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How to perform Blood Hematocrit
1. place capillary tube into blood sample to draw up blood
2. seal one end of cap tube and then centrifuge
3. measure total length, RBC, WBC and plasma
4. calculate RBC/total, WBC/total and plasma/total
afferent lymphatic vessels
bring lymph into a lymph node.
efferent lymphatic vessels
carries lymph out of a lymph node.
megakaryocytes
the giant bone‑marrow cell that makes platelets.
antigens
foreign substance body may attack
antibodies
Y-shaped protein
identifies and recognizes foreign invaders by binding specifically to their unique antigens
agglutination
blood is typed by using antibodies that will cause blood to clump
happens because specific, lock-and-key chemical reaction between surface antigens on red blood cells and added antibody reagents
AB
no antibodies
O
no antigens
cross matching
testing for agglutination of donor RBCs by recipient's serum and vise versa
lymphatic system consists 2 parts
1. lymphatic vessels
2. lymphoid tissues and organs
lymphatic system functions
1. transports escaped fluids back to blood
2. body defense and resist diseases
3. digestion
lymphatic vessels
one way system TOWARDS heart, no pump
how does lymph move through lymphatic vessels?
1. squeezing motion of skeletal muscle
2. rhythmic contraction of smooth muscle in vessels walls
lymph nodes
filters lymph fluid before returned to blood
lymph nodes defense cells
1. macrophages engulf & destroy foreign substances (antigen-presenting cell)
2. lymphocytes provide immune repose to antigens
harmful material that may enter lymph vessels
1. bacteria
2. viruses
3. cancer cells
4. cell debris
flow of lymph thru nodes
1. enters convex side thru afferent lymphatic vessels
2. flows thru number of sinuses inside node
3. exits thru efferent lymphatic vessels
(fewer efferent than afferent causes flow to be slowed)
lymphatic collecting vessels
1. collect lymph from lymph capillaries
2. carry lymph to and away from lymph nose
3. return fluid to circulatory veins near the heart (right lymphatic and thoracic duct)
lymph capillaries
1. walls overlap to form flap like mini valves
2. fluid leaks into lymph capillaries
3. capillaries anchored to connective tissue (endothelial) by filaments
4. higher pressure on inside closes mini valves
5. fluid is forced along the vessel
lymph node structure

central lymphoid tissue
bone marrow + thymus
where lymphocytes are made and trained
bone marrow
hematopoietic stem cells: starter for all blood cells
leukocytes except T lymphocytes fully dev here
peripheral lymphoid tissue
spleen, lymph nodes, tonsils, adenoid, appendix, peyer's patches
peripheral lymphoid tissue function
collections of B & T cells and macrophages, function to trap microorganisms and foreign particles, expose them to leukocytes in high concentrations
Spleen: located on the left side of the abdomen
Filters blood and destroys worn out blood cells
Forms blood cells in the fetus
Acts as a blood reservoir
Thymus: located low in the throat, overlying the heart
Functions at peak levels only during childhood
Produces hormones (like thymosin) to program
lymphocytes
T lymphocytes migrate from bone marrow to thymus and develop maturity
tonsils
Small masses of lymphoid tissue around the pharynx
Trap and remove bacteria and other foreign materials
Tonsillitis is caused by congestion with bacteria
Peyer's patches
Found in the wall of the small intestine & capture and destroy bacteria in the intestine
Resemble tonsils in structure
Innate defense system (nonspecific defense system)
Mechanisms protect against a variety of invaders
Responds immediately to protect body from foreign materials
Adaptive defense system (specific defense system)
specific defense is required for each type of invader
size of heart
size of a human fist
weighs less than a pound
arteries
carry blood AWAY from heart
deliver under high pressure
control blood distribution and blood pressure
veins
carry blood TO heart
work under low pressure
must prevent backflow and help blood move upwards
chambers
2 atria- receive blood from venae cavae
2 ventricles- receive blood superior atria, forces blood thru arteries
4 heart valves
2 semilunar (SL) valves- pulmonary & aortic
2 atrioventricular (AV) valves- tricupsid and bicupsid
semilunar valves
location: opening to arteries
3 moon shaped flaps
pushed flat against artery wall during ventricular contraction
atrioventricular valve (AV)
2 AV b/w atria and ventricle
right av valve
tricuspid (3 flaps endocardium)
left av valve
bicuspid (2 flaps endocardium)
av valve function
blood flows into ventricle from atria (diastole)
av closes passively as pressure builds in ventricle (systole)
chordae tendineae
cords prevent AV valves inversion
Papillary muscle
anchors chordae tendineae
pericardium (tissue components)
double walled sac, outer fibrous and inner serous (double)
parietal pericardium (tissue components)
outer layer lining fibrous pericardium
visceral pericardium (tissue components)
inner layer which forms the outermost layer of the heart wall called EPICARDIUM
epicardium (heart wall)
visceral epicardium; outermost layer
myocardium
middle layer consists cardiac muscle, striated intercalated discs; under involuntary control
and fibrous skeleton composed of a dense network of fibrous CT that supports the cardiac muscle fibers and the heart valves
endocardium
innermost layer composed of endothelium (simple squamous epithelium)
systemic circulation
carries blood to all tissues, left ventricle, aorta, arteries, capillaries, venae cavae, right atrium
pulmonary circulation
necessary for gas exchange, brings O2 into bodies, right ventricles, pulmonary (trunk) arteries, lungs, pulmonary veins, left atrium
blood flow
1. body tissues
2. inferior/ superior venae cavae
3. right atrium
4. tricuspid to right ventricle
5. pulmonary semilunar valve
6. pulmonary trunk/ arteries
7. lungs
8. pulmonary veins
9. left atrium
10. bicuspid to left ventricle
11. thru aortic semilunar valve
12. aorta to systemic system
coronary circulation
heart not nourished by blood in heart
regions of major arteries from aorta
ascending aorta: leaves left ventricle
aortic arch: arches to left
thoracic aorta: travels downward through thorax
abdominal aorta: passes through the diaphragm into the abdominopelvic cavity
left coronary artery
branches into anterior inter ventricular & circumflex arteries
cardiac veins
great, middle and small: drain into coronary sinus to right atrium
conduction
The intrinsic conduction of the heart include non contractile cells called autorhythmic cells
autorhythmic cells
located in sinoatrial (SA) node, signal transmitted to atrioventricular (AV) node to AV bundle to bundle branches (left/right) to purkinje fibers
muscle contraction
change in electric potential (depolarization) and generation of action potential
cardiac muscle cells
connected thru gap junctions which allow for spread of action potential
role of nervous system
Heart muscle has the intrinsic ability to generate action potentials with the SA node as the natural pacemaker which sets the rate of depolarization of the heart
Autonomic nervous system
1. sympathetic (SNS)- accelerates heart rate
2. parasympathetic (PNS)- decelerates heart rate
sinoatrial node
superior right aritum, sets depolarization rate (pacemaker)-stimulus travels through atria (atrial contraction) and internodal pathway to AV node
Atrioventricular (AV) node
inferior atrial septum in the right atrium - the impulse is delayed
What is the significance of the delay of the impulse in the AV node?
allow for atrial contraction to be completed before ventricular depolarization begins to prevent the closure of the AV valves.
Electrical conduction through ventricles requires
1.Atrioventricular (AV) bundle- interventricular septum
2. Bundle branches- interventricular septum
3. Purkinje fibers- in muscles of ventricular walls- Simultaneous ventricular contraction,
Denser in left ventricle
Atrioventricular (AV) bundle
superior part of the interventricular septum
Bundle branches
interventricular septum bifurcates into the left and the right branches leading into the left and right ventricular wall
Purkinje fibers
in direct contact with the cardiac muscle cells in the
ventricular walls
The order of impulse transmission
1.SA node
2.AV node
3.AV bundle
4.Bundle branches
5.Purkinje fibers
electrocardiography
Measure of changes in electrical charge (mV) over time, using ECG monitor
P wave
single action wave;
depolarization of atria, immediately
before atrial contraction
QRS complex
multi-action wave; depolarization of ventricles, immediately before ventricular contraction, atrial repolarization occurs during ventricular contraction
T wave
single action wave; repolarization of ventricles
PQ interval
time of swim thru AV node, >.2 sec may indicate partial heart block, total heart block ventricles beat @ own rhythm
QRS interval
Prolonged interval may indicate partial blockage of right or left bundle branch
QT interval
From ventricular depolarization
through repolarization, faster heart rate means shorter interval
Junctional rhythm
he P wave is absent, SA node is not acting as the pacemaker leading to the AV node pacing the heart

A second degree heart block
Not all P waves are followed by QRS waves due damage to the AV node

Ventricular fibrillation
the impulses generated in the atria do pace
ventricular contractions. Typical tracing in acute myocardial infarction

Bradycardia
heart rate < 60 bpm, considered abnormal except in a well-conditioned athlete.
Causes: infection of heart tissue (myocarditis), heart tissue damage (old age or heart disease or heart attack)
risks: fainting, extreme fatigue, shortness of breath, heart failure, etc.
Tachycardia
heart rate > 100 bpm, abnormal when at rest, if untreated may lead to fibrillation.
Causes: anemia, exercise, smoking, caffeine, stress
Risks: dizziness, lightheadedness, fainting, palpitations, shortness of breath, chest pain, blood clots, stroke, etc.
Fibrillation
rapid, uncoordinated contractions of atria & ventricles rendering heart useless pump. Causes: heart attack, coronary artery disease, abnormal heart valves
Myocardial infarction
heart attack; when coronary arteries (blood vessels supply blood to heart) become blocked, starved of O2 and nutrients
distal
farthest from attachment (trunk)
proximal
closest to attachment (trunk)
medial
closest to middle
inferior
under something
superior
above something
posterior
towards back
anterior
towards front
coronal
divides front and pack
sagittal
divides right and left
transverse
divides top and bottom
lateral
away from middle
superficial
closer to surface of body
deep
farthest away from surface of body
ipsilateral
on the same side of body (right arm and right leg for example)
contralateral
on opposite side of body (right and left leg for example)
how do the various units of the metric system relate to each other?
By powers of 10