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Fowler position (high and semi)
High fowler: 90 degrees
Semi fowler: 45 degrees
Right and left lateral recumbent
Laying on left of right side with head resting on bicep
ia
condition of
dys
difficult, painful, abnormal
ur
urine
dysuria
painful urination
Hyper
excessive
emesis
vomiting
hyperemesis
excessive vomiting
An
without
ic
pertaining to
alges
pain
analgesic
pertaining to no pain
plural form of us
i
plural form of a
ae
plural form of is
es
plural form of ex or ix
ices
ventral vs dorsal
ventral= belly side
dorsal= back side
superficial and deep
superficial= closer to surface of the skin
deep= deeper in the skin
ligaments
connects bone to bone
tendons
connects muscle to bones ac
cartilage
smooth connective tissue covering ends of bones at mobile joints
axial skeleton components
skull
spinal column
thorax
skull bones
cranium (4):
parietal
frontal
temporal
occipital
face (14 total):
temporal
zygomatic
nasal
maxillae
mandible
maxilla
foramen magnum
vertebrae components
cervical (7)
thoracic (12)
lumbar (5)
sacrum (5 fused)
coccyx (4 fuses)
thorax # of ribs and what in cavity
12 ribs
heart, lungs, esophagus, great vessels
components of the sternum
Manubrium
body
xiphoid process
appendicular skeleton
joints to know
All in the shoulder
acromioclavicular joint (ac): between clavicle and scapula (more lateral)
glenohumeral joint (shoulder): ball and socket
sternoclavicular joint: between clavicle and sternum (more medial)
fingertip names
thumb
index
long
ring
small
phalanges—> metacarpals—> carpals
carpomedtacarpal joint
pelvis bones
ilium
ischium
pubis
sacrum (vertebrae but also pelvis, weight bearing)
*Chance of bleeding out from a pelvic fracture due to large blood vessels
tibia and fibula
tibia: larger, shin bone
fibula: smaller, supporting bone
Lower extremity bones/ landmarks:
ilium (crest)
pubis (fused by pubic symphysis)
ischium (bottom of pelvis, butt bone)
acetabulum (ball and socket hole)
femur head
femur neck
greater trochanter
lesser trochanter
femur
medial condyle
head of fibula
tibia
fibula
Foot:
7 tarsals
5 metatarsals
14 phalanges
foot bones/ other:
Achilles tendon
medial malleolus (tibia)
talus (middle bone)
calcaneus (heel)
navicular (distal to talus)
medial cuneiform (distal to navicular)
phalanges
metatarsals
Functions of the skeletal system:
shape
protects organs
movement
stores calcium
helps create RBC
3 types of muscle:
smooth (involuntary) —> attaches to bones for movement
skeletal (voluntary)—> blood vessels/ intestines
cardiac (striated, involuntary) —> heart only
Respiratory system components:
Upper airway:
Nasopharynx
nasal air passage
pharynx
oropharynx
epiglottis
Lower airway:
Trachea
alveoli (external resp.)
bronchioles
main bronchi
bronchioles
The rest:
larynx
apex of lung
carina
base of lung
diaphragm
Thyroid cartilage:
everyone has it, but more developed in males
Adams apple
anterior part of larynx
cricoid cartilage:
lies below the thyroid cartilage
Only full ring of cartilage on trachea
* Cricothyroid membrane: between thyroid and cricoid cartilage
Lung lobes:
3 right (larger)
2 left (smaller, due to heart)
covering of lung name
pleura
Visceral (covering lungs)
parietal (lining chest wall)
pleural space: between ^^ pleural fluid= gliding
covering of heart names:
parietal pericardium (lines inside of pericardium)
visceral pericardium (covers heart)
muscles of breathing:
neck (cervical muscles)
abdominal muscles
pectoral muscles
respiration:
exchange of O2 and CO2 in alveoli tissue
provides O2 to cells and removes waste CO2
medula initiates ventilation when high CO2 levels
what happens with a high CO2:
causes pH to decrease (acidic) in CSF
what causes CSF fluid to drop
pH levels
what does the brain stem sense:
increase in acidity and raises respiratory rate
What is the primary reason to breathe?
to lower levels of CO2
What is hypoxic drive?
Backup system to control respirations
Breathing faster (COPD patients)
What is the problem with giving COPD patients too much artificial O2
eventually stop breathing bc lungs feel like they don’t need to work anymore
Adjust flow rates accordingly / BVM
ventilation:
simple movement of air into and out of the lungs
Tidal volume:
amount of air moved into or out of the lungs during a single breath
RR x tidal volume= minute volume
normal rate and depth
Residual volume:
gas remains in lungs to keep lungs open
Dead space:
resp. system with no alveoli
little or no gas exchange between air and blood to know
Minute volume:
amount of air moves in and out of lungs in 1 min minus the dead space
Tripod position:
leaning forward on arms stretches forward to breathe
Agonal gasps:
gasping breaths
assist breathing
Pathophysiology:
study of functional changes that occur when the body reacts to disease
Hypoxia
decreased level of O2 in body
Hypercarbia
elevated level of CO2 in body
Shock types:
NOCHAPS
Nueogenic
Obstructive
Cardiogenic
Hypovolemic
Anaphylactic
Psychogenic
Septic
Cardiovascular pathway
Arteries—> arterioles —> capillaries —> venues —> veins
Systemic circulation:
carries O2 rich blood from left ventricle through body and back to right atrium
Pulmonary circulation:
carries O2 poor blood from right ventricle through the lungs and back to left atrium
Circulation:
heart receives blood from superior and inferior vena cava
right side receives deoxygenated blood from veins
left side receives oxygenated blood from lungs
oxygenated blood returns from lungs through pulmonary veins into left side of heart, pumped into aorta, to arteries of body
Normal HR
60-100
Stroke volume (SV):
amount of blood moved by one beat
Cardiac output (CO):
Amount of blood moved in 1 min
HR x SV = CO
Electrical conduction system:
SA node—> internodal pathway—> AV node—> Bundle of HIS —> L/R bundle branches —> purkinjie fibers
What does the spleen do
filters worn out blood cells, foreign substances, bacteria
vascular and susceptible to trauma
Systole
when left ventricle contracts and pumps blood
diastole
when ventricle relaxes and blood refills
When vessels vasoconstrict what does HR do
increase to pump more blood
What does the cerebrum do
controls hearing, balance, speech
what does the cerebellum do
body movement
what does the brain stem do
basic body functions for life, cardiac and respiratory functions, consciousness
Somatic nervous system (voluntary):
Signals from brain to voluntary muscles
walking, talking, writing
Autonomic nervous system (involuntary):
digestion, dilation, constriction of blood vessels
SNS (fight or flight)
PNS (slows body, relax)
right upper quadrant organs:
liver
gallbladder
portion of colon
left upper quadrants organs:
stomach
spleen
portion of colon
right lower quadrant organs:
portion of large intestine (cecum and ascending colon)
Left lower quadrants:
descending and sigmoid colon
Pancreas produces:
endocrine portion produces insulin and glucagon
Retroperitoneal organs:
SAD PUCKER
S – Suprarenal glands (aka adrenal glands)
A – Aorta & inferior vena cava
D – Duodenum (2nd–4th parts)
P – Pancreas (except the tail)
U – Ureters
C – Colon (ascending & descending)
K – Kidneys
E – Esophagus (lower portion)
R – Rectum (partially)