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unit 2
myocardium
cardiac muscle- makes up the chamber walls
endocardium
the membrane lining of the myocardium
pericadrium
oduble layered membrane covering the heart
mitral valve
between the left atrium and the left ventricle. 2 cusps
tricuspid valve
between the right atrium and right ventricle. 3 cusps
diastole
the filling phase
systole
contracting phase
coronary artery function
provide the heart with blood supply
sinoatrial node (SA node)
acts as a pacemaker of the heart
arteries are lined with
endothelium
auscultation
listening to the heart via stethoscope for abnormal sounds and rhythms within the heart.
a heart murmur indicates
abnormal blood flow within the heart
echocardiography
an ultrasound of the heart. can look at movement,
True or false- cardiovascular diseases the number one leading cause of death in the US
True
angiocardiography
contrast indicator (dye) is injected into the cardiovascular system and detect blockages in vessels
hyperlipidemia
elevated lipids, in the blood. lipids include cholesterol, phospholipids and triglycerides
modifiable risk factors for cardiovascular disease
obesity, hypertension, smoking, diabetes, physical activity, high fat and cholesterol diet
nonmodifiable risk factors for cardiovascular disease
age, gender, genetics
atherosclerosis
narrowing of the arteries.
arteriosclerosis
general term for the thickening, hardening, and loss of elasticity of artery walls - often associated with aging
ischemia
loss of blood and Ocygen supply to an area of the body.
aortic aneurysm
abnormal dilation of the aorta, can increase size and potentially rupture
hypertension
sustained and excessively high BP
most common cardiovascular disease in US
hypertension
hypertension risk factors
age, sedentary lifestyle, overweight, family history, increased dietary salt and alcohol intake
primary hypertension
increaser in BP without other evidence of disease
secondary hypertension
increase in BP due to other disease ( kidney disease)
diagnosis
BP measurements. taken two times with stethoscope within two separate appts.
varicose veins
dilated, distorted veins usually develop in the superficial veins of the leg
chronic venous insufficiency
condition of poor blood return to the heart
venous thrombosis
clot developing in the superficial or deep veins of the lower extremities
coronary artery disease
reduced coronary blood flow
leading cause of death worldwide
coronary artery disease
myocardial infraction
heart attack
three main causes to acute kidney injury
shock, tubular necrosis, obstruction
prognosis of acute kidney injury
if treatment begins early + the underlying cause is treated, prognosis is good
UTI types
Lower- inflammation of urethra Upper- onflammation of nephron
lower UTI signs
blood in urine, pain during urination,
inflammatory kidney disease
immune mediated occurinf in the kidneys in the absence of infection
glomerulonephritis
inflammatory disease of the glomeri
glomerulonephritis signs
fever, adema, hematuria, proteinuria
kidney stones
deposits of mineral within the kidney called urinary calculi
kidney stones diagnosis
Xray, CT scan, renal ultrasound
chronic renal failure
a progressive loss of kidney function over time
acute renal failure
happens suddenly anf can have a better prognosis
chronic renal failure
develops more slowly over time but is usually non reversible
(permanent kidney damage)
blood is the medium for transportation of
oxygen, carbon dioxide, water, nutrients, proteins etc
blood is made up of
red + white blood cells, and platelets
plasma is made of
90% water, 10% dissolved proteins
Erythrocytes are known as
red blood cells
Erythrocytes are filled with
hemoglobin
the life span of an RBC is about
120 days
RBC production is called
erythropoiesis
leukocytes are
white blood cells
leukocytes are made up of
neutrophils, eosinophils, basophils, monocytes and lymphocytes
platelets produced in bone marrow are essential for
blood clotting and mobilization of clotting factors
CBC
complete blood count form
CBC function
used to look at cell numbers in the blood
blood smear
looks at cells microscopically to see change in shape, color, etc
bone marrow sample
used to diagnose blood disorder to evaluate if an issue with blood cell production is present
Anemia
low red blood count
anemia causes
hemorrhage, excessive destruction of RBCs, chronic disease, nutritional deficiency
Symptoms of anemia
hypoxia, fatigue, tachycardia, paleness
Anemia categories
regenerative and non-regenerative
regenerative anemia
bone marrow responds appropriately to the decreased number of red blood cells by increasing production of new blood cells. EX- hemolytic anemia
Non regenerative anemia
bone marrow response is inadequate when compared to the increased need. EX- kidney disease
Testing for Non regenerative VS generative anemia
blood smear
T/F: iron deficiency anemia is the leading cause of anemia worldwide.
true
iron deficiency anemia risks
excessive blood loss, menstruation, pregnancy
Iron Deficiency Anemia treatment
oral iron supplementation and injections
anemia of chronic disease
occurs in patients as a result of chronic inflammatory, infectious, and autoimmune disease
anemia of chronic disease is usually caused by
a defect in erythropoiesis
anemia of renal disease
chronic kidney disease or renal failure leading to severe anemia
T/F: anemia of renal disease is a type of non regenerative anemia
True
megaloblastic anemiab cause
impaired DNA synthesis + a deficiency in Vitamin B12 and or folic acid.
Magaloblastic RBCs are
large and contain increased ratios of RNA to DNA
respiratory epithelium
lining of the respiratory tract coated with a mucus film
cilia
hairlike projections in the pharynx to keep dust and particles from getting into the lungs
pleura
2 layer membrane covering the lungs
alveoli
thin-walled sacs of air surrounded by blood capillaries
the bronchioles terminate into the
alveoli
the disease where lung sacs are filled with pus
phenomena
main muscles of inhailation
diaphragm and internal intercoastals
obstruction is
interference of air flow
Three key disruptions of respiratory function can lead to disease:
interference with obstruction, diffusion of gasses at respiratory membrane, and blocked/reduced blood flow via alveolar capillaries
auscultation
the first physical examination of the respiratory tract
pulmonary function tests measure
airflow within the lungs and elevate lung friction
spirometry
measures the air capacity in the lungs
peak flow
measures the max flow a patient can exhale
bronchial challenge test
used to detect and quantify airway hypersensitivity
pulse oximetry
measures oxygen levels in the blood
atrial blood gasses
evaluates O2 levels, carbon dioxisde, and ph. key indicators of respiratory function
laryngoscopy
visual examination of the back of the throat
biopsy
takes samples of diseased tissue
sputum analysis
culture of secretions from the respiratory tract can aid in diagnosis
tonsilitis
inflammation of the tonsils
cause of tonsilitis
bacteria or viral infections
tonsilitis treatment
if bacterial (strep throat) treat with antibiotics, symptomatic treatment for viral infections, removal of tonsils is infections are frequent