR C. Control of BP BP rises baroreceoptors (located in _____________ and _________________) stimulated Cardiac center (located in ___________) PSN impulses to __________ HR ____________ BP back to normal D. Venous Blood Flow Depends on: - 15 Selected Blood Vessels A. Pulmonary circulation Pulmonary arteries Pulmonary veins B. Systemic Circulation 1. Aorta Ascending aorta: right & left coronary arteries Aortic arch: 1) 2) 3) Descending aorta 2. Hepatic portal circulation - inferior mesenteric vein - splenic vein - superior mesenteric vein Splenic v. & superior mesenteric v. join to form hepatic portal vein --> liver Life-Span Changes 16 Lymphatic System A. B. Lymph vessels C. Lymph tissues Tonsils Lymph nodes Thymus Spleen Aggregate lymphoid nodules Appendix