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The CIRCULATORY System Unit 3 Transportation Systems Functions of the Circulatory System • Transportation of – nutrients and waste – heat – oxygen and carbon dioxide – hormones – antibodies Structures of the Circulatory System Heart Location and Structures • The heart is found in the Thoracic Cavity between the lungs, slightly left of center. • The base is the broad flat top of the heart • The apex is the pointy bottom of the heart • Coronary arteries and veins run blood to and from the myocardium Heart • Hollow organ • Pumps blood throughout the body • Three layers: endocardium, myocardium, and pericardium • Four chambers – Right and left atria – Right and left ventricles • Four valves – Bicuspid (mitral), tricuspid, pulmonary and aortic semilunars • Major blood vessels – Arteries, veins, and capillaries Layers of the Heart • Endocardium – Inside lining, covers all walls and valves – Made of epithelial and connective tissues – Important because of the volume of blood that flows through the heart • Myocardium – Bulk of the heart – Made of cardiac muscle – Thickest around left ventricle • Pericardium – Serous membrane around the heart – Has a visceral and parietal layer The 4 Chambers of the Heart Right Atrium Left Atrium Receives blood from veins; pumps to right ventricle. Receives blood from lungs; pumps to left ventricle. Right Ventricle Left Ventricle Pumps blood to the lungs. Pumps blood through the aorta to the body. The 4 Valves • Bicuspid / Mitral – Between left atrium and ventricle – Has two flaps • Tricuspid – Between right atrium and ventricle – Has three flaps • Pulmonary Semilunar – From the right ventricle leading to the lungs through the pulmonary artery • Aortic Semilunar – From the left ventricle leading to the body through the aorta • The Anatomy of the Heart Conduction System • The heart has it’s own electrical system that controls the rhythm of heart contractions. • SA Node (pacemaker of the heart) – Atrium contract – Impulse excites AV node • AV Node • Bundle of HIS • Bundle Branches • Purkinje Fibers – Ventricles contract – conduction system in the heart Blood Vessels • Closed system for flow of blood • Three types of vessels: – Arteries, Capillaries, and Veins Vein Artery Valve Arterioles Venules Capillarybed Blood Vessels • Arteries – Take blood away from the heart – Under high pressure – Used to take pulses – Squirt when cut • Veins – Take blood towards the heart – Have valves to help push blood against gravity – Constant flow when cut • Capillaries – Between arteries and veins – Only one cell thick to allow gas and nutrient exchange – So tiny only one blood cell at a time can go through Pulses • The pulse is caused by the contraction of the left ventricle and the wave of blood that it pushes into the arteries • Common Pulses – Carotid – Radial Blood Pressure • Has two parts: – Systolic • Measures the pressure in the arteries when the left ventricle contracts • The top number – Diastolic • Measures the pressure in the arteries when the left ventricle is relaxed and filling • The bottom number Blood • Provides vital transportation for the body • Four components – Red blood cells (erythrocytes) • Carry O2 and CO2 – White blood cells (leukocytes) • Fight disease – Platelets (thrombocytes) • Clot blood – Plasma • Fluid part the others travel in Diseases and Disorders Circulatory System Anemia • Blood disorder where capacity of the blood to transport oxygen is decreased • Usually red blood cell count is diminished • Causes: – Internal bleeding, vitamin deficiencies, decreased RBC production, increase in RBC destruction by spleen • Symptoms: – Fatigue, chest pain, skin pallor, increased heart rate, difficulty breathing Heart Attack (myocardial infarction) • Coronary artery or a branch of the coronary artery is blocked • Symptoms: – Chest pain – Crushing pressure behind the breastbone and chest pain radiating to the neck, jaw, abdomen, shoulder or left arm – Nausea – Vomiting – Difficulty breathing – Anxiety or fear High Blood Pressure (hypertension) • Blood pressure is chronically elevated • Can contribute to coronary artery disease, strokes, kidney failure, and sudden rupture of the aorta • Sustained systolic blood pressure of over 140 or a sustained diastolic blood pressure of over 90 is considered hypertension • Usually there are no symptoms other than a mild headache Atherosclerosis • Build-up of fatty deposits on the inner walls of arteries • Restricts the flow of blood • Fats and other particles combine to form plaque • Calcium can be deposited by plaque and cause the area to harden CIRCULATORY CAREERS EMERGENCY MEDICAL TECHNICIAN – Provide emergency, pre-hospital care to victims of accidents, injuries and sudden illness – Skills include care for shock, burns, wounds, bleeding, fractures, airway obstructions, CPR, childbirth, rescue trapped persons, MORE advanced EMTs interpret electrocardiograms, administer IVs, and intubation – Salary- $35,000-50,000 EMT LEVELS • EMT- Basic – 120 classroom training- 10 hours clinical • EMT- Intermediate – Additional 54 classroom training • EMT- Paramedic – Additional 610 classroom training, 596 clinical hours – EMT Anthem – Fun EMT Anthem SURGICAL TECHNICIAN • Work under supervision of nurses or physicians • Prepare patients for surgery, set up instruments, equipment, and sterilize supplies, assist during surgery by passing instruments to surgeons • 12-15 month program (DATC) • $12-25/hour • What Surgical Techs DO CARDIOLOGIST • Doctors are trained to diagnose, treat and manage patients with cardiovascular disease • Must complete undergraduate, medical school, residency, internship and fellowship • Salary- $150,000++/ • Cardiothoracic Surgeons- $350,000++ • CABG • Cath Lab and Angioplasty PHLEBOTOMIST • Collect blood and prepare it for testing • Training includes 6 weeks of classroom and hospital training (3 weeks of each) • $10 per hour ELECTROCARDIOGRAM TECH • Operate ECG machines – ECGs- record electrical impulses from heart • Perform stress tests and diagnostic tests for heart disease • 1 year certificate program • Salary- $12/hour • Stress Test • Stress Test 2 Vocabulary- word parts • • • • • • • Hem/o- blood Cardi/o- heart Arteri/o- arteries Thromb/o- clot Angi/o- lymph or blood vessel Erythr/o- red Leuk/o- white Vocabulary- word parts • • • • • • Brady- slow Tachy- fast - rrhea – flow or discharge - emia – blood -penia – decrease or deficiency -rrhagia -rupture Abbreviations • • • • • • • • P- pulse BP- blood pressure CBC- complete blood count CPR- cardiopulmonary resuscitation MI- myocardial infarction (heart attack) RBC- red blood cell WBC- white blood cell EKG/ECG – electrocardiogram Vocabulary • Arrhythmia- irregular heart beat • Circulation- movement in a regular or circular motion • Murmur- abnormal heart sound caused by valve defect • Palpitation – a rapid fluttering pulsation • Varicose veins- enlarged bulging superficial vein • Systolic- contraction of a heart chamber • Diastolic- relaxation of a heart chamber