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Module 3
Blood
Transportation
Regulation
Projection
Components of Blood
Blood Plasma: liquid; 91.5% water; 8.5% solutes
Formed Elements: RBCs, WBCs, platelets
Hematocrit
The percentage of total blood volume occupied by RBCs
Polycythemia
The percentage of RBC is abnormally high (raises viscosity/thickness of blood). Makes blood flow difficult
Hemopoiesis
Formation and development of blood cells
Erythropoietin
Hormone that increases RBCs
RBCs/Erythrocytes
Contain hemoglobin
“Biconcave disc”
Strong, flexible plasma membrane
Mature RBC lacks nucleus
WBCs/Leukocytes
Do not contain hemoglobin
Granular leukocytes: Basophils; Eosinophils; Neutrophils
Agranular leukocytes: Lymphocytes and Monocytes
WBCs are far less numerous than RBCs
Neutrophils
60-70% of WBC
Phagocytic
Neutrophils respond most quickly to tissue damage by bacteria
Monocytes
Take longer to arrive but come in large numbers and destroy more microbes
Basophils
Contain histamine
Involved in allergies
Eosinophils
Parasitic Worms
WBC Diseases
Leukocytosis: high WBCs - normal response to invaders
Leukopenia: low WBCs; never beneficial
Platelets/Thrombocytes
Forms blood clot
Sickle Cell Disease (Sickle Cell Anemia)
Most common genetic disorder in the U.S
RBCs are stiff; fragile; deliver less oxygen; sickle shaped
Blood Vessels and Circulation
Angiogenesis: growth of new blood vessels
Lumen: interior opening of the blood vessel
Order of Vessels Leaving the Heart
Arteries: carry blood AWAY from heart
AAA
Arterioles
Capillaries: site of exchange
Venules
Veins: carry blood TO the heart
Tunica Interna
Form the inner layer of a blood vessel
Tunica Media
Greatest variation among vessel types
Middle Layer
Tunica Externa
Outer Layer
Veins
Not designed to withstand high pressure
More numerous than arteries
Lumen is larger than arteries
Have Valves
Largest portion of blood at rest is in systemic veins and venules
Systole/Diastole: 110/70
Vascular Resistance
Depends on: size of lumen; blood viscosity; total blood vessel length
Pulse
Rhythmic beating in the arteries caused by the beating of the heart
Tachycardia: rapid pulse or heartbeat
Bradycardia: slow heartbeat or pulse
Blood Pressure
Measured in the brachial artery
Sphygmometer
Korotkoff Sounds
Hypovolemic Shock
(low) Decreased blood volume
Causes: acute hemorrhage, loss of body fluids, inadequate intake of fluids
Cardiogenic Shock
Heart fails to pump adequately
Vascular Shock
Inappropriate vasodilation of vessels
Ex: Anaphylactic Shock
Septic Shock
Obstructive Shock
Blood flowing through circulatory system is blocked (obstructed)
Ex: pulmonary embolism
Signs and Symptoms of Shock
Systemic BP less than 90 mm Hg
Resting HR rapid/Pulse weak and rapid
Heart
Located in the mediastinum (think sternum) - region between the lungs
The Apex: inferior surface
The heart points to the left; rests on the diaphragm and is directed anteriorly
The Base: superior surface
Endocardium
The thin innermost layer
Smooth lining for chambers of heart; valves
Mitral Valve
Bicuspid valve/Left atrioventricular
Between left atrium and left ventricle
Blood flows from left atrium into left ventricle and travels through this valve
Tricuspid Valve
Right Atrioventricular
Between right atrium and right ventricle
Blood flows from right atrium into right ventricle and travels through this valve
Heart Issues
Narrowing of a heart valve; restricts blood flow
Rheumatic fever: usually occurs after a streptococcal infection of the throat; very often damages mitral and aortic valves
Myocardial Infarction: heart attack
Congestive Heart Failure: loss of pumping efficiency to the heart
Congenital Defects: tetralogy of Fallot; Blue Baby
Auscultation
Listening to sounds within the body (stethoscope)
Hormones
Epinephrine (Adrenaline) and Thyroid Hormones: increases heart rate and contractility
The Respiratory System
Nasal conchae: cause air to swirl; removes debris, prevents dehydration (moistens air)
Pharynx (Throat)
Passageway for air and food
Resonating chamber (Three Regions): Nasopharynx; Oropharynx; Lingual, Palatine tonsils; Laryngopharynx
Larynx
Voicebox
Thyroid cartilage or Adam’s Apple
Epiglottis: flap of tissue; closes when we swallow to prevent food from getting into the larynx and trachea
Phonation
Produce Sounds
Enunciate
Produce Words
Trachea
Windpipe
Divides into right and left bronchi
Composed of 16-20 C-shaped rings of cartilage
Bronchi
The right and left bronchus enter the lungs
They divide to form the bronchial tree
Bronchial tree is in the lungs
Lungs
Cardiac notch: concavity on the left lung
Heart makes left lung 10% smaller than the right lung
Lobes: each lung divided by 1 or 2 fissures
Each Lung has oblique fissure
Right Lung has horizontal fissure
Right lung: 3 lobes
Left Lung: 2 lobes
Alveoli
Main site of gas exchange
Order of Airflow
Nasal (nose) cavity or oral (mouth) cavity
Pharynx (throat)
Larynx (voicebox)
Trachea (windpipe)
Bronchi
Lungs
Lung Compliance
High Compliance: lungs expand easily
Low Compliance: resist exansion
The Endocrine System
Pituitary Gland (Anterior Lobe)
Human Growth Hormone - promote cell growth
Thyroid Stimulating Hormone: stimulates synthesis and secretion of thyroid hormones by thyroid gland
Follicle Stimulating Hormone
Luteinizing Hormone
Prolactin: promotes mammary gland development (increases during pregnancy); promotes milk production by the mammary glands
Pituitary (Posterior Lobe)
Oxytocin: contraction of smooth muscle in walls of uterus during childbirth
Milk ejection from mammary glands
Antidiuretic hormone (vasopressin)
Thyroid Gland
Hormones:
T4
T3
Hypothyroidism
Fatigue
Cold Intolerance
Slow Heartbeat
Weight Gain
Pancreas
Pancreatic Islets or Islets of Langerhans
Hyposecretion: low hormone release
Hypersecretion: too much hormone release
Pituitary Gland Disorders
Gigantism: hypersecretion of human growth hormone during childhood
Acromegaly: hypersecretion of human growth hormone during adulthood
Large hands, feet, frontal, zygomatic, mandible, maxilla bones