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cardiac cycle
2 systolic and 1 diastolic phases, rhythmic contraction and relaxation
systolic phase
contraction
atrial: occurs first, blood → ventricles
ventricular systole: occurs second, blood → release blood to arteries
diastolic
relaxation, refilling the chambers with blood
blood pressure measurement with sphygmomanometers
pressurized cuff is placed on left arm, stethoscope bell placed under near brachial artery
cuff is inflated, temporarily disrupting brachial blood flow
slowly release pressure from the cuff, first sound is systolic, last sound is diastolic
occulision
limiting or blocking blood flow
baroreceptors
cells that monitor blood pressure in arteries, signaling through cranial nerves to medulla
decrease in BP
activate sympathetic branch, vasoconstriction, RAAS = raise BP
increase in BP
activate parasympathetic, lower BP
laminar blood flow
smooth and uninterrupted flow of blood, no sound
turbulent flow
interrupted, obstructed flow, produces sound
continuity equation
flow rate (Q) is constant, as surface area (A) inc. so does blood velocity (V)
Q1=Q2 or A1xV1=A2xV2
PQRST Wave
displays cardiac cycle electrically, depolarization and repolarization of the heart, rhythm, ♡ rate
P
atrial contraction/systole and depolarization
QRS complex
Q= atrioventricular node, delays atrial and ventricular systole
R= cells recieve rhythm, spread electrical activity
S= ventricular contraction/systole, depolarization
T
repolarization to “resting voltage”, ventricles refill
artery
Thick walls to promote forward flow, small lumen
vein
thin walls, large lumen, valves to prevent back flow
capillaries
single layer of cells as wall, small tinyyy lumen, allow for the exchange of materials (blood ←→ tissue)
flow of blood through blood vessels
arteries → arterioles → capillaries → veneules → veins
bulk flow
capillaries thin single-celled wall allows for rapid, passive movement of ions
filtration
occurs at arteriole end because of forward pressure”squeezing”
BP > osmotic pressure/outside fluid
reabsorption
occurs at veneule end, more relaxed vessels
BP < osmotic pressure
net filtration pressure NFP
Arteriole end- (capillary hydrostatic pressure (Pc) - intersitial fluid hydrostatic pressure (Pif))
Venule end- (osmotic force due to plasma protein concentration (πp) - Osmotic force due to intersistial fluid protein concentration (πif))
NFP = (Pc-Pif) - (πp-πif)
blood composition
plasma (water, proteins, and metabolites) and formed elements (RBCs)
maintain homeostasis
blood osmolarity: level of how many solutes and water are in the blood
Blood pH ~ 7.4
Body temp
clotting factors
activate prothrombin → thrombin in coagulation cascade, thrombin catalyze fibrinogen → fibrin (not water soluble, glue), add platelets
antigens
on the surface to identify as being native
Type A: antigen A, antibody B
Type B: antigen B, antibody A
Type AB: antigen A,B, antibody N/A
Type O: antigen N/A, antibody A,B
agglutinins
antibodies target the antigen not expressed on that individuals blood cells
Rh Factor
protein expressed or not expressed on the outer surface of RBC’s, Rh- only generate antibodies if exposed to Rh+ blood
blood thinners
drugs that reduce the risk of blood clots by lowering clotting protein levels
sickle cell trait
point mutation that changes shape of hemoglobin and RBC and cant carry O2 as well